Neuropathy And Insomnia

Today's post is another excellent piece of information from drmarcspitz.com (see link below) and talks about something many people with severe neuropathy are familiar with and that is insomnia or trouble with sleeping. We all know that a lack of a good night's rest thanks to pain has a knock-on effect during the day and over time can seriously reduce the quality of life. Even if you take medication to help you sleep, sometimes the nerve pain just breaks through. It may be wise to consult your doctor, emphasising the reason behind your sleepless nights.

Neuropathy Foot Pain Can Cause Insomnia
Dr. Marc Spitz: Thursday, April 26th, 2012 

People with peripheral neuropathy experience a wide variety of symptoms including pain, numbness, burning and “pins and needle sensations.” Neuropathy which is caused by nerve damage, primarily affects the feet. Neuropathy symptoms can have an adverse affect on one’s quality of life, affecting sleep, diet and emotional well-being. Neuropathy foot pain can make it extremely difficult to fall asleep or stay asleep. The abnormal sensations associated with neuropathy along with heightened sensitivity to blankets or the bed sheets may contribute to sleep disturbances. During the day, people are often distracted from neuropathic pain. Daytime activities such as work, computer, hobbies such as gardening can help desensitize people from their pain. During the evening hours leading to bedtime, many people with peripheral neuropathy can find themselves focusing more on the pain. As a result many people report that their perception of the pain actually increases when attempting to fall asleep and this delays falling asleep.

 

Sleep deprivation can have a profound negative impact on one’s life
People who suffer from insomnia can be prone to emotional problems such as depression or anxiety. It’s easy to understand how insomnia might be linked to depression and anxiety. “Chronic sleep loss can lead to a loss of pleasure in life, one of the hallmarks of depression,” explains Stanford University research psychologist Tracy Kuo, PhD. “When people can’t sleep, they often become anxious about not sleeping. Anxiety increases the potential for becoming depressed.”Indeed, recent findings show that insomnia often shows up before a bout of depression strikes, serving as a useful warning sign. A worsening of insomnia can also signal depression.

 

Tips on getting a good night’s sleep

Often times, changing the habits that are reinforcing sleeplessness is enough to overcome the insomnia altogether. It may take a few days for your body to get used to the change, but once you do, you will sleep better.

 

Habits that make insomnia worse:

• drinking a lot of caffeine
• drinking or smoking before bed
• taking naps during the day
• an irregular sleep schedule

Adopting new habits to help you sleep

• Make sure your bedroom is quiet, dark, and cool. Noise, light, and heat can interfere with sleep. Try using a sound machine or earplugs to mask outside noise, an open window or fan to keep the room cool, and blackout curtains or an eye mask to block out light.
• Stick to a regular sleep schedule. Support your biological clock by going to bed and getting up at the same time every day, including weekends. Get up at your usual time in the morning even if you’re tired. This will help you get back in a regular sleep rhythm.
• Avoid naps. Napping during the day can make it more difficult to sleep at night. If you feel like you have to take a nap, limit it to 30 minutes before 3 p.m.
• Avoid stimulating activity and stressful situations before bedtime. This includes vigorous exercise; big discussions or arguments; and TV, computer, or video game use.
• Limit caffeine, alcohol, and nicotine. Stop drinking caffeinated beverages at least 8 hours before bed. Avoid drinking in the evening. While alcohol can make you feel sleepy, it interferes with the quality of your sleep. Quit smoking or avoid it at night, as nicotine is a stimulant.

Seeking Your Doctor’s Help to Address Sleep Disturbances
If sleep problems persist and interfere with your ability to function, it may be time to consult your doctor. You will want to describe your sleep symptoms; effects of sleep symptoms on your daily activities and neuropathy; medication history (because many prescription medications can also affect the quality of your sleep, including some herbal remedies). Your health care practitioner may recommend over-the-counter medications such as Advil PM or Tylenol PM. In severe instances where insomnia affects the quality of life, he or she may prescribe sleep medications such as Ambien® or other sedative hypnotics. This class can be helpful in treating insomnia however there are a number of side effects including dependency.

http://drmarcspitz.com/blog/2012/04/26/neuropathy-foot-pain-can-cause-insomnia/

Marijuana Chewing Gum May Be An Option For Neuropathic Pain

Today's short post from news.morningstar.com (see link below) announces the arrival of cannabis chewing gum as an alternative to smoked or vaporised cannabis for pain relief. if and when it is apporved and developed to the right strengths for slow release cannabis, it could prove to be a very valuable option for people who can't smoke cannabis, or inhale it via various mechanisms. Chewing gum may be an acceptable means of delivering cannabinoids without the unpleasantness normally associated with smoking. Ironically, it can be equated to nicotine chewing gum which is used to help people stop smoking. This short article is aimed at MS sufferers but it applies to all people who suffer chronic nerve pain and other symptoms and could be an important development in the field of pain control.

MS patients may someday find relief in marijuana chewing gum
By Kathleen Burke, MarketWatch 8-17-15 11:06

Marijuana-infused gum enters clinical trials

Patients can smoke it, eat it and soon, they may be able to chew it.

Cannabis-focused biotech company AXIM Biotechnologies (AXIM) last week said it launched clinical trials on humans for medical cannabis chewing gum as a treatment for multiple sclerosis. The gum, MedChew RX, contains 5 milligrams of cannabidiol -- a non-psychoactive component of cannabis -- and 5 milligrams of THC -- a psychoactive cannabinoid.

Medical marijuana chewing gum "should allow for predictable and controlled release of the active ingredients," George Anastassov, chief executive of AXIM, said in a statement. It should not be socially stigmatizing, should have a pleasant taste and consistency and no undesirable side effects, he added. "Chewing gum meets all these criteria."

AXIM already has a cannabinoid chewing gum product, known as CanChew, on the market, however it does not contain THC and does not offer any medical claims.

The psychoactive component of THC is an effective way to treat patients with degenerative diseases, in addition to the medicinal properties of cannabidiol, which can be used to treat neurological conditions such as epilepsy. Additionally, the act of chewing helps preserve cognition and memory, as well as promotes overall oral health, Anastassov told MarketWatch.

While the current trials of the gum are only for MS patients, Anastassov says Axim hopes to expand the range of conditions it can be prescribed for.

"For multiple sclerosis, the market for treatment is quite large," Anastassov says. "Eventually, we will try to enlarge the conditions for this medication, such as pain." (More than 2.3 million people are affected by MS globally, according to the National Multiple Sclerosis Society.)

He says pain is one of the most predominant symptoms patients of a wide variety of diseases including MS suffer from globally, and there have been few game-changing drugs in the pharmaceutical market to help treat it.

There is no cure for MS, but current treatments work to speed recovery from attacks, slow the disease's progression and manage symptoms, according to the Mayo Clinic. The most common treatments used to manage symptoms are physical therapy, muscle relaxants and medications to reduce fatigue, depression and pain.

The Phase 1 trial of the gum is slated to begin in the second quarter of 2016. Though medical marijuana is legal in 23 states and the District of Columbia, it is classified on the federal level as a schedule I drug, which gives it the same illegal status as heroin and LSD and is considered to have no accepted medical use.

While the FDA has yet to approve any product containing cannabis, it has approved Marinol -- which contains dronabinol, a synthesized form of THC -- for anorexia, chemotherapy and AIDS patients. The FDA's website says it will continue to assess the effectiveness of marijuana for medical use, and will work with companies on medical cannabis research.

If the gum is approved by the FDA, it could be available in all 50 states, even if they have not legalized medical marijuana. "That's why we're going through the FDA," Anastassov says. "There's no ambiguity as to where it's legal."

-Kathleen Burke; 415-439-6400; AskNewswires@dowjones.com

http://news.morningstar.com/all/market-watch/TDJNMW20150817248/ms-patients-may-someday-find-relief-in-marijuana
-chewing-gum.aspx#.VdL9RQJMOlA.twitter

Multiple Sclerosis Ms

Definition of Multiple Sclerosis
Multiple Sclerosis (MS) is really a chronic inflammatory, demyelinating disease from the central nervous system (CNS). It affects largely teenagers between the ages of 20-50, and is often reffered to because the "great crippler of young adults ".
Good reputation for Multiple Sclerosis
Multiple Sclerosis was referred to as early as 1822 within the diaries of an English nobleman and additional depicted in an anatomy book in 1858 with a British medical illustrator. Dr. Jean Cruveilhier, a French physician, first used the word "islands of sclerosis" to describe regions of hardened tissue discovered on autopsy. However, it had been Dr. Jean Charcot in 1868 who defined the condition by its clinical and pathological characteristics: paralysis and also the cardinal symptoms of intention tremor, scanning speech, and nystagmus, later termed Charcot's triad. Using autopsy studies he identified regions of hardened plaques and termed the condition sclerosis in plaques.


Early Symptoms of Multiple Sclerosis
Usually this first the signs of MS are tingling and numbness hard, hand and feet, in addition to vision problems. Because the disease gets worse, symptoms for example shaky movements, walking problems, difficulty with movements and sensation, bowel and urinary control problems, and feelings of exhaustion develop.
Lots of people with MS have weeks where they've these symptoms after which years where they're symptom free and feel great. As the disease progresses the days where they do have symptoms, gets longer and worse plus they do not return to normal following a attack.
Multiple Sclerosis Rehabilitation might help people with MS once they have had an attack, assistance to educate them preventing other complications from occurring, and help help them learn how to compensate for changes that could not get better. They are able to also help direct these to MS organizations within their community.


Reason for Multiple Sclerosis
Epidemiological studies of MS have given hints on possible causes for that disease. Various theories attempt to combine the known data into possible explanations, but none of them has proved definitive. MS likely occurs due to some combination of both environmental and genetics.
1)Genetic factors
MS isn't considered a hereditary disease. However, numerous genetic variations have shown to increase the risk of developing the condition. HLA region of Chromosome 6. Alterations in this area increase the possibility of suffering MS.
2)Infectious cause
Evidence for viruses like a cause includes the existence of oligoclonal bands in the brain and cerebrospinal fluid on most patients, the association of countless viruses with human demyelinating encephalomyelitis, and induction of demyelination in animals through viral infection. Human herpesviruses really are a candidate group of viruses associated with MS; Varicella zoster virus has been discovered at high levels within the cerebrospinal fluid of MS patients, however the most reproduced finding may be the reduced risk of getting the disease in anyone who has never been infected through the Epstein-Barr virus, together with the correlation of their markers with disease activity.
3) Non-infectious environmental risks
MS is more common in individuals who live farther from the equator. Decreased sunlight exposure continues to be linked with a higher risk of MS. Decreased vitamin D production and intake continues to be the main biological mechanism accustomed to explain the higher risk the type of less exposed to sun. Severe stress can also be a risk factor although evidence is weak; Smoking has additionally been shown to be an independent risk factor for developing MS. Connection to occupational exposures and toxins-mainly solvents-has been evaluated, but no clear conclusions happen to be reached. Vaccinations were also regarded as causal factors for the disease; however, most research has shown no association between MS and vaccines. Several other possible risks, such as diet and hormone intake, happen to be investigated; however, more evidence is required to confirm or refute their relation using the disease.


Definitions and Terminology Accustomed to Describe Categories of Multiple Sclerosis
• Relapsing-remitting multiple sclerosis (RRMS);Characterized by relapses with either full recovery or some remaining neurological signs/symptoms and residual deficits upon recovery; the time between relapses are seen as a lack of disease progression.
• Primary-progressive ms (PPMS);Characterized by disease progression from onset, without plateaus or remissions or with occasional plateaus and temporary minor improvements.
• Secondary-progressive ms (SPMS);Characterized by initial relapsing-remitting course, then progression at a variable rate that could also include occasional relapse and minor remissions.
• Progressive-relapsing ms (PRMS);Characterized by progressive disease from onset but without clear acute relapses that could or may not have some recovery or remissions; commonly observed in people who develop the condition after 40 years old.
• Benign multiple sclerosis; Characterized by mild disease by which patients remain completely functional in all neurological systems Fifteen years after disease onset.
• Malignant ms (Marburg's varient); Characterized by rapid progression resulting in significant disability or death inside a short time after onset.


Multiple Sclerosis Pain
Some of the most common kinds of pain experienced by ms patients include:


Acute Multiple Sclerosis pain.
These seriously suddenly and may disappear suddenly. They are often intense but could be brief in duration. The description of those acute pain syndromes are occasionally referred to as burning, tingling, shooting, or stabbing.
Trigeminal neuralgia or "tic doloureux."
A stabbing pain hard that can be brought on by just about any facial movement, for example chewing, yawning, sneezing, or washing the face. People with MS typically confuse it with dental pain. Running out of energy get sudden attacks of pain that may be triggered by touch, chewing, as well as brushing the teeth.
Lhermitte's sign. A short, stabbing, electric-shock-like sensation that runs in the back of the head on the spine, brought on by bending the neck forward.
Burning, aching, or "girdling" round the body. This is called dysesthesia by physicians.
There's also some types of pain associated with MS that are referred to as being chronic anyway -- lasting for more than a month -- including pain from spasticity that may lead to muscle cramps, tight and aching joints, and back or musculoskeletal pain.


Multiple Sclerosis Alternative Treatment
Medications and physical therapies could be complemented by alternative healthcare. See your health care provider for information, advice and possible referral. The plethora of alternative treatments in Ms Rehabilitation that may be helpful include:
• Acupuncture
• Biofeedback therapy
• Chiropractic
• Hypnosis
• Massage
• Meditation
• Relaxation techniques
• Yoga

Neuropathy Can Bring You To The Edge

Today's post from myneuropathybattle.wordpress.com (see link below) is an honest personal account of how neuropathy can be so severe that at times, it can make you want to give up the fight. Many people will be able to identify with this person's feelings and hopefully be discouraged from such thoughts by this lady's reasoning and solution. Hearing how other people are dealing with neuropathy can be invaluable in that you discover you're not alone and can share and even learn from, other people's experiences.

My Neuropathy Battle:
Suicide Isn’t Painless
Feb24 ARCHIVE | FEBRUARY 2013

When I was in my early twenties I used to think about it all of the time. Life wasn’t going well for me at the back then. I had to give up work to have surgery, I was in a lot of pain; the days seemed endless and pointless.

I’ve heard it said many times that suicide is the easy way out, however, there isn’t anything easy about being in such a dark place and living a life so drained of anything good that suicide seemed the only option ,and I know from own experience that suicide is not painless for those left behind.

At my lowest ebb I was on strong painkillers, not strong enough, obviously, as I was in constant pain and couldn’t see past the pain. I came as close as counting out pills and I would’ve taken them but one thing stopped me: while I could have quite happily have done that to myself, I could not do that to anyone else.

It would have been the people I love the most who would’ve been left to carry what I had done around with them for the rest of lives and as difficult as my life was as the time, that thought was enough to stop me.

Years on, I can safely say I am not in good place. I am in constant pain but this time because of TMJ and I am struggling with every day things because of my muscle wasting condition, however, I am older and a bit wiser and I have strength to overcome it.

Life is still good in many ways and I’d rather have life with all of its highs and lows and bits in between than not have the opportunity to wake up to a brand new day.

Everyone has bad days or bad phases in their life when everything seems to go wrong and that’s all it is: it’s just a phase and it too shall pass.

http://myneuropathybattle.wordpress.com/2013/02/

Sore Nipples Early Pregnancy

Sore

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Living longer with the effects of HIV

Today's article makes slightly depressing reading. It talks about the problems many of us face as we live longer (under successful drug regimes) with HIV. It doesn't mention neuropathy specifically - you'll need to add it in the back of your mind as you read the article - it'll push you right over the edge! However, it is another way of letting you know you're not alone, which does give a tiny bit of comfort when your feet are killing you yet again.

I do take slight issue with the tone of the article. The well-meaning Nancy Travers may have worked with the gay community for ten years but the article comes over as a tad 'preachy'. It's stating the obvious that we need to take care of ourselves and try to live as healthy a life as possible and sometimes we just don't need to be reminded yet again, by a young lady, positively glowing with health (at least in her photo(see link). Then again, I may be guilty of judging a book by its cover and she may also have health problems - if so, sincere apologies!

However, anybody who tells us there are 'rules' for longevity, is sort of asking for trouble from HIV veterans who've seen a fair bit of life and are prepared to give up the health regime for that one reckless indulgence every now and then! The fact that the neuropathy prevents you even doing that most of the time, is not the point.
I'll shut up now and let you read the article:

Living With HIV For Older Americans

People living with HIV today are in a different world than those who were diagnosed even 15 years ago. Although infection with the HIV virus is still very serious, thanks to a healthy life style and proper medication, people who are HIV-positive can now lead largely normal lives for a much longer time. The combinations of drugs available today have allowed many people with HIV to fight infections and stay relatively healthy into old age. Being HIV positive isn't a death sentence anymore. There's a plethora of information out there on how to live well with HIV.

The same rules for longevity apply to people with HIV:

•Cultivate healthy eating habits
•Reduce stress
•Obey physicians' recommendations
•Quit smoking, drinking to excess and using drugs not prescribed by your doctor
•Keep immunizations current. They can help prevent infections
•Get adequate exercise, relaxation and sleep
•Ask your physician for further recommendations and additional help


There are a lot of people living with HIV today who are 60 and older. Unfortunately, they may feel older than their stated age because they are dealing with some of the same problems people much older would suffer. A survey of around 1,000 HIV-positive men and women ages 50 and above living in New York City determined that more than half had symptoms of depression, a much higher rate than others their age without HIV.In addition, most of them had other chronic medical conditions such as arthritis (31 percent), hepatitis (31 percent), neuropathy (30 percent) and high blood pressure (27 percent). Some 77 percent had two or more other conditions. About half had already progressed to AIDS before they'd even received the HIV diagnosis, the report found.Currently, about 27 percent of people with HIV are over 50. More than half will be by 2015, said the report. Due to the special needs of HIV-positive individuals, challenges are on the horizon for public health systems and organizations that serve seniors and people with HIV.

HIV can be a lonely road. According to one report, 70 percent of older Americans with HIV live alone. That's more than twice the rate of others their age. Only 15 percent live with a partner.One possible explanation is that many men and women conceal their condition from loved ones for fear of shame or rejection, whether real or imagined. AIDS- and HIV- related stigma and discrimination refer to intolerance, negative feelings, abuse and mistreatment directed at people living with either disease. This can result in being rejected by family, peers and the wider community; inferior treatment in healthcare and education situations; psychological deterioration; and can negatively impact testing and treatment. The lack of any social or family support increases the chances of requiring expensive outside care, such as home health aides or nursing homes, as HIV patients age.

Many older Americans with HIV are still sexually active, though, and should continue to practice safe sex. While 57 percent of older Americans with HIV said they revealed their HIV status to sexual partners, about 16 percent admitted that they didn't, the report found.

HIV treatment has come a long way in the past 25 years. Today, people with HIV can live long, relatively healthy lives. HIV treatment must now focus on controlling the virus as well as dealing with other health problems that can come with living longer with HIV (such as high blood pressure or diabetes-i.e. normal diseases of aging) and helping people have the best possible overall health. With the right treatment, anyone suffering from HIV can lead a full and long life. Living, and living well, with HIV means understanding all you can about your disease and treatment.

Nancy Travers, a Licensed Clinical Social Worker, specializes in all types of relationships; dating, existing relationships, family relationships, and relationships with friends and business relationships. She also helps her clients overcome anxiety and depression through talk therapy as well as through hypnosis. What sets her apart from many other counselors is that she has counseled in the gay/lesbian community for over 10 years. She also has experience counseling families with elder care issues. Nancy has been in practice for over 15 years and can provide you with the tools you need to approach dating and relationships with confidence. Visit her website at http://www.nancyscounselingcorner.com.


Article Source: http://EzineArticles.com/5601204

http://ezinearticles.com/?Living-With-HIV-For-Older-Americans&id=5601204

HAEMANGIOMA – VASCULAR BIRTHMARK

VASCULAR BIRTHMARK

SKIN – HAEMANGIOMA (HEMANGIOMA) – VASCULAR BIRTHMARK

Each and everyone will have birthmarks in one or other places. Since they are usually permanent, they are called as mother’s mark or angel’s kiss. It helps to identify one in addition to their appearances. There are two types of birthmarks, i.e., pigmentation mark (Brown or Black) and vascular mark (Red or Blue). Pigmentation mark is called as mole and vascular mark is called as Haemangioma or Naevi. They can be flat or raised and regular or irregular in shape. Also, both the moles and haemangioma usually vary in size (from tiny dot to mammoth) and happens to grow slightly after the birth. Sometimes, it may also regress in course of time. They are mostly harmless and painless. But, if any of the birthmarks happens to grow in fast manner, surely one need to be cautious and have to consult a physician immediately, since they can turn to be cancerous by any of the time.

Haemangioma is a congenital (developmental) malformation of blood vessels. Medically, it is treated as benign tumour of blood vessels (proliferation of inner lining (endothelial) cells of blood vessels). It is the most common benign tumour of new born / children. “Haemal” is meant for pertaining to blood or blood vessels, “oma” is meant for any tumour and “Angioma” is meant for the tumour whose cells tend to form blood vessels. In general, it is just like having extra or over grown or enlarged blood vessels (with normal cells / linings). It is otherwise called as Infantile Haemangioma or Haemartoma.

INCIDENCES – Its prevalence seem to affect around 5% of children. It is most commonly seen in girls than boys and especially with premature babies. Any how, it can occur even in adult too in any of the time. It commonly occurs as single especially in head or around neck area, but can also occur anywhere (outer or inner parts of the body).

CAUSES – The exact reason for haemangioma is still unrevealed. Even though haemangiomas are not usually hereditary, siblings of the affected child often seems to have haemangiomas.

TYPES – Chiefly there are three types of Haemangiomas

• Capillary Haemangioma (superficial angiomatous naevi) – Commonly seen in scalp, face, neck, lip, etc and is reddish in colour. They are otherwise called as Haemangioma simplex or Strawberry birthmark or Spider angiomas or Naevi.
• Cavernous Haemangioma (subcutaneous angiomatous naevi) – are usually deep inside the body and reflect as bluish or bluish red in colour. It is common in lips, tongue, scalp, face, liver, buttocks, etc. Further it is commonly associated with internal organs.
• Plexiform Haemangioma (mixed angiomatous naevi) – This form of haemangioma is some what dangerous if happened to bleed. Most often it occurs in temple area of face.

SYMPTOMS – Most of the time, Haemangioma remains only as a cosmetic disfigurement without any other symptom. The appearance of a hemangioma depends on its site, occurrence, growth, involution nature, etc. They may undergo spontaneous regression or involution. Occasionally, it can cause symptoms according to the place and size of the haemangioma. Commonly, it

• Occurs congenitally or just after the birth
• Reddish or Bluish red in appearance
• Looks like bag of worms (or like spider) with enlarged / engorged blood vessels seen underneath the skin
• Has active blood supply and is Compressible (i.e., fades on pressure)
• Burning / itching / feeling hot over the patch

DIAGNOSIS – Diagnosing superficial haemangioma is simple. Just clinical examination will fix it. Any how, in case of deep haemangiomas and to rule out complications Doppler study / Magnetic Resonance Imaging (MRI) or Angiography can help to fix the diagnosis and to plan the treatment. In case of any suspicion of malignancy, biopsy may be required.

COMPLICATIONS – Mostly there won’t be any complications at all. Any how, occasionally there may be

• Discomfort due to uneven surface
• Bleeding due to abrasions / Rupture due to injury
• Ulceration and infection
• Thrombus (clot) formation due to pooling of blood
• Life threatening with bleeding or other organ failures due to emboli formations
• Emotional distress due to cosmetic disfigurement

Haemangiomas which occur in throat, lungs, eye, ear, etc may threaten sufferer & compel one to opt for surgical excision at the earliest.

GENERAL TREATMENT – Small haemangiomas often get fade on its own and large haemangiomas has more complications with interventions. So, in general, hemangiomas are often left untreated with “wait and watch” line of management. Any how, for cosmetic betterment, sometimes conservative treatment will be opted with injection of scelorising chemical agent into the haemangioma to get the size reduced along with steroidal pills. Ligation of feeding vessels will also be attempted. The advancement of plastic surgery and laser seems to benefit many hemangiomas, i.e., with excision and skin grafting. Surgical interventions may be in need of compulsion in those cases of haemangioma involving vital organs and also in those cases of recurrent bleeding and discomfort. Scar formation and keloid growth are few complications with surgical options.

Homeopathic Approach on HAEMANGIOMA – Even though haemangioma is not a serious disorder, it needs proper care to avoid development of complications. Even though pigmentation birthmarks (moles) cannot be treated, vascular birthmarks (Haemangiomas) can be treated well with homeopathic medicines. In homeopathy, Haemangioma is not considered as a pure surgical disease. Also, it won’t just rely on external treatment such as creams / ointments / injections, etc for management, since they all have very little or no value in treatment of Haemangioma. According to homeopathy, localized approach or treatment will usually suppress / mask the complaint for a time being and will fix the disease else where. Homeopathy can fade them with its effective internal medicines & constitutional approach.

To avoid discomfort, pain, itching, ulceration, bleeding & unwanted growth of the Haemangioma, treatment should be taken as early as possible or otherwise, it can only be maintained. Homeopathic medicines commonly used in cases of Haemangiomas are Acid Nit, Aesculus Hip, Apis mel, Arnica, Ars alb, Aurum mur, Baryta mur, Bryonia, Calc carb, Calc flour, Causticum, Graphites, Hamemelis, Hepasulf, Hypericum, Lachesis, Lycopodium, Millefolium, Nat Sulp, Nux Vom, Phosphorus, Plumbum met, Pulsatilla, Secale cor, Silicea, Sulphur, Thuja, Vipera, etc. These Medicines should be taken under the advice and diagnosis of a qualified Homeopath.

for new hope

Dr. S. Chidambaranathan, BHMS, MD (Homeo)

Laxmi Homeo Clinic

24 E. New Mahalipatti Road

Madurai, TN 625 001

India

Tel:  +91-452-233-8833 | +91-984-319-1011 (Mob)

Fax: +91-452-233-0196

E-mail:  drcheena@yahoo.com

www.drcheena.com  / www.drcheena.in

(Disclaimer - The contents of this column are for informational purpose only. The content is not intended to be a substitute for professional healthcare advice, diagnosis, or treatment. Always seek the advice of healthcare professional for any health problem or medical condition.)

Sleep Deprivation And Neuropathy

Today's post from informationaboutdiabetes.com (see link below) is another short article offering advice on how to sleep better. There's no doubt that very many neuropathy sufferers have disturbed night rest, for a variety of reasons not least of which is the pain and tingling that seems to strike more during the night. Some of these tips are very useful and this article is worth a read. Anything that improves sleep patterns will improve the body's ability to get through the day after.

Peripheral Neuropathy Sufferers: Tips For Better Sleep
By Jacqueline Marshall, Sep 17, 2015

People living with the chronic pain of peripheral neuropathy (PN) can have difficulty enjoying seven to nine hours of restful slumber each night.

Physical discomfort, worry, depression, activity limitations, and medication side effects prevent about 70 percent of chronic pain sufferers from getting adequate sleep, according to the Journal of Pain Medicine.

If the distress of PN is interfering with your nightly siesta, speak with your doctor. He or she may suggest a prescription change or recommend an additional medication that helps you doze off.

Other than medication adjustments, the Foundation for Peripheral Neuropathy offers those with PN several other tips for getting more shuteye. By practicing these techniques persistently, your hours of rejuvenating sleep should improve within two to three weeks. 

12 Tips For Better Sleep
 
Don’t smoke. Limit or omit alcoholic beverages, and reduce caffeine consumption—particularly in the afternoon and evening.

Afternoon naps should never be more than one hour, less is preferable. 

Maintain a regular exercise routine, and complete it several hours before bedtime. 

Maintain a regular sleep schedule: turn-in at night, and rise in the morning, at the same times each day.

Avoid hot showers or baths just prior to turning in; the body needs to chill a bit before drifting into deep slumber. 

Sleep on a comfortable, supportive bed topped with comfy, supportive pillows in a slightly cool (about 65 degrees F), well ventilated, dark-as-possible bedroom.

Keep the TV and computer turned off. Better yet, do not have them in the bedroom. Both gadgets may stimulate instead of relax the mind, and electronic screen light can interfere with the production of melatonin, our sleep hormone.
Turn the clock's face away from you to avoid both its glow, and repeatedly checking the time. 

Make a habit of enjoying a soothing activity at bedtime such as listening to soft, tranquil music, listening to an audio book, doing a few simple stretches, or other relaxation exercise.

Writing thoughts down helps us let go of them and relax. Keep a note pad and pen on your nightstand to jot down any brilliant ideas or nagging thoughts keeping you awake. 

Once in bed, with eyes closed, visualize (mentally picture) a peaceful, calming activity or place. Imagine the sights, sounds, tastes, sensations, and smells you would encounter if actually there. Notice how the place or activity relaxes your body. 

Side sleepers, try placing a pillow between your legs to prevent the knees from touching. Not only is this comforting, it keeps the spine in alignment and reduces hip and lower back strain.

Pleasant dreams.

Source: Foundation for PN

http://www.informationaboutdiabetes.com/lifestyle/lifestyle/peripheral-neuropathy-sufferers-tips-for-better-sleep

NEUROSCIENTISTS IDENTIFY KEY ROLE OF LANGUAGE GENE

Neuroscientists have found that a gene mutation that arose more than half a million years ago may be key to humans' unique ability to produce and understand speech

Researchers from MIT and several European universities have shown that the human version of a gene called Foxp2 makes it easier to transform new experiences into routine procedures. When they engineered mice to express humanized Foxp2, the mice learned to run a maze much more quickly than normal mice.

The findings suggest that Foxp2 may help humans with a key component of learning language -- transforming experiences, such as hearing the word "glass" when we are shown a glass of water, into a nearly automatic association of that word with objects that look and function like glasses, says Ann Graybiel, an MIT Institute Professor, member of MIT's McGovern Institute for Brain Research, and a senior author of the study.

"This really is an important brick in the wall saying that the form of the gene that allowed us to speak may have something to do with a special kind of learning, which takes us from having to make conscious associations in order to act to a nearly automatic-pilot way of acting based on the cues around us," Graybiel says.

Wolfgang Enard, a professor of anthropology and human genetics at Ludwig-Maximilians University in Germany, is also a senior author of the study, which appears in the Proceedings of the National Academy of Sciences this week. The paper's lead authors are Christiane Schreiweis, a former visiting graduate student at MIT, and Ulrich Bornschein of the Max Planck Institute for Evolutionary Anthropology in Germany.

All animal species communicate with each other, but humans have a unique ability to generate and comprehend language. Foxp2 is one of several genes that scientists believe may have contributed to the development of these linguistic skills. The gene was first identified in a group of family members who had severe difficulties in speaking and understanding speech, and who were found to carry a mutated version of the Foxp2 gene.

In 2009, Svante Pääbo, director of the Max Planck Institute for Evolutionary Anthropology, and his team engineered mice to express the human form of the Foxp2 gene, which encodes a protein that differs from the mouse version by only two amino acids. His team found that these mice had longer dendrites -- the slender extensions that neurons use to communicate with each other -- in the striatum, a part of the brain implicated in habit formation. They were also better at forming new synapses, or connections between neurons.

Pääbo, who is also an author of the new PNAS paper, and Enard enlisted Graybiel, an expert in the striatum, to help study the behavioral effects of replacing Foxp2. They found that the mice with humanized Foxp2 were better at learning to run a T-shaped maze, in which the mice must decide whether to turn left or right at a T-shaped junction, based on the texture of the maze floor, to earn a food reward.

The first phase of this type of learning requires using declarative memory, or memory for events and places. Over time, these memory cues become embedded as habits and are encoded through procedural memory -- the type of memory necessary for routine tasks, such as driving to work every day or hitting a tennis forehand after thousands of practice strokes.

Using another type of maze called a cross-maze, Schreiweis and her MIT colleagues were able to test the mice's ability in each of type of memory alone, as well as the interaction of the two types. They found that the mice with humanized Foxp2 performed the same as normal mice when just one type of memory was needed, but their performance was superior when the learning task required them to convert declarative memories into habitual routines. The key finding was therefore that the humanized Foxp2 gene makes it easier to turn mindful actions into behavioral routines.

The protein produced by Foxp2 is a transcription factor, meaning that it turns other genes on and off. In this study, the researchers found that Foxp2 appears to turn on genes involved in the regulation of synaptic connections between neurons. They also found enhanced dopamine activity in a part of the striatum that is involved in forming procedures. In addition, the neurons of some striatal regions could be turned off for longer periods in response to prolonged activation -- a phenomenon known as long-term depression, which is necessary for learning new tasks and forming memories.

Together, these changes help to "tune" the brain differently to adapt it to speech and language acquisition, the researchers believe. They are now further investigating how Foxp2 may interact with other genes to produce its effects on learning and language.

This study "provides new ways to think about the evolution of Foxp2 function in the brain," says Genevieve Konopka, an assistant professor of neuroscience at the University of Texas Southwestern Medical Center who was not involved in the research. "It suggests that human Foxp2 facilitates learning that has been conducive for the emergence of speech and language in humans. The observed differences in dopamine levels and long-term depression in a region-specific manner are also striking and begin to provide mechanistic details of how the molecular evolution of one gene might lead to alterations in behavior."

The research was funded by the Nancy Lurie Marks Family Foundation, the Simons Foundation Autism Research Initiative, the National Institutes of Health, the Wellcome Trust, the Fondation pour la Recherche Médicale, and the Max Planck Society.

Will it go away ever

From Dr Spitz at the Foot Pain Center. It's the question we all want answered but may not be happy with what we hear. If it's true what he says, learning to deal with neuropathy is of vital importance and that requires a huge mental adjustment for people who are used to taking a pill to cure what's wrong with them. Your ideas and tips for not letting neuropathy dominate your life please! They will help someone, somewhere!

Will my neuropathy pain and numbness ever go away completely?
The question reminds us of one who asks the “magic eight ball” a question-something like-will I ever become rich? The answer is usually vague-something like-“it’s a possibility.” In answering the question-can my neuropathy ever be cured-I also have to give a vague answer….”it’s possible, but not likely.” In rare instances, neuropathy can be reversed. In some instances when a specific nerve is injured, it can regenerate slowly. For example, in my 36 years of practicing podiatry in Orange County, Ca, I have seen neuropathy from nerve injury from surgery or trauma completely resolve. Nerve entrapments (nerves that bound in scar tissue) such as carpal or tarsal tunnel syndrome are often “treatable” by physical therapy, custom-fitting wrist or ankle braces, or surgery. Still in other cases, when a patient develops medication-induces neuropathy, especially from chemotherapy, complete reversal of symptoms may occur.

These examples are very rare. In actuality, in most instances neuropathy cannot be cured. From a positive perspective, new treatments make neuropathy more tolerable and livable. Diabetes, a major cause of neuropathy, can be better controlled with oral and insulin medications. There is also greater availability and effectiveness of oral and topical medications that can relief neuropathy symptoms of pain, numbness, tingling and burning of the feet. New light therapies including infrared and cold laser, has been shown to be effective in reducing the discomfort of neuropathy. Finally, the medical community has a greater appreciation, knowledge and acceptance of nutritional supplements as a means to control symptoms and slow the progression of the condition.

http://www.footpaincenter.info/will-my-neuropathy-pain-and-numbness-ever-go-away-completely

Head injury

Head injuries are among the most common causes of death and disability in the usa. Every year, almost one fourth million people are hospitalized due to traumatic injuries towards the brain, and 50,000 people die. Too, 80-90,000 people sustain long-term or lifelong disabilities due to a brain injury every year. Children are not excluded, using more than 2,500 deaths and almost one half million emergency department visits each year for head injuries.
Blows towards the head most often cause brain injury, you should remember that the face and jaw can be found in the front of the head. Brain injury can also be associated with injuries to those structures. It is also worth noting that a head injury doesn't imply that there is also a brain injury.
The mind is a rather soft, pliable material almost jelly-like in feel, and it is surrounded by a thin layer of cerebrospinal fluid (CSF). The mind is surrounded by thin layers of tissue known as the meninges; 1) the pia mater, 2) the arachnoid mater, and three) the dura mater. The CSF exists in the space underneath the arachnoid layer called the subarachnoid space.
The dura mater is extremely thick and has septae, or partitions, which help support the brain within the skull. The septae affix to the inner lining from the bones of the skull. The dura mater likewise helps support the large veins that return blood in the brain to the heart.
The spaces between your meninges are usually very small however they can fill with blood when trauma occurs, which build-up of blood could possibly press into the brain tissue and cause harm.
The skull protects the mind from trauma however it does not absorb the impact from a blow. Direct blows could cause fractures of the skull; there might be a contusion or bruising and bleeding towards the brain tissue directly underneath the injury site. However, the mind can bounce around within the skull if it is susceptible to significant force and due to this, the brain injury might not necessarily be located underneath the trauma site. A contre-coup injury describes the problem in which the initial blow causes the mind to bounce and it is damaged by striking the skull directly opposite the trauma site. Acceleration/deceleration and rotation would be the common types of forces that induce injuries away from the part of the skull that received the trauma.
reasons for a head injury
Obviously, trauma is required to result in a head injury, but that trauma doesn't necessarily need to be violent. Falling down several steps or falling right into a hard object might be enough to cause damage. Automobile crashes account for a lot more than 50% of traumatic brain injuries, with sports related injuries adding another 20%. Almost 80% of head injuries exist in males.
Penetrating head injuries describe those situations where the injury occurs as a result of projectile, for example a bullet, or when an item is impaled though the skull in to the brain. Closed head injuries make reference to injuries in which no lacerations exist.


Head trauma Symptoms

It is important to keep in mind that a head injury might have different symptoms and signs, which range from a patient experiencing no initial symptoms to coma.
A higher index of suspicion that the head injury may exist is essential, depending upon the mechanism of damage and the initial symptoms displayed through the patient. Being unconscious, for a short period of time isn't normal. Prolonged confusion, seizures, and multiple instances of vomiting should be signs that prompt medical assistance is needed.
In some situations, concussion-type symptoms could be missed. Patients can experience difficulty concentrating, increased moodiness, lethargy or aggression, and altered sleep habits among other symptoms. Medical evaluation is definitely wise even well following the injury has occured.
Head trauma symptoms may also include:
• vomiting,
• difficulty tolerating bright lights,
• leaking CSF in the ear or nose,
• bleeding in the ear ,
• speech difficulty,
• paralysis,
• difficulty swallowing, and
• numbness from the body.
Other symptoms might be more subtle and can include:
• nausea,
• dizziness,
• irritability,
• difficulty concentrating and thinking, and
• amnesia.
Late signs and symptoms of significant head injury and raised pressure inside the brain and skull incorporate a dilated pupil, high blood pressure, low pulse rate, and abnormal respiratory rate.

Signs of Head injury include:

• confusion
• depression
• dizziness or balance problems
• double or fuzzy vision
• feeling foggy or groggy
• feeling sluggish or tired
• headache
• memory loss
• nausea
• sensitivity to light or noise
• sleep disturbance
• trouble concentrating

HUMANS SPARROWS MAKE SENSE OF SOUNDS IN SIMILAR WAYS

The song of the swamp sparrow -- a grey-breasted bird found in wetlands throughout much of North America -- is a simple melodious trill, repeated over and over again.

It's kind of like a harmonious police whistle," said biologist Stephen Nowicki.

But according to a new study by Duke University scientists Nowicki and Robert Lachlan, swamp sparrows are capable of processing the notes that make up their simple songs in more sophisticated ways than previously realized -- an ability that may help researchers better understand the perceptual building blocks that enable language in humans.

The study appears in the journal Proceedings of the National Academy of Sciences.

From the finite types of sounds that make up a stream of speech -- such as the "c" sound in "cat" or the "b" sound in "boy" -- humans are able to create and make sense of an almost infinite number of words and sentences about the present, past and future, unconsciously and automatically.

What's more, how humans perceive speech sounds is influenced by context, said Lachlan, now of Queen Mary University of London.

In American English, for example, listeners recognize that the "t" in "city" and the "d" in "ready" belong to different categories, even though they're frequently pronounced the same.

Lachlan and Nowicki wanted to know if this common aspect of understanding spoken language, called partial phonemic overlapping, is found in birds, too.

To find out, they recorded and analyzed the songs of 206 male swamp sparrows near Pymatuning Lake in Pennsylvania.

Statistical analysis revealed that the short repeated syllables that make up each song consist of subsets of roughly 10 types of notes.

In two experiments, the researchers compared males' territorial responses to songs in which either the first note or the last note of each syllable was substituted with a note of a different type -- either short, intermediate or long.

How the birds perceived a particular note depended on where it fell in a snippet of song.

The birds responded to the modified songs with an aggressive territorial display when the note substitution occurred in one position in the snippet, but much more weakly or not at all when the same note was substituted in another position -- indicating that the birds are able to assign the same sound to different categories of notes depending on the context in which it appears.

The study is part of a larger body of research aimed at understanding how language arose in humans by studying different forms of communication in animals.

Human language draws on a complex set of cognitive skills, some of which are also found in songbirds. That fact alone is not entirely surprising to scientists, especially in light of recent research led by Duke's Erich Jarvis showing that songbirds and humans rely on many of the same genes to sing and speak.

But what's exciting about their results, the researchers say, is it suggests that the ability to perceive speech sounds differently in different contexts -- a critical skill necessary for the perception of human speech -- could have arisen before, rather than after, other aspects of human language such as semantics and syntax came to be.

HOMOEOPATHIC REMEDIES FOR MENTAL ILLNESS IN CHILDREN

Mental illness in children can be hard for parents to identify. As a result, many children who could benefit from treatment don't get the help they need. Understand the warning signs of mental illness in children and how you can help your child cope.

It's typically up to the adults in a child's life to identify whether the child has a mental health concern. Unfortunately, many adults don't know the signs and symptoms of mental illness in children.

Even if you know the red flags, it can be difficult to distinguish signs of a problem from normal childhood behavior. You might reason that every child displays some of these signs at some point. And children often lack the vocabulary or developmental ability to explain their concerns.

Concerns about the stigma associated with mental illness, the use of certain medications, and the cost or logistical challenges of treatment might also prevent parents from seeking care for a child who has a suspected mental illness.

Children can develop all of the same mental health conditions as adults, but sometimes express them differently. For example, depressed children will often show more irritability than depressed adults, who more typically show sadness.

Children can experience a range of mental health conditions, including:

Anxiety disorders. Children who have anxiety disorders — such as obsessive compulsive disorder, post-traumatic stress disorder, social phobia and generalized anxiety disorder — experience anxiety as a persistent problem that interferes with their daily activities.

Some worry is a normal part of every child's experience, often changing from one developmental stage to the next. However, when worry or stress make it hard for a child to function normally, an anxiety disorder should be considered.

Attention-deficit/hyperactivity disorder (ADHD). This condition typically includes symptoms in three categories: difficulty paying attention, hyperactivity and impulsive behavior. Some children with ADHD have symptoms in all of these categories, while others may have symptoms in only one.

Autism spectrum disorder (ASD). Autism spectrum disorder is a serious developmental disorder that appears in early childhood — usually before age 3. Though symptoms and severity vary, ASD always affects a child's ability to communicate and interact with others.

Eating disorders. Eating disorders — such as anorexia nervosa, bulimia nervosa and binge-eating disorder — are serious, even life-threatening, conditions. Children can become so preoccupied with food and weight that they focus on little else.

Mood disorders. Mood disorders — such as depression and bipolar disorder — can cause a child to feel persistent feelings of sadness or extreme mood swings much more severe than the normal mood swings common in many people.

Schizophrenia. This chronic mental illness causes a child to lose touch with reality (psychosis). Schizophrenia most often appears in the late teens through the 20s

Symptoms—

 Mood changes. Look for feelings of sadness or withdrawal that last at least two weeks or severe mood swings that cause problems in relationships at home or school.

Intense feelings. Be aware of feelings of overwhelming fear for no reason — sometimes with a racing heart or fast breathing — or worries or fears intense enough to interfere with daily activities.

Behavior changes. These includes drastic changes in behavior or personality, as well as dangerous or out-of-control behavior. Fighting frequently, using weapons and expressing a desire to badly hurt others also are warning signs.

Difficulty concentrating. Look for signs of trouble focusing or sitting still, both of which might lead to poor performance in school.

Unexplained weight loss. A sudden loss of appetite, frequent vomiting or use of laxatives might indicate an eating disorder.

Physical symptoms. Compared with adults, children with a mental health condition may develop headaches and stomachaches rather than sadness or anxiety.

Physical harm. Sometimes a mental health condition leads to self-injury, also called self-harm. This is the act of deliberately harming your own body, such as cutting or burning yourself. Children with a mental health condition also may develop suicidal thoughts or actually attempt suicide.

Substance abuse. Some kids use drugs or alcohol to try to cope with their feelings.

HOMOEOPATHIC REMEDIES

Homoeopathic remedies are found to be very effective for curing the mental illness of children, without any side effects. Some of the important remedies are given below

ANTIM. CRUDE 200- Antim crud is  a very well indicated medicine in children who are unusually abusive. The child is excessively irritable and crossed. Any attempt to please the child fails. Nothing seems to satisfy the child. There is much brooding and the child doesn’t want to speak. The child gets angry when someone looks at him. Antim crud may be prescribed in children who are extremely short tempered without any relevant cause.

ARSENICUM ABLB 200- Intense anxiety with great restlessness. Fears something terrible will happen.He is worse during night. Very chilly , exact and fault finding. He is meticulously tidy

CHAMOMILLA 200-Chamomilla  is an excellent medicine  in cases of extreme abusiveness in children. The child may be extremely restless and may cry continuously. The child keeps demanding one thing after the other and refuses when given. There may be temper tantrum on every little thing. The child cannot tolerate if anyone tries to speak to him. The child may be extremely abusive and complaining. The child cannot take no for an answer and may keep moaning continuously because he is being refused things that he demands.  Chamomilla may be given in children who get extremely abusive and violent when anyone interrupts him.

ARGENTUM NITRICUM 30- This is one of the most important medicines for anxiety related disorders
The patient is very nervous and impulsive by nature; extremely hurried in whatever he does. He dreads situations that may cause him anxiety and tries to avoid getting into such situations. Multiple phobias such as fear of darkness, evil, fear of heights, tall buildings, of passing certain places, etc. anticipatory anxiety which causes diarrhea before any important event or function. Intense apprehension and worry about trifling matters. All this anxiety causes much brain fag and the patient feels as if time passes too slowly. Physical symptoms of anxiety very marked such as trembling of hands and feet, palpitations in the chest, shortness of breath, dizziness and fainting, dryness of mouth, stammering, excessive sweating, etc.

CINA 200-Cina is another  indicated remedy in children who are abusiveness. The child may be very cross and irritable and hates when touched. Children who don’t want to be carried, talked to or touched. They may turn away from strangers. The child bores his face in his mother’s lap and cries incessantly. Here again, the child desires many things but rejects everything when offered. Cina may be prescribed in children who suffer from worm infestations.

HYOSCYAMUS 200--Hyoscyamus is a very well indicated remedy in abusiveness in children. The child may be very quarrelsome and abusive. He may hurl verbal abuses at everyone around him. There may be constant grumbling and muttering due to irritation. The child may be extremely impatient and talkative. Hyocyamus may be prescribed when the child make fun of other children and is extremely insulting. There may be an unusual tendency to find fault. There is much dejection and despair. The child may be insensitive to others feelings.

NATRUM MUR 200-Natrum Mur is useful  in cases of abusive children who are extremely weepy and cross. They refuse to be consoled and weep more on consolation. The child is generally well behaved and may be suppressed for a long time. Due to prolonged suppression, there may piling up of the emotions. Suddenly, the child just explodes with angry bouts.  The child prefers to be left alone to cry. There is much awkwardness and hasty behaviour. Natrum  mur is effective  when the child gets irritated with trifle things.

CALCAREA CARB 200- It is another effective remedy. The patient  thinks that he has done something wrong. He feels uneasy and anxious with palpitations . Fears loss of reason. Desperate of life. Fears insanity. Bores others by repeatedly describing his ailments

GELSEMIUM 200- Another important remedy for this condition. Anxiety due to fright, fear, emotions, exciting news , or forth coming examinations and interview .Stage fright

LYCOPODIUM CLAVATUM 200--Intense fear of going in public places and performing in public. The patient dreads public appearance even if his profession demands it. Intense fear of not being able to perform well and fear of negative evaluation by others. Anticipatory anxiety is marked and there is total loss of self confidence. Constant apprehension and fear of breaking down under stress. The patient is unable  to sleep due to the happenings during the day. Anxiety about forth coming events

PHOSPHORUS 200- Very restless patients who are sensitive. They need security and constant reassurance. Anxious, restless and nervous due to the fear of darkness, thunder, alone or dying

PULSATILLA NIG. 30- Anxiety after bad news or an emotional upset. The patient is weepy , touchy and needs company

SEPIA 20- Anxious towards evening. Dreads to be alone. Indifferent to those loved best. Averse to occupation , to family. Very sad. Weeps when telling symptoms

SILICEA 200--It's frequently used for generalized anxiety disorders, social phobias and specific phobias. Generally very nervous and timid patients who are afraid of stressful situations like public performances and exams, etc. They startle from the slightest noise due to nervousness. Marked anticipatory anxiety is an important feature of this drug

TUBERCULINUM 200- Tuberculinum  is suitable when the child is restless  who seek constant stimulation or change. It helps in reducing destructive behavior, irritability, and feeling of dissatisfaction.

THUJA OCCIDENTALIS 200- Thuja is one of the very good remedies for generalized anxiety disorders and obsessive compulsive neurosis. The patient generally gets anxious over trifles and cannot concentrate on whatever he does. He has many fixed ideas and he finds it difficult to get rid of them. Social phobia is also commonly seen in these patients who begin to get nervous and get twitching on being approached by strangers. Overall a very good drug for controlling anxiety states.

SYPHILINUM 200-- An important feature of Syphilinum  patients is that they repeatedly wash their hands and they feel compelled to do so in order to relieve their anxiety. Marked fear of night time, the patient dreads the approach of night. There is intense anxiety and a constant feeling that he  may go insane

VERATRUM ALBUM 200-Veartrum Album  is an indicated remedy in children who throw temper tantrums. There may be extreme mood swings and crankiness may alternate with a submissive behavior. The child may scream and curse when angry. Veratrum alb may be prescribed in children who get physically violent when angry. There may be an unusual tendency to tear or cut things during bouts of anger.  The child may sit in an awkward position and become totally incommunicable.