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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

The Old Boring Calcium Question

October 25, 2010

Tags: movement, food, bone health, boron, British Medical Journal, calcium, cancer, chromium, dairy, diabetes, fruit, grains - whole, heart attack risk, heart disease, hugging and kissing, legumes, light, manganese, magnesium, milk, nuts, obesity, osteoporosis, potassium, phosphorus, selenium, skin – dark-skinned people, sleep – sufficient, sulfur, sun, supplements, The Old Boring Calcium Question, vegetables, vitamin D

Chances are you are taking a calcium supplement because are health-conscious?

But do you really need it – or are you even harming yourself with your calcium pill?

It is true that bones need calcium for growth. What is not true is that calcium alone gives us stronger bones. Bones need far more than just calcium: Other minerals like potassium, magnesium, manganese, phosphorus, chromium, sulfur, selenium, boron – and others – are necessary for bone health. Without these other minerals, calcium alone is pretty useless.

Besides, calcium pills – those fat bummers that are hard to swallow because of their size – are also hard to digest. As a physician, I have seen my share of undigested calcium pills popping up on x-rays, somewhere lying in the bowels, useless.

That milk is an unsuitable source of calcium, you have heard here before. Besides being an unhealthy food, the calcium from milk is also not as readily available as the calcium from vegetables, fruit, legumes, whole grains and nuts. The plant world is so abundant in calcium that adding vitamin D to milk as a selling argument comes close to a joke: Dairy is a cause for obesity, heart disease, diabetes, cancer, and so on.

For good bones you need a host of minerals – all conveniently available in plant foods – plus sun and exercise. Not so much sun, actually, as light. Even on an overcast day, a midday outdoors walk will trigger the necessary amount of vitamin D production beneath your skin. Inner-city people with dark skin are mostly at risk of osteoporosis because they need more sun exposure.

And if you don’t move, you will lose your bone strength fast. A little known fact: We are losing some bone every night, from being inactive during sleep. An active person will rebuild that loss (and more) the next day. An inactive person won’t.

A study in the British Medical Journal recently found that calcium supplement could increase the risk of a heart attack by thirty percent. Clearly, we have to rethink health: Health does not come from pills. It comes from a lifestyle that uses our body for which it is intended: joyful activity, fresh foods, sufficient sleep. And hugging and kissing, if you ask me.

Autoimmune Diseases

July 11, 2010

Tags: order, herbs, food, movement, alfalfa, allergies, aluminum, artemisia, arthritis, astragalus, autism, autoimmune disease, Autoimmune Diseases, barley, bowel problems, Brazil nut, bupleurum, calorie restriction, cannabis, cod liver, cordiceps, cortisone, curcumin, dairy, diabetes type I, diet, deli, fatigue, fat, fibromyalgia, fish, fish oil, gamgungtang, glucosamine, gluten, gluten intolerance, inflammation, kidneys, leaky gut, legumes, light, mercury, multiple sclerosis, muscles, mushrooms, neuropathy, nicotine, oats, olive leaf extract, padma28, parasites - intestinal, photo-sensitivity, pollutants, probiotic, psoriasis, resveratrol, rye, SAD (Standard American Diet), selenium, skin, squalene, statins, sugar, sunburn, sunshine, starches, sweeteners, tea - green, turmeric, thyroid, urticaria, vaccines, vegetables, vitamin D, walking, weight, wheat, Zyflamend

In autoimmune diseases the body’s immune system turns against cells of the own body, slowing destroying them, creating havoc like thyroid problems, allergies, arthritis and muscle weakness, skin afflictions, diabetes type I, neuropathy, autism (at least some forms), fibromyalgia, kidney failure, multiple sclerosis, urticaria, psoriasis, chronic fatigue, bowel troubles – and many more.

Autoimmune diseases are on the rise – more people are suffering from them. Doctors are baffled and, on the whole, helpless. Strong medications like cortisone with myriad side-effects are employed, without getting to the root cause of autoimmune diseases.

Some researchers suspect that our modern diet plays a big role; others blame pollutants in the environment or the fact that we have much less intestinal parasites (compared with cave men) which makes the idle immune system turning against the self. Modern medical drugs (to name just one example - statins - that can cause an autoimmune muscle disease) might contribute.

Of course, I don’t have all the answers either – but these are some ideas that helped patients:

• Make sure you don’t have a gluten intolerance. Test are notoriously unreliable; a better idea is to leave out all gluten (wheat, rye, barley, oats) and see if you improve. Many people feel so much better already after a week off gluten. Others need up to a year.
• Autoimmune diseases hurt the body at different organs. They all have in common an inflammatory effect. To do away with SAD (Standard American Diet) should therefore be the most important step: No sugar, no sweeteners, no white starches, no dairy (which might be the main culprit here!), no bad fats (nothing fried and processed). Instead: vegetables, vegetables, vegetables – and herbs, legumes, a bit meat and fish (but no deli). If you are not willing to cook for yourself and take yourself out of the mainstream food insanity, my hope for your recovery is slim.
• Moderate exercise: For a minimum, go for a walk everyday. Exercise produces anti-inflammatory molecules in your body.
• Bright light: Get some light outdoors. Not to the point of burning (autoimmune patients often have photo-sensitivity and are prone to easy sunburns). But light is important. If you have dark skin, you need more light. – Vitamin D might be what is protecting. I usually don’t give supplements; going outdoors daily and eating cod liver (delicious!) once a month should do the trick.
• Herbs (don’t take them all at once; try one after the other and give it time to work):

---Resveratrol; a strong anti-oxidant. Remember, there is far more resveratrol in the green vine leaves than in red wine – and nearly none in white wine and grape juice.

---Astragalus has shown some benefit. Just know that allergies are frequent in patients with autoimmune diseases. So, if you show signs of intolerance (upset stomach, aching joints, rash, etc.), stop the herb.

---Turmeric (its main ingredient curcumin) has anti-inflammatory properties is.

---Green tea.

---Korean Gamgungtang.

---Padma28, a Tibetan formula. There are some controversies about this. Talk this through with a knowledgeable physician.

---Zyflamend, a blend of several anti-inflammatory herbs. Make sure you don't have an allergy to any of its components.

---Artemisia (vulgaris and annua) both have shown some anti-inflammatory effects.

---Olive leaf extract.

---Cordiceps, a medicinal mushroom. – Eating mushrooms generally has a good effect on the immune system. Just never eat them raw (they could cause cancer): Always cook mushrooms!

---Alfalfa sprouts.

---Gluscosamine, while not an herb in the strict sense, has shown anti-inflammatory promise.

---Bupleurum, a Chinese medicinal plant.

• Be careful with vaccinations. A link between shots and autoimmune disease is suspected by some researchers. That does not mean you should avoid all vaccinations; just stick to the essential ones. Discuss this with your physician – who hopefully has an open ear for alternatives. The link between vaccines and autoimmune disease might come from the suppressing of the normal function of the body, namely fighting viruses off; or might be a function of certain additives in vaccines like mercury, aluminum and squalene.
• Selenium might be missing in your diet (Brazil nuts have the highest amount of selenium, but most nuts have some; seafoods are more moderate sources of selenium). As you might have noticed, I am no friend of supplements: minerals (and vitamins) from a bottle are not the same, and have even been proven to be harmful by recent studies. – With nuts always stay aware that you might develop an allergy at any time.
• Add some good anti-inflammatory fish oil capsules (you should not belch up a fishy taste!) daily.
• Help your intestines with probiotics. The bowels might be at the root of autoimmune diseases: A chronically inflamed bowel (“Leaky Gut Syndrome”) leads to inflammation in other parts of your body.
• One study showed that calorie restriction might decrease inflammation. I would not aim for weight loss per se; eating a fresh diet might lead to weight loss anyway. But a one-day vegetable broth fast per week (see an earlier blog entry here) might be a good idea. – Interestingly, one study showed that fasting during infectious fevers reduced the risk of developing consequent autoimmune disease.
• Don’t try this at home … but nicotine seems to protect from autoimmune disease. So does cannabis (which is still illegal!).

If you want to know which of all the above ideas are most important – probably these: NO DAIRY, NO GLUTEN!

Dairy II: Bone Health

May 25, 2010

Tags: food, movement, acid-alkaline balance, boron, breastfeeding, calcium, chromium, daily requirements, dairy, Dairy II: Bone Health, deli, fruit, grass, hormones, iron, magnesium, manganese, meats, milk - fortified, osteoporosis, phosphorus, potassium, proteins, selenium, silica, sulfur, vegetables, zinc

Bones contain calcium, potassium, manganese, magnesium, silica, iron, zinc, selenium, boron, phosphorus, sulfur, chromium, and more – but the dairy industry tries to tell us all we need for strong bones is calcium?

Cows eat nothing but grass – and we can’t compare with their bone strength (granted, they have different stomachs than we have – but I also haven’t asked you to eat grass…).

Vegetables contain enough calcium for strong bones. Plus they contain all the other minerals healthy bones require. We don’t need fortified, adulterated, hormone-injected dairy products for our bones. Also, the daily requirements for calcium seem to be put artificially high: In one study in Africa, women took in about only half the recommended dose and maintained excellent bone health.

Nuts are also full with all the different minerals we need. The problem with nuts of course, are allergies and reactions to lectins. So, if nuts don’t agree with you, don’t push them! And beware of rancid/roasted nuts! Their bad fats do more harm than good whereas fresh nuts contain beneficial omega-3’s.

Another problem with dairy is that it provides protein – and the Standard American Diet (SAD) contains too much protein as it is. We are omnivores by nature – once in a while a piece of meat (not deli!) between our teeth provides us with essential nutrients like vitamin B12 that are hard to come by otherwise – just not every day. But too much protein leaches out calcium from the bone – at least that is one theory. It says that the metabolic products of protein digestion are acidic, and need alkaline buffering for buffering, and so calcium is leached out of the bones. Regardless if this hypothesis is true, high protein (meats and dairy) diets have been linked to osteoporosis.

Lists of calcium contents, comparing dairy with vegetables, often show higher values for dairy products. What these lists don’t tell you is that calcium from dairy is not as easily absorbed as from vegetal matters (fruit, vegetables, grains, legumes, nuts – everything that has really grown) because high protein hinders calcium absorption.

Don’t think you get much benefit from a calcium supplement! Number one, the calcium without the other minerals will not do you much good. Number two, as a physician I am all too familiar with that oblong white spot on an x-ray of the bowels – the not-absorbed calcium pill. You better put your money into fresh produce!

Did I mention movement for bone health? I should.
Aspen eyes, by Peggy Peters

Iguazu Falls, by Xin Liu

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

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