Holistic Treatment to get rid of Excessive Sweating
Hyperhidrosis is a problem in some patients with PD, and when severe, this symptom can be severely disabling. Little is known about the problem due to a paucity of careful studies. A small study (71) demonstrated that PD patients generate more sweat when exposed to heat than control patients and that excessive sweating increases with disease severity. Swinn et al. (72) recruited 77 consecutive PD patients and 40 controls for a study of sweating. The authors designed their own questionnaire to evaluate sweating, which consisted of 41 questions. PD patients were much more likely than controls to report excess sweating, particularly episodes of whole body, drenching sweats (44 of PD patients vs. 10 of controls). Hypohidrosis was also reported, but the frequency in PD patients was not significantly different from controls. PD patients tended to experience sweating episodes when they were off or on with dyskine-sia and 70 of patients who had dyskinesia reported excessive sweating. Sweating...
Heat is lost through the following four mechanisms radiation, convection, conduction, and evaporation. Radiation, in which heat is transferred by electromagnetic waves, accounts for almost two-thirds of heat loss in a cold environment. Radiant heat loss can be minimized by wearing appropriate warm clothing and minimizing the body surface area exposed to the cold environment. Conduction refers to the transfer of heat from warmer to cooler objects by direct contact. Heat loss through this mechanism is usually minimal, but it becomes a major source of heat loss in wet clothes or with cold-water immersion. Convection is the loss of heat to surrounding air and water vapor. Heat loss by convection is dependent on a combination of environmental factors, including wind velocity and temperature. The wind chill index, which estimates the equivalent temperature effect on exposed skin, is a combination of the ambient temperature and the wind velocity. It is a more important consideration than the...
Acute myocardial infarction (MI heart attack ) most commonly is caused by atherosclerotic disease. It results from myocardial ischemia that induces cellular necrosis. Clinical findings include onset at rest (usually) a sensation of pressure or burning in the chest that lasts longer than 30 minutes pain radiating to the arm, jaw, and neck nausea or vomiting sweating shortness of breath and tachycardia. Mis may be silent and without consequence. Complications of MI include congestive heart failure papillary muscle rupture, indicated by acute onset of congestive heart failure with holosystolic murmur and life-threatening arrhythmias, common in the first 24 hours after Ml. Electrocardiogram (ECG) findings include ST segment elevation immediately after the Ml. Later, falling ST segments are observed, and Q waves and inverted T waves appear. Cardiac enzyme levels include elevated total creatine kinase (CK) and CK-2 fraction 6-12 hours after MI elevated troponin levels 12 hours after MI and...
Although not commonly reported, autonomic dysfunction (other than disturbances of bowel and bladder) may be noted. Abnormal sweating has been described, and some patients have coldness or discoloration of the legs or feet (168,169a,169b). Autonomous respiration, a syndrome in which the patient loses voluntary control of breathing, has been described (170). Respiratory failure may rarely occur as a result of bilateral diaphragmatic paralysis with or even without significant quadri-paresis (170-172).
Overall impact of cubozoans is much greater as stings are not always reported. Carukia barnesi is now recognized as the cause of Irukandji syndrome, which results in severe backache, muscle pains, chest and abdominal pains, headache, localized sweating, and piloerection, as well as nausea and reduced urine output. There is a box jelly antivenom that binds to both C. fleckeri and C. barnesi, and vinegar can inhibit unfired nematocysts from firing (although it stimulates nematocyst firing with other cnidarians).
Insidious onset with pruritus, erythema and hyperhidrosis has been reported, but such prodromes are most likely rare or not noticeable to the patients. Most frequently, the first lesion is a solitary painful, deep-seated nodule (0.5-2 cm in diameter), in an area of inverse or apocrine-gland-bearing skin such as e.g. the axilla (see Fig. 3.1a, b). This lesion is round and deep without any pointing or central necrosis such as occurs in a furunculosis (it forms a blind boil ). It may resolve spontaneously within several days - a mean of 7 days is described 12 - or persist as a non-tender, silent nodule with subsequent recurrences of inflammatory episodes over weeks or even months without any evidence of suppuration.
Phaeochromocytoma is medullary in location, 3-5 cm in diameter and 75-150g in weight, or larger, with a pale to tan coloured cut surface. It is associated with MEN2A 2B, von Hippel Lindau disease and neurofibromatosis. Similar extra-adrenal paragangliomas are found elsewhere along sympathetic parasympathetic nervous system sites in the retroperi-toneum, mediastinum, carotid body, middle ear and urinary bladder with variable secretory capacity and functionality, e.g. chemodectomatous head and neck paragangliomas. Adrenal phaeochromocytoma has a characteristic nested Zellballen pattern its cells secreting catecholamines and inducing paroxysmal symptoms of flushing, sweating, tachycardia, tremor and hypertension. Surgical excision requires careful control of blood pressure to avoid a hypertensive crisis. Overall survival is 50 with 10 bilateral or extra-adrenal or malignant. Malignant behaviour cannot be predicted histologically, with metastases being the only reliable criterion. Spread...
Early work in this area investigated subjective response to substances applied to skin that had been damaged by either blisters 28 or scotch tape-stripped skin 29 . However, these were considered measurements of pain rather than measurements of more transient subjective discomfort. In response to concerns that some substances, such as sunscreens, may cause delayed stinging, Frosch and Kligman developed a method for identifying potential ''stingers.'' This method involved applying lactic acid to the nasolabial fold and cheek area of subjects brought to a profuse state of sweating. The intensity of stinging was then measured by the subject using a 4-point scale at 2.5, 5.0, and 8.0 minutes after application. It was also established that a stinging response could be induced in nonsweating subjects by increasing the concentration of lactic acid. An arbitrary method for classifying the irritancy potential of substances was also developed that identifies if the substance has a slight,...
Individuals with RSS show intrauterine and postnatal growth retardation plus some of the following signs prominent forehead (with late closure of anterior fontanelle), triangular face, downturned corners of the mouth, faciotruncular and limb asymmetry, 5th finger brachymesophalangy and clinodactyly, cutaneous syndactyly of toes 2 and 3, areas of hypo- and hyperpigmentation of the skin, genital hypoplasia in males, decreased subcutaneous tissue, delayed bone age, and excessive sweating. Intelligence is usually within the normal range. In three of the 25 RSS individuals, maternal UPD7 was documented using polymorphic markers. Two had apparently complete isodisomy for several maternally derived markers, and one had heterodisomy at 15 maternal loci. All three children displayed the full spectrum of the RSS. In one out of ten individuals with the diagnosis of PGR, maternal UPD7 (isodisomy) was detected using informative microsatellite markers. On reexamination, this patient had a broad...
In the course of its residence on the scalp, hair is exposed to a variety of events that contribute to its soiling. Among them are the innate processes of scalp desquamation, sweating, and sebum secretion, which are supplemented by deposition of extraneous substances arising either from environmental pollution (dust and other airborne contaminants) or from hair-grooming preparations, such as oils, waxes, hair spray, and mousse residues. Of all these, sebum, because of to its steady replenishment, greasy characteristics, high adhesiveness to hair, and ability to cement the other soil particulates together and to the hair surface, appears most insidious and thus it is not surprising that its efficacious removal is key in hair cleansing.
Iontophoresis has been successfully used in medicine to achieve topical delivery of drugs and actives. Most of the clinical applications of iontophoresis were developed in physical therapy and dermatology. The key areas include local anesthesia, hyperhidrosis, and local treatment of inflammation. Efficacy has been shown in clinical studies. In some cases, notably for the delivery of cosmetics, the ability of the medication to penetrate the target tissue in sufficient quantities to produce a clinical effect was not studied in controlled clinical trials. Tap-water iontophoresis has been widely used for the treatment of hyperhidrosis. It is effective in the management of hyperhidrosis for the axillae, palms, and soles by reducing sweat production with only mild and temporary side effects. The exact mechanism of action remains unknown 40,41 . Current is typically applied in a 10 to 20 min session, which needs to be repeated two or three times per week and followed by a maintenance program...
If the stimulation trial is satisfactory, achieving at least 50 pain relief without intolerable side effects such as unpleasant paresthesias, the patient is prepared for electrode internalization. The final system selection (IPG vs RF receiver), which depends on optimal stimulation parameters and patient preferences, can be made before internalization. The internalization procedure is usually performed under general anesthesia, as IPG receiver insertion and especially wire tunneling are very painful and poorly tolerated by awake patients. It is possible to implant the generator receiver in the superior glu-teal area, but most surgeons prefer to place it in the anterior abdominal wall. Posterior placement allows the patient to remain in the prone position for internalization, whereas anterior placement is usually performed with the patient in the lateral decubitus position, which permits access to both lumbar and anterior abdominal regions. For SCS systems that focus on the cervical or...
Eccrine sweat glands in the human are distributed over the entire body surface except for the lips, glans penis, inner surface of the prepuce, clitoris, and labia minora. They are simple coiled tubular structures located in the deep dermis or upper hypodermis and are directly continuous with a duct segment that leads to the epidermal surface. Eccrine sweat glands principally function in regulating body temperature through the cooling that results from evaporation of water from the hypotonic sweat secreted onto the body surface. Excessive sweating can lead to significant loss of water and electrolytes from the body. Eccrine sweat glands are particularly numerous in the thick skin of the hands and feet.
In the midst of winter (everyone on my service will substantiate this), you can see the parkinsonian patients with no blankets covering them and with only the lightest of clothes on . . . they feel hot especially around the epigastrium and back, although the face and extremities can also be the focus of their discomfort. When this heated sensation occurs, it is often accompanied by such severe sweating that the sheets and pajamas may need changing. I assure you that regardless of how hot these patients feel or how much they shake, their temperature remains normal (18).
In London, Erasmus Wilson 11 , a leading light in British dermatology, summarized Ver-neuil's description and indicated that the tumors, differ from boils in their deep origin, in the absence of elevation and pointing and also in the absence of core. Wilson considered the affection as caused by external irritation of the skin from neglect of cleanliness, friction, and sweating. At the same time, Radcliffe Crocker described hidradenitis briefly as a type of furunculosis that begins in the sweat coil 12 .
Primary lesions of the jugular foramen include glomus jugulare tumors, schwannomas, and meningiomas. Metastatic lesions to the jugular foramen are more common than primary neoplasms (36,38-42). Glomus jugulare tumors are the most common primary neoplasms of the jugular foramen. These are vascular tumors arising from neuroectodermally derived paraganglia present at the jugular fossa, the inferior tympanic canaliculus, the promontory, and within the vagus nerve. Paraganglia are very similar histologically and embryologically to the adrenal medulla. They, along with their derivative glomus tumors (jugulare and tympanicum), are typically supplied by the inferior tympanic branch of the ascending pharyngeal artery (43) however, the blood supply to glomus tumors may be very extensive, originating from the external carotid, the internal carotid, and the vertebral arteries (44). These tumors are more common in females (6 1 female-to-male ratio) and usually present in middle age. Functional...
The traditional view, which may well apply to some of the most severely affected, is of a relentlessly progressive disorder. Alcohol problems commonly begin when social drinking becomes heavier for psychological reasons, such as living in a hard-drinking environment, or stressful work or family circumstances. This stage of psychological dependence is followed in some cases by development of physical dependence, manifested by loss of control over the amount consumed, and withdrawal symptoms (tremor, sweating, anxiety, and craving) if alcohol is unavailable for a few hours. Intake increases further to combat withdrawal symptoms. Alcohol tolerance increases initially, decreasing again when the condition becomes advanced. Drinking gains priority over other activities, and the various physical, psychiatric, and social problems ensue.
Problems occurring during anaesthesia and surgery must be considered in an appropriate way. For example, the onset of an arrhythmia during surgery may have an anaesthetic cause, or result from surgical stimulation. A disturbance of cardiac rhythm is not necessarily indicative of myocardial disease. If the arrhythmia is accompanied by sweating and hypertension it probably results from excessive sympathoadrenal activity. You must learn to consider the causation of intraoperative problems in the following order
Trihexyphenidyl should never be used in children under age three. It should be used cautiously and with close physician supervision in older children and in people over age 60. Trihexyphenidyl, like all anticholinergic drugs, decreases sweating and the body's ability to cool itself. People who are unaccustomed to being outside in hot weather should take care to stay as cool as possible and drink extra fluids. People who are chronically ill, have a central nervous system disease, or who work outside during hot weather may need to avoid taking tri-hexyphenidyl.
The symptoms of sleep terror are very similar to the physical symptoms of extreme fear. These include rapid heartbeat, sweating, and rapid breathing (hyperventilation). The heart rate can increase up to two to four times the person's regular rate. Sleep terrors cause people to be jolted into motion, often sitting up suddenly in bed. People sometimes scream or cry. The person's facial expression may be fearful.
During the course of a nightmare the sleeper may moan, talk, or move slightly, although these signs do not always appear. The person wakes from the nightmare with a profound sense of fear. Waking is complete, and usually accompanied by increased heart rate, sweating, and other symptoms of anxiety or fear. Once fully awake, the person usually has a good recall of the dream and what was so frightening about it. Because of the physical symptoms of anxiety and because clarity is achieved immediately upon waking, returning to sleep after a nightmare is often difficult. The vividness of the recall and the prominence of the dream images in the person's mind can also make it difficult to calm down and return to sleep.
Normally, the body loses -600 mL of water a day through evaporation from the lungs and skin. Under conditions of high ambient temperature, water loss is increased by an increased rate of sweating. This thermoregulatory sweating first occurs on the forehead and scalp, extends to the face and the rest of the body, and occurs last on the palms and soles. Emotional sweating, however, occurs first on the palms and soles and in the axillae. Sweating is under both nervous control through the autonomic nervous system and hormonal control.
Objective signs of autonomic arousal, such as palpitations, sweating, flushing, tremor, and expression of fear and distress about the possibility of a physical disorder. Second, there are subjective complaints of a nonspecific or changing nature such as fleeting aches and pains, sensations of burning, heaviness, tightness, and feelings of being bloated or distended, which are referred by the patient to a specific organ or system.
SUI due to sphincter insufficiency is treated with alpha-adrenergic agonists. Phenylpropanolamine or pseudoephedrine is the first line of pharmacologic therapy for women with SUI. Side effects include anxiety, insomnia, agitation, respiratory difficulty, headache, sweating, hypertension, and cardiac arrhythmia. Use caution with arrhythmias, angina, hypertension, or hyperthyroidism.
A practical use of the Hardy-Weinberg law is that it allows us to calculate allelic frequencies when dominance is present. For example, cystic fibrosis is an autosomal recessive disorder characterized by respiratory infections, incomplete digestion, and abnormal sweating (see p. 000 in Chapter 6). Among North American Caucasians, the incidence of the disease is approximately 1 person in 2000. The formula for calculating allelic frequency (Equation 23.3) requires that we know the numbers of homozygotes and heterozygotes, but cystic fibrosis is a recessive disease, and so we cannot easily distinguish between homozygous normal persons and heterozygous carriers. Although molecular tests are available for identifying heterozygous carriers of the cystic fibrosis gene, the low frequency of the disease makes widespread screening impractical. In such situations, the Hardy-Weinberg law can be used to estimate the allelic frequencies.
Some police agencies, in an attempt to link a gun with an individual, use TMDT. These tests depend on the detection of trace metals left on the hand as a result of handling a gun. The metal forms characteristic color complexes with a reagent sprayed on the hand. Different metals produce different colors. The pattern and color produced depend on the shape and metal content of the weapon. Whether the pattern and color are present depends on how long the weapon was held and whether the individual was sweating. As sweating increases, the pattern and color increase in prominence. The initial TMDT involved the use of 0.2 8-hydroxyquinoline solution with viewing the hand for color patterns under ultraviolet light. Positive results were obtained for 36 to 48 hr after handling metal. A new reagent, 2-nitroso-1-naphthol, does not require viewing under ultraviolet light.10 Metallic patterns using this reagent last only 4 hr or less. The problems inherent with TMDT are its lack of specificity and...
Russell-Silver Syndrome (RSS) is characterized by pre- and postnatal growth retardation and a disproportionately large head, due to a broad and prominent forehead that contrasts with a small, narrow lower portion of the face, giving a triangular appearance. Delayed closure of the anterior fontanelle is characteristic, as are downturned corners of the mouth hemi-hypotrophy of the face, trunk, and limbs clinodactyly brachymesophalangy of the fifth fingers partial cutaneous syndactyly of the second and third toes areas of hypo- or hyperpigmentation of the skin diminished subcutaneous tissue delayed bone maturation and excessive sweating of the forehead (Taussig et al., 1973 Kotzot et al., 1995). Other features may include anteverted nostrils, low set ears, webbing of the neck, dislocation of elbows with difficult supination, single palmar creases, hyperextensibility of joints, shortening of upper limbs, cubitus valgus, slight ptosis, high-pitched squeaky voice, neonatal edema of...
Presently, the Federal Drug Administration (FDA) indicates use of MHT for moderate (with sweating) to severe (limits activities) hot flashes with a frequency of 80 to 100 per week. The FDA recommends use of the smallest dose MHT to alleviate symptoms for the shortest amount of time possible. Prior to 2002, the oral dose of conjugated equine estrogen (CEE) recommended to protect from heart disease and osteoporosis and to alleviate all symptoms was 0.625 mg daily. There was aggressive marketing to women's health professionals that this or an equivalent dose in another preparation was the standard of care to control symptoms. The side effects usually encountered at this dose included breast tenderness and breakthrough bleeding. In the recent past there has been development of lower dose products that are half to one-quarter the CEE 0.625 mg dose in patch and oral
Molly G., an overweight, 47-year-old college administrator and mother of four, had been feeling healthy until recently. Then she regularly began to feel pain in the upper right quadrant of her abdomen (see fig. 1.22). Sometimes the discomfort seemed to radiate around to her back and move upward into her right shoulder. Most commonly, she felt this pain after her evening meal occasionally it also occurred during the night, awakening her. After an episode of particularly severe pain accompanied by sweating (diaphoresis) and nausea, Molly approached her physician.
Summary This brief fact sheet reminds readers of the connection between heart disease and diabetes. The fact sheet notes that many conditions that increase one's changes of getting heart disease are more common in people with diabetes. These conditions include cholesterol problems, high blood pressure (hypertension), overweight, and blood clotting problems. Heart attacks, known in the medical community as myocardial infarctions, are one of the most common heart conditions. For most people, a heart condition leads to symptoms such as chest pain or pressure, jaw pain, arm pain, shortness of breath, sweating, and pounding heartbeat. However, many people with diabetes and heart disease do not notice any symptoms at all. This is called silent ischemia. Silent ischemia is very dangerous because it may prevent patients with heart problems from seeking medical care and getting early treatment. The fact sheet lists common risk factors for heart disease, and encourages readers with those risk...
Jeffrey Schweitzer, a surgeon at Northwestern University Medical School in Chicago, has developed a treatment for hyperhidrosis. He inserts an endoscope (a small lit tube) through an opening in the patient's chest wall and removes the nerves that signal sweat glands in the palms. The success rate is greater than 80 .
Commission E has approved the use of this herb as a treatment for menopausal symptoms (Blumenthal et al 2000). Similarly, the World Health Organization (WHO) recognises its use for the 'treatment of climacteric symptoms such as hot flushes, profuse sweating, sleeping disorders and nervous irritability'. The North American Menopause Society recommends black cohosh, in conjunction with lifestyle approaches, as a treatment option for women with mild menopause-related symptoms (2004).
Oxides of nitrogen, like nitrogen dioxide, commonly produce a triphasic illness pattern. Initial presentation may be that of cough, wheeze, dyspnea, central chest pain, fever, sweating, and weakness. Physical examination may reveal wheezes and crackles, and the patient may be hypotensive and cyanotic. The patient's x-ray may be normal or may show pulmonary edema. This phase of the illness will resolve and the
Used within the traditional Chinese herbal medicine system, astragalus is used to invigorate and tonify Qi and the blood, as an adaptogen, for severe blood loss, fatigue, anorexia, organ prolapse, chronic diarrhoea, shortness of breath, sweating and to enhance recuperation (Mills and Bone 2000).
Lactic acid serves as a model irritant for diagnosis of so called ''stingers'' when it is applied in a 5 aqueous solution on the nasolabial fold after induction of sweating in a sauna 67 . Other chemicals that cause immediate-type stinging after seconds or minutes include chloroform and methanol (1 1) and 95 ethanol. A number of substances that have been systematically studied by Frosch and Kligman may also cause delayed-type stinging 67,68 . Several investigators tried to determine parameters that characterize those individuals with sensitive skin, a term that still lacks a unique definition 69,70 . It could be shown that individuals who were identified as having sensitive skin by their own assessment have altered baseline biophysical parameters, showing decreased capacitance values, increased transepidermal water loss, and higher pH values accompanied by lower sebum levels 70 . Possible explanations for hyperirritability (other than diminished barrier function) that...
As noted, afferent axons from the aortic and carotid baro-receptors principally travel to the medullary cardiovascular centers, with neural pathways continuing onward to the hypothalamus (6). It should be noted that temperature regulation of the body is also centered within the hypothalamus. Thus, during exposure to cold, the hypothalamus initiates appropriate auto-nomic responses to maintain body temperature, like vasoconstriction and shivering. The contraction of the peripheral vasculature motivates a redistribution of blood flow to vital organs like the heart and brain to maintain their suitable function (2). The shiver reflex induced by the hypothalamus increases heat production, which in turn causes additional adjustments in blood flow and cardiac activity. The opposite outcome occurs during exposure to high degrees of heat, such that sweating is initiated via postganglionic sympathetic neurons, and vasodila-tion of the vasculature supplying the skin is amplified.
Excessive sweating can lead to loss of other electrolytes, such as potassium and magnesium, and to significant water loss. Normally, the body loses about 600 mL of water a day through evaporation from the lungs and skin. Under conditions of high ambient temperature, water loss can be increased in a regulated manner by an increased rate of sweating. This thermoregulatory sweating first occurs on the forehead and scalp, extends to the face and to the rest of the body, and occurs last on the palms and soles. Under conditions of emotional stress, however, the palms, soles, and axillae are the first surfaces to sweat. Control of thermoregulatory sweating is cholinergic, while emotional sweating may be stimulated by adrenergic portions of the sympathetic division of the autonomic nervous system.
Therapeutic Uses and Folklore Indians chew cardamom pods to sweeten and clean their breaths after meals and also after dinner to help settle their stomachs and aid in digestion. Cardamom also prevents nausea and vomiting. It soothes colicky babies, induces sweating, and cools the body during summer months. Arabs traditionally used cardamom as an aphrodisiac. In Scandinavia, it is used to mask the smell of alcohol, fish, and garlic.
History of the Present Illness Serum sodium 145 mEq L (repeat test to exclude lab error). History of dehydration due to fever, vomiting, burns, heat exposure, diarrhea, elevated glucose, salt ingestion, administration of hypertonic fluids (sodium bicarbonate, sodium chloride), sweating, impaired access to water (elderly), adipsia (lack of thirst) head injury.
Tolerance and dependence may develop with regular use. Psychological dependence is common. Physical dependence develops in around 20 per cent of those who take benzodiazepines long-term. Suddenly stopping the drugs in such patients causes a withdrawal syndrome of insomnia, tremor, fits, anorexia, vomiting, sweating, and cramps.
The symptoms of hypoglycaemia are a feeling of hunger, jitteriness, faint feeling, tachycardia, sweating and a range of neurological symptoms from headache to neurological deficits to coma. The prompt recognition of hypoglycaemia is essential so that treatment (intravenous glucose) can be administered and irreversible neurological damage avoided. In any diabetic patient who is unwell and in any comatose or drowsy patient prompt bedside determination of blood glucose must be performed. If no facilities for blood glucose measurement exist, glucose should be administered to avoid the neurological damage from potential hypoglycaemia. Some diabetics will be very familiar with the symptoms of hypoglycaemia and be able to correct it by eating. However, hypoglycaemia may occur without premonitory symptoms in some patients particularly at night or if on beta-blockers.
Danazol (Danocrine) has been highly effective in relieving the symptoms of endometriosis, but adverse effects may preclude its use. Adverse effects include headache, flushing, sweating and atrophic vaginitis. Androgenic side effects include acne, edema, hirsutism, deepening of the voice and weight gain. The initial dosage should be 800 mg per day, given in two divided oral doses. The overall response rate is 84 to 92 percent.
Remarks For documentation of skin color, a color photograph is useful. The color of tooth enamel, nails, iris, body, and scalp hair, as well as skin, should be recorded. The skin around the nipple, especially after pregnancy, may be darker due to hormonal influences. Genital skin and areas of apocrine sweating are usually darker. Pigment changes can occur in specific diseases, such as Addison disease (a bronze skin color) or albinism (where the skin and hair pigment may be reduced or absent).
The person suffering from this disorder has experienced intoxication or withdrawal from cocaine within a month from the time he or she begins to experience anxiety, panic attacks, obsessions, or compulsions. Panic attacks are discrete episodes of intense anxiety. Persons affected with panic attacks may experience accelerated heart rate, shaking or trembling, sweating, shortness of breath, or fear of going crazy or losing control, as well as other symptoms. An obsession is an unwelcome, uncontrollable, persistent idea, thought, image, or emotion that a person cannot help thinking even though it creates significant distress or anxiety. A compulsion is a repetitive, excessive, meaningless activity or mental exercise which a person performs in an attempt to avoid distress or worry.
Therapeutic Uses and Folklore Indians eat nigella to reduce flatulence, treat nervous and stomach disorders, and induce sweating. It is also taken by lactating women to induce milk flow. Today's research shows it has strong antimicrobial activity and good immunological property. Ancient Greeks used it to treat headaches, toothaches, and intestinal parasites. Its melanthin content shows good emulsifying properties. Egyptians drink tea made with ground nigella, fenugreek, and other ingredients to treat diabetes.
Heat exhaustion is a condition of both salt and water depletion that usually strikes people in a hot environment who are without adequate water repletion. Salt losses are expected with heavy sweating and hypotonic replacement. This condition is sometimes difficult to diagnose, as it presents with myriad nonspecific symptoms, including headache, fatigue, nausea, vomiting, diaphoresis, weakness, irritability, and muscle cramps. The rectal temperature will be less than 40 C, and mental status should be normal. This is important in distinguishing this state from that of heat stroke, which will usually have a temperature above 40 C (unless treated prior to arrival) and mental status changes. Dry, hot skin sweating in exertional heat stroke
Evidence of autonomic neuropathy impotence, hypertension, neurogenic bladder, lack of sweating, orthostatic hypotension, resting tachycardia, absent variation in heart rate with deep breathing, painless myocardial ischemia, gastroparesis (vomiting, diarrhea, abdominal distention), asymptomatic hypoglycemia, prolonged QT interval, and sudden death syndrome.
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