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Signs and Symptoms of Arsenic Poisoning

October 4, 2016

Tags: water, herbs, movement, food, order, abdominal discomfort, abdominal pain, aches and pains, acrocyanosis, acute respiratory failure, acute tubular necrosis, adult respiratory distress syndrome, agitation, Aldrich-Mees's lines, alopecia, altered mental status, anemia, anemia – aplastic, anhidrosis, anorexia, anxiety, aplastic anemia, arrhythmia, arsenic, ascites, ataxia, atherosclerotic disease, autonomic neuropathy, basal cell carcinoma, basophilic stippling, birth defects, blackfoot disease – black, mummified dry gangrene, bladder cancer, blood in urine, bone marrow suppression, Bowen disease, brittle nails, bronchitis, bronchospasms (inhaled arsenic), burning in mouth/esophagus/stomach/bowel, cancer – lung/liver/kidney/bladder/skin/colon/larynx/lymphoid system, capillary dilation with fluid leakage and third spacing, cardiac arrhythmias, cardiac arrest, cardiomyopathy, carotid atherosclerosis, cerebral infarction, cerebrovascular disease, chills, cholangitis, cholecystitis, chronic lower respiratory diseases, cilantro, cirrhosis, clear skin lesions suddenly from such as acne, CNS depression, colitis, colon cancer, coma, concentration – poor, confabulation, confusion, congestive heart failure, conjunctivitis, convulsions, coordination difficulties, corneal necrosis, corneal ulcerations, cough with/without expectoration, cramps, cramping muscles, cyanosis of the fingers, death, dehydration, delirium, depression, dermatitis, dermatitis - allergic-type, dermatitis – exfoliative, desquamation of skin, diabetes, diarrhea - often severe and/or bloody, disordered thinking, disorientation, disseminated intravascular coagulation, drinking water, drowsiness, dyspnea (when inhaled), dysphagia, eczema, edema – non-pitting of hand and feet, EKG changes: ST changes/QT prolonged/torsades de pointes/T wave inversion, encephalopathy – acute, enzyme inhibition, esophagitis, eyes blood-shot, eyes burning, facial edema, fatigue, fatty liver, fever – low grade, fibrillation – ventricular, fingernail pigmentation, fingernails with white marks, fluid loss, flushing, folate, folic acid deficiency, gallbladder inflammation, gangrene of limbs, garlic, garlic-smelling breath or body fluids, gastritis, gastro-intestinal bleeding, generalized muscle aches and body pains, gingivitis, global trade, goiter, Guillain-Barré syndrome – resembling, hair loss, hallucinations, headaches, hearing loss, heart disease, heavy metals, hematuria, hemoglobinuria, hemolysis, hepatomegaly, herpes, hormone imbalance, hyperesthesia, hyperpigmentation of nails and skin, hyperpyrexia, hyperkeratosis - thickening of the skin of the palms and soles, hypersalivation, hypertension, hypertension-related cardiovascular disease, hypopigmentation – “raindrop” areas of lost skin color, hypotension, hypovolemia, imbalance, immune functioning impaired, immune suppression, impaired healing, inhibition of sulfhydryl enzymes – garlicky odor to breath/stool, insomnia, irritability, ischemic heart disease, jaundice, karyorrhexis, keratosis, kidney cancer, kidney damage, kidney failure, Korsakoff’s psychosis, lack of appetite, Landry-Guillain-Barré syndrome – resembling, larynx cancer, laryngitis, leg cramps, lens opacity, lethargy, leukemia???, leukocyturia, leukonychia striata, leukopenia, lightheadedness, listlessness, liver cancer, liver - central necrosis, liver congestion, liver dysfunction and elevated liver enzymes, liver - fatty degeneration, low grade fever, lung cancer, lung - chronic restrictive/obstructive disease, lungs - inflammation of respiratory mucosa, lung irritation, lymphoma???, major depression – mimicking, malabsorption, malaise, medicinal herbs, Mees's lines, melanosis of the eyelids/areolae of nipples/neck, memory loss, memory – poor, mental retardation, mental status altered, metallic taste in mouth, methionine, microcirculation abnormalities, mitochondrial dysfunction, movement disturbances, muscle aches, muscle fasciculations, muscle tenderness, muscle twitching, muscle wasting, muscle weakness, muttering, myocardial depression, myocarditis, nasal mucosa irritation (when inhaled), nasal septum perforation, nausea, neuralgia, neuritis, night blindness, nightmares, numbness, oliguria, oral burns (acute, when taken by mouth), pancreatitis, paralysis, paranoia, paresthesia – symmetrical, stocking-glove, pedal edema, pericarditis, peripheral neuritis, peripheral neuropathy, peripheral vascular insufficiency, personality change, pigmentation changes – hypo and hyper, pins and needles in hands and feet, pneumonia, bronchial pneumonia, polyneuritis, portal fibrosis, proteinuria, psychosis, pulmonary edema, pulmonary insufficiency (emphysematous lesions), pulse – irregular, QT prolonged, quadriplegia, Raynaud’s syndrome, renal cortical necrosis, respiratory failure – acute, respiratory muscle insufficiency, respiratory tract infection, rhabdomyolysis, rhino-pharyngo-laryngitis, rice, rouleaux formation of red blood cells, salivation excessive, sauna, seizures, selenium, sensorimotor peripheral axonal neuropathy, sensory changes, shock, Signs and Symptoms of Arsenic Poisoning, singing, skin bronzed, skin cancer, skin lesions and rashes including vesiculation, skin pallor, sleep, sore throat, spasms, splenomegaly, squamous cell carcinoma, ST changes, stomach pain, stomatitis, stroke, stupor, suicidal ideation, swallowing difficulty, sweating, sweating – excessive, sweet metallic taste, tachycardia, tea, throat constriction, thirst, thrombocytopenia, tingling, torsades de pointes, tracheobronchitis, tremor, tubular necrosis – acute, T wave inversion, unsteady gait, uremia, vasodilation, vasospasm, vegetables, vertigo, visual hallucinations, vitamin A deficiency, vitamin B12, vitamin C, vitiligo, vomiting, vomiting blood, weakness of distal muscles – hands and feet, weight loss, well, wobbliness, zinc

Most arsenic poisoning is chronic: Through global trade, we are ingesting more and more arsenic-contaminated products – mainly rice, tea, medicinal herbs. Acute arsenic poisoning usually is accidental or occupational (mainly workers in pest control, electronics manufacturing industry and pressure-treated carpentry). Few are homi- or suicidal. Earlier this year I have been diagnosed with arsenic-induced ataxia. Ataxia means imbalance, wobbliness.

For me, I am glad that I have “just” ataxia, and not more. The list below contains Latin as well a common names to make it easier to find things.

Here is the short of what I have been doing to reduce my arsenic levels:
1. Stop using tainted products; look for safer sources.
2. Sauna as often as possible to sweat out heavy metals. Sweating through exercise and summer heat also helps.
3. Eating fresh garlic and cilantro bind and expel heavy metals
4. Vitamin C, selenium, vitamin B12, zinc, folate and methionine add to the elimination of arsenic.
5. And, of course, all the other lifestyle goodies: A healthy diet heavy on vegetables. Movement. Enough sleep. Plenty of water (some areas of the US have arsenic-contaminated drinking water from wells – careful!).


Signs and Symptoms

The myriad manifestations of arsenic intoxication do a roller coaster through all medical specialties, it seems. Since there are so many overlapping features with many diseases, it will take an open mind and special alertness to make a diagnosis. Just to show the enormous scope of signs and symptoms, I have thrown together acute and chronic arsenic intoxication. The list is not thought for diagnosing yourself - consult your physician. Here is the list:

Abdominal discomfort
Abdominal pain
aches and pains
Acrocyanosis
Acute respiratory failure
Acute tubular necrosis
Adult respiratory distress syndrome
Agitation
Alopecia
Altered mental status
Anemia
Anemia, aplastic
Anhidrosis
Anorexia
Anxiety
Aplastic anemia
Arrhythmias
Ascites
Ataxia
Atherosclerotic disease
Autonomic neuropathy: unstable blood pressure, anhidrosis, sweating, flushing
Basal cell carcinomas
Basophilic stippling
Birth defects,
Blackfoot disease – black, mummified dry gangrene
Bladder cancer
Blood in the urine
Bone marrow suppression
Bowen disease
Brittle Nails
Bronchitis
Bronchospams (inhaled arsenic)
Burning in mouth/esophagus/stomach/bowel
Cancer – lung, liver, kidney, bladder, skin, colon, larynx, lymphoid system
Capillary dilation with fluid leakage and third spacing
Cardiac arrhythmias
Cardiac arrest
Cardiomyopathy
Carotid atherosclerosis
Cerebral infarction
Cerebrovascular diseases
Chills
Cholangitis
Cholecystitis
Chronic lower respiratory diseases
Cirrhosis
Clear skin lesions such as acne
CNS depression
Colitis
Colon cancer
Coma
Concentration - poor
Confabulation
Confusion
Congestive heart failure
Conjunctivitis
Convulsions
Coordination difficulties
Corneal necrosis
Corneal ulcerations
Cough with/without expectoration
Cramps, cramping muscles
Cyanosis of the fingers
Death
Dehydration
Delirium
Depression
Dermatitis
Dermatitis allergic-type
Dermatitis, exfoliative
Desquamation of skin
Diabetes
Diarrhea, often severe and/or bloody
Disordered thinking
Disorientation
Disseminated intravascular coagulation
Drowsiness
Dyspnea (when inhaled)
Dysphagia
Eczema
Edema – non-pitting of hand and feet
EKG changes: ST changes, QT prolonged, Torsades de pointes, T wave inversion
Encephalopathy, acute
Enzyme inhibition
Esophagitis
Eyes blood-shot
Eyes burning
Facial edema
Fatigue
Fatty liver
Fever - lowgrade
Fibrillation, ventricular
Fingernail pigmentation
Fingernails with white marks
Fluid loss
Flushing
Folic acid deficiency
Gallbladder inflammation
Gangrene of limbs
Garlic-smelling breath or body fluids
Gastritis
Gastro-intestinal bleeding
Generalized muscle aches and body pains
Gingivitis
Goiter
Guillain-Barre syndrome - resembling
Hair loss
Hallucinations
Headaches
Hearing loss
Heart disease
Hematuria
Hemoglobinuria
Hemolysis
Hepatomegaly
Herpes
Hormone imbalance
Hyperesthesia
Hyperpigmentation of the nails and skin
Hyperpyrexia
Hyperkeratosis thickening of the skin of the palms and soles
Hypersalivation
Hypertension
Hypertension-related cardiovascular disease
Hypopigmentation – “raindrop” areas of lost skin color
Hypotension
Hypovolemia
Immune functioning impaired
Immune suppression
Impaired healing
Inhibition of sulfhydryl enzymes – garlicky odor to breath/stool
Insomnia
Irritability
Ischemic heart disease
Jaundice
Karyorrhexis
Keratosis
Kidney cancer
Kidney damage
Kidney failure
Korsakoff’s psychosis
Lack of appetite
Landry-Guillain-Barré syndrome - resembling
Larynx cancer
Laryngitis
Leg cramps
Lens opacity
Lethargy
Leukemia???
Leukocyturia
Leukonychia striata
Leukopenia
Lightheadedness
Listlessness
Liver cancer
Liver: central necrosis
Liver congestion
Liver dysfunction and elevated liver enzymes
Liver: fatty degeneration
Low grade fever
Lung cancer
Lung: Chronic restrictive/obstructive diseases
Lungs: Inflammation of respiratory mucosa
Lung irritation
Lymphoma???
Major depression – mimicking
Malabsorption
Malaise
Mees's lines, or Aldrich-Mees's
Melanosis of the eyelids, areolae of nipples, and neck
Memory loss
Memory – poor
Mental retardation
Mental status altered
Metallic taste in mouth
Microcirculation abnormalities
Mitochondrial dysfunction
Movement disturbances
Muscle aches, spasms, weakness
Muscle fasciculations
Muscle tenderness
Muscle twitching
Muscle wasting
Muttering
Myocardial depression
Myocarditis
Nasal mucosa irritation (when inhaled)
Nasal septum perforation
Nausea
Neuralgia
Neuritis
Night blindness
Nightmares
Numbness
Oliguria
Oral burns (acute, when taken by mouth)
Pancreatitis
Paralysis
Paranoia
Paresthesia – symmetrical, stocking-glove
Pedal edema
Pericarditis
Peripheral neuritis
Peripheral neuropathy
Peripheral vascular insufficiency
Personality change
Pigmentation changes – hypo and hyper
Pins and needles in hands and feet
Pneumonia, bronchial
Polyneuritis
Portal fibrosis
Proteinuria
Psychosis
Pulmonary edema
Pulmonary insufficiency (emphysematous lesions)
Pulse – irregular
Quadriplegia
Raynaud’s Syndrome
Renal cortical necrosis
Respiratory failure, acute
Respiratory muscle insufficiency
Respiratory tract infection
Rhabdomyolysis
Rhino-pharyngo-laryngitis
Rouleaux formation of red blood cells
Salivation excessive
Seizures
Sensorimotor peripheral axonal neuropathy
Sensory changes
Shock
Singing
Skin bronzed
Skin cancer
Skin lesions and rashes, including vesiculation
Skin pallor
Sore throat
Splenomegaly
Squamous cell carcinoma
Stomach pain
Stomatitis
Stroke
Stupor
Suicidal
Swallowing difficulty
Sweating, excessive
Sweet metallic taste
Tachycardia
Throat constriction
Thirst
Thrombocytopenia
Tingling
Tracheobronchitis
Tremor
Tubular necrosis, acute
Unsteady gait
Uremia
Vasodilation
Vasospasm
Vertigo
Visual hallucinations
Vitamin A deficiency
Vitiligo
Vomiting
Vomiting blood
Weakness of distal muscles – hands and feet
Weight loss

Minimal Exercise Program

December 5, 2011

Tags: movement, anti-aging, arm exercise, back exercise, balance, ball – weighted, barefoot walking, bedridden, Black Beach, body pampering, bone mass, boredom, Boston, bowels - massaging, brushing teeth, cello, California, Chinese, constipation, daily exercise program, death, double chin, elderly, exercise program, exercises en-passant, falls in the elderly, family, fire, Five Tibetans, friends, garden, gentle exercise, German, gluten intolerance, gym machine, hip fracture, hypothermia, imbalance, immune-stimulating, immune system, injury, jogging, Kegel exercises, knee bends, leg strengthening, lower back pain, marathon, marriage, mindfulness, mindless exercise, minimal, Minimal Exercise Program, muscles, neck strengthening, osteopenia, osteoporosis, overexertion, painting, pelvic muscles, pinyin, pneumonia, pool, posture, reading, ruptured muscles, San Diego, sex, shadow boxing, soul pampering, spine, sports medicine, squeezing of shoulder blades, standing on one leg, swimming on dry, tai chi, tai ji, talking, tongue exercise, toning, traveling, triathlon, TV, upper back muscles, walking, warmth, writing, yoga

Reasons why I keep my exercise program as minimal as possible:

1. Exercise is boring.
2. Too much exercise may easily lead to injuries: We now have a medical specialty called “sports medicine”. If we didn’t overdo exercises, we would not need sports medicine. Using those modern gym machines while watching TV is a mindless enterprise. And as things go around, they come around – you could end up hurting yourself.
3. Definitely, there are more interesting things to do – playing cello, writing a book, reading tons of books, dabble with colors and brushes, being with family and friends, learning Chinese – to name a few.

On the other hand, I do have bad posture – inborn (many years of unrecognized gluten intolerance that weakened my muscles), and from years of being bedridden as a young person. Movement creates fire and warmth inside, without which we would not be alive. We need to move yes, but nowhere is it written that we need to jog or overexert ourselves in bad ways.

My exercise program changes all the time – I am always on the lookout for something faster and better. You might remember how much I liked the Five Tibetans – until I developed lower back pain. Recently I had to abandon my laps in the unheated Californian pool; the temperature got too low. I still jump in from time to time, just to get the immune-stimulating jolt of the cold water. But I can’t get my exercise that way anymore - danger of hypothermia and ruptured muscles.

Of course, back in Boston, I work in the garden and go to yoga classes, and have a house to tend to. Here, in this tiny apartment, I had nothing comparable – so far. Until last week , when I joined tai chi classes – or as it is called in proper pinyin Chinese: tai ji. In German, tai chi is called “shadow boxing” – and that describes well those flowing, artful movements I now try to learn. Emphasis on “try”: This is not my first time; in the past, I always had trouble remembering the sequence of movements. This time around, I will not even try to learn the sequence; I will just mimic my teacher and lose myself in the flow of gestures. Because, in the two more months we will stay in San Diego, how much can I really learn? Not much.

But in the first lesson, I already learned an important movement, which I now practice every time I pass by a mirror and notice how bent I have gotten up from my studies. Which makes two little exercises which I do in en-passant, not putting in extra time:

1. This squeezing of my shoulder blades that immediately makes me more upright. Firstly, it is a simple reminder; secondly, the squeezing loosens the muscles of the upper back and prevents that my head slowly vanishes between my shoulders like the head of a turtle in its shell.
2. Standing on one leg – especially while brushing my teeth, or waiting and whiling time away. This is good for balance, and for strengthening leg and pelvic muscles. Imbalance is what kills the elderly: Imbalance – fall – hip fracture – pneumonia – death; we physicians see it all the time. This exercise also increases bone mass in legs and spine, thus counteracting osteopenia and osteoporosis, thus preventing those nasty hip fractures. Standing on one leg is far more interesting and effective than Kegel exercises! Keeps your sex alive!

Not everything can be done on the go. So, I have this daily program – and don’t hold your breath! - each of these exercises takes less than a minute, and presently, I am doing six of them, each of them repeated 21 times. Twenty-one: That is the number of repetitions I have kept from the Five Tibetans. You can’t overdo much in twenty-one times, and twenty-one brings me just to the border of utter boredom.

1. Knee bends: Done wrongly, knee bends can hurt your knees. Therefore make sure that you are doing them right: Keep feet and knees together, keep knee caps over your toes, and don’t go deeper than you can easily do, but challenge yourself to go deeper with time. 21 times. Or, in the beginning, you might want to do this by holding on to something stable.
2. Arm exercise: Done with a small heavy ball. I have one of those weighted exercise balls – six pounds. When traveling, I am using my whale of a laptop – has nearly six pounds, too. Fill a plastic bottle with water (this is lighter), or find a heavy book. Slowly lift the ball (or whatever) with both hands and arms out-stretched, and bring it up above your head. Then bend your arms backward and down. Bring up your arms again, over your head and then down in front. Repeat this 21 times. It is good against arm flab, and strengthens the muscles of your upper back.
3. Back exercise: Stand tall. Take the ball in both hands behind you back and lift it upward 21 times. That will squeeze your shoulder blades and improves posture.
4. Swimming on dry: I started this after I had to leave the pool, because I missed the exercise that built up my upper back muscles. Come down on the floor on your belly, lift arms and legs slightly from the ground, and make swimming movements 21 times. A boon is that you are massaging your bowels in this position, which is good against constipation. Getting down on the floor daily acts also anti-aging.
5. Neck strengthening: This I do mornings and evenings in bed: Dig your heels and the lower part of your back head into the mattress. It feels like you arch your back in this position. Breathe in and out. It strengthens all back muscles, especially the upper back. It also works like a charm against a double chin.
6. Tongue exercise: This also helps to eliminate a double chin. Stretch out your tongue, 21 times.

One would think that a program this trifling would do nothing for the health of your body. On the contrary – I was never as toned and nimble as I am now, on this program. If however you are already doing triathlons or marathons: Stick with it, don’t listen to me … at least not until you come home injured. Then turn to my gentler method.

A big part of why this works is the mindfulness you practice all day: You stand on one leg while waiting for the bus. You get up from the computer and squeeze your shoulder blades. You are in the bathroom and stick out your tongue a few extra times. This program keeps you aware that you have a body, and your body needs attention and pampering, too. Moving your body gently pampers it. Lying down and doing nothing pampers your soul. There needs to be a balance between the two!

The other activity we do as often as we can, is walking. Here in San Diego, we have the beautiful Black Beach. If one removes shoes and socks and walks at the water line, in and out of the waves, it is great fun, and another great provocation to the immune system! And by walking and talking we keep our marriage afresh and alive.
Aspen eyes, by Peggy Peters

Iguazu Falls, by Xin Liu

Alexa Fleckenstein M.D. 2012, by Lolita Parker jr.

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