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How a chronic patient who consulted for Ankylosis and Obesity was diagnosed as a Chronic Asthmatic and was treated and hopefully cured.

Tuesday, July 15th, 2014

How a chronic patient who consulted for Ankylosis and Obesity was diagnosed as a Chronic Asthmatic and was treated and hopefully cured.

saswati says:
April 15, 2014 at 5:02 PM (Edit)
Halo Dr.
I am 35, suffering from Ankylosis & obesity, having severe back .tell me some remedies

Reply
• Joe says:
April 15, 2014 at 5:53 PM (Edit)
“I am 35, suffering from Ankylosis & obesity, having severe back .tell me some remedies”

I cannot understand how you can expect me to even try to help you on the basis of your cryptic post copied above.

If you want me to help you, the least I can expect from you is that you give me full details of your ailment, your weight and your height and for how long you have been affected from your condition.

Reply
• saswati says:
April 19, 2014 at 11:41 AM (Edit)
I am 35. My height is 64 kg. My height is 5 ft &1 inch, suffering from Ankylosis & obesity. Previously I had asthma. By taking ESIFLO 250 inhaler & VENTROLINE inhaler it is controlled.

From 2013 Feb onwards I am suffering from low back pain. Even I could not walk properly & could not sleep. Then I consulted with orthopedic doctor. He asked me to go for HLA B27 test. It found positive & confirmed ankylosis. Then he referred me to hematologist. I was asked to take SAZO 500 thrice daily along with antacid & painkiller by hematologist. He also told that it can affect my kidney & liver. I continued the same medicine for three months then stopped. Then from internet I came to know the power of homeopathy to cure ankylosis.

Now I am having VERTIFINE drops of SBL homeopathy 10-12 drops thrice daily & BAMBUSA A 6 10-12 drops thrice daily. Also I started swimming. 50% pain is decreased. But it started paining while lying down in bed. The back side (mainly the left waist portion) becomes very stiff. While getting down from the bed the pain is there for 6-7 hours severely. A slight pain is always there in left waist & also in left back.

Also my weight suddenly increased. Two years back my weight was 53 kg. Now it is 64 kg. Mainly I am suffering from large belly. Please suggest some medicine for me.
Regards

Reply
• saswati says:
April 19, 2014 at 12:03 PM (Edit)
I forgot to tell my BP. It is 110/80

Reply
• Joe says:
April 19, 2014 at 4:08 PM (Edit)
Reading your post, I believe that the reason for your gaining weight is due to your use of “ESIFLO 250 inhaler & VENTROLINE inhaler”.

You do not seem to be aware that ALL inhalers are based on Steroids which when inhaled directly into the lungs cause many side effects and the most common is weight gain.

I shall start your treatment with a remedy that will CURE your Asthma in a few months depending on how chronic your disease is.

I shall copy my default therapy for Asthma below:

Your remedy is a dose of Nat Sulph 6c in the Wet dose taken twice daily, First dose on an empty stomach and the second just before bed which you will take nightly for 2 weeks, When you find some relief you can reduce your dosage to just ONE dose nightly. If however you do not experience any relief which can happen if you are a chronic Asthmatic, you will please report your status to me for further advice.

You will report your response weekly or more often as may be necessary.

You will not take any drugs when you start my therapy.

The Wet dose of any Homeopathic remedy is made as follows:

Order the remedy in the Ethanol pack also referred to as Liquid Dilution in a bottle preferably with a dropper arrangement.
Get a 500ml bottle of Spring Water from the nearest supermarket.
Pour out about 3cm of water from the bottle to leave some airspace.
Insert 3 drops of the remedy into the bottle and shake the bottle hard before you sip a capfull of the bottle or a large teaspoonful which is the dose.
Shaking the bottle hard is homeopathic succussion and this shaking must be done at least 6 times before sipping a capful of the bottle as prescribed.

Steam is also important and it must be inhaled for about 5 minutes twice daily. You can get the steaming device used in beauty saloons for facial treatment. You will most likely cough up a lot of phlegm immediately after steaming.

Physiotherapy is also indicated after steaming to rid the lungs and airways of the phlegm which is also the cause of Asthma. You will lay flat across your bed with your chest slightly elevated above your head which is hanging down over the side. You will get someone to tap your chest on the back from the waist up to your neck and you should find that your phlegm will drool out in cupfuls.

Exercise is essential for you and you will drink at least 3 liters of water daily.

You can also blow into a balloon to help strengthen your lungs.

If you get an acute attack of Asthma which you would normally treat with a Nebulizer you will take Ars Alb 200c in the Wet dose and this will usually bring relief within about 15 minutes or less. In the event of the first dose not working you may take another about an hour later. Please note that the maximum dosage is not to exceed 3 doses in 12 hours. Also note that Ars Alb is NOT for daily use and may only be used on a SOS basis if you discover that you cannot breathe as a result of an Asthmatic Attack.

Do not use Coffee, Cola beverages, preserved foods like sausages, ham and bacon as they contain Saltpeter.

You also stated that you have been prescribed Sazo as an antacid. This is another of the dangerous drugs that doctors prescribe which cause serious side effects and you can Google “SAZO” to read about the dangers of taking it.

Replace it with Nat Phos 6x dose 2-3 tablets after every meal taken thrice daily. You will discover that it is far better and is absolutely safe in use.
Nat Phos 6x will also reduce your weight by 1kg per week.

Your Ankylosis is not a disease that I can treat but you can take
Arg. Met 6c in the Wet dose twice daily and report if this remedy can help you.
The Wet dose of any Homeopathic remedy is made as follows:

Order the remedy in the Ethanol pack also referred to as Liquid Dilution in a bottle preferably with a dropper arrangement.
Get a 500ml bottle of Spring Water from the nearest supermarket.
Pour out about 3cm of water from the bottle to leave some airspace.
Insert 3 drops of the remedy into the bottle and shake the bottle hard before you sip a capfull of the bottle or a large teaspoonful which is the dose.
Shaking the bottle hard is homeopathic succussion and this shaking must be done at least 6 times before sipping a capful of the bottle as prescribed.

Please follow the following restrictions which are essential to ensure that the remedy prescribed is not antidoted:

Do not use Coffee, Cola beverages, preserved foods like sausages, ham and bacon as they contain Saltpeter.

STOP ALL DRUGS YOU ARE TAKING TODAY AND REPLACE THEM WITH MY THERAPY.

Report progress weekly.

Reply
• saswati says:
April 19, 2014 at 4:45 PM (Edit)
Thank you Dr for your suggestion
Regards
Saswati

• Saswati says:
July 15, 2014 at 9:42 AM (Edit)
Halo Dr. I am very sorry for my late reporting.
Thank you very very much Dr. My weight is reduced by 7 kg. now my weight is 57 kg. I am looking much younger now. My Asthma is much controlled.

what are medicine I should follow now?

regards
Saswati

Joe says
July 15 2014

It is precisely 3 months since your first post of April 15 2014 to report your response to my therapy which I shall copy below for the record:
“saswati says:
April 15, 2014 at 5:02 PM (Edit)
Halo Dr.
I am 35, suffering from Ankylosis & obesity, having severe back .tell me some remedies”

I am glad to learn that:
“My weight is reduced by 7 kg. now my weight is 57 kg. I am looking much younger now. My Asthma is much controlled.”

The reduction of your weight is indeed very good news and I am glad that I was able to elicit from you that you were an Asthmatic using various Inhalers to control your Asthma which I had hopefully CURED with my therapy.

You have used the word “controlled” and I would like to know precisely how you are and if you still get any attacks of Asthma like you did before you started on my therapy.

Do you suffer from any Gastric problems after meals, especially dinner when you may feel full or have some burning sensation in your stomach?

I would also like to know if your “Ankylosis” is still a matter of concern. If so please give details.

Posts for July 2014

Wednesday, July 2nd, 2014

HOW AN OLD LADY(78 years) WAS CURED BY JOEPATHY

Monday, June 30th, 2014

I am copying a post from Dr Alice Menshikova, a qualified Homeopath practicing in Moscow, who relates in her own words what can be considered as a Miraculous CURE of a senior patient 78 years of age, who was cured of the aftermath of her Stroke which she suffered from 20 years ago. She was confined to bed for the last 3 years and Dr Alice contacted me some time ago requesting my therapy. I prescribed Arnica 1M in the Wet dose taken thrice daily and was delighted to learn yesterday that the patient was mobile in a week and is now able to walk without support.

HOW AN OLD LADY(78 years) WAS CURED BY JOEPATHY

A month ago I was asked for help . An old lady 78 years old lied without movement last 3 years. 20 years ago she had a stroke and after this she became weaker and weaker. Three years ago she lost the possibility for any activity. The only treatment she had was allopathic – Nootropil- with “zero” effect.
The case with so long history is difficult for treatment and the only thing was to use JOEPATHY.
I prescribed Arnica 1M in wet dose 1 tablespoon in the morning and 1 tablespoon in the evening and asked the family to inform me about any changes.
One week after this family had a great news-only 7 days of taking Arnica 1M passed and the lady received the opportunity to move without any support. After next 7 days she could walk outdoor.
This is a real miracle!!! Her treatment took only 14 days.
JOEPATHY means treatment “this for that” and works greatly!
Alice M. Homeopath from Moscow (Russia)

Posts for June 2014

Thursday, June 5th, 2014

13 month old boy CURED of Baby GERD in less than 2 weeks.

Tuesday, May 20th, 2014

I am copying a statement by the mother of a 13 month old boy who seems to have been cured of his Baby GERD in less than 2 weeks after many months of suffering from GERD which was treated with Prevacid and Zantac, both of which seemed effective for a few days but made the condition even worse, immediately after.

I am sharing this post with mothers who may have babies suffering from GERD who are desperate for a cure. It is my hope that other advisors on this Forum will consider replacing the classical remedies they were taught to use in college with Nat Phos 6x which as many are aware, is a Biochemic Cell Salt which works in a manner that is difficult to understand, but which does work very positively to CURE GERD.

I am adding the notes of Dr Schuessler who first recorded the unusual properties of Nat Phos 6x and 11 other Cell Salts which are recognised today as having some unusual properties which are largely unknown or not accepted by classical Homeopaths and which I would like others to know and use as I have done for over 2 Decades, ever since I started to use them myself and to prescribe for suffering humanity, although I am 85 years of age and am not a professional Homeopath.

Infant cured of Baby GERD with Nat Phos 6x

“My son is 13 months old and is Prevacid free thanks to Mr. De Livera’s therapy “Joepathy”. My son was first diagnosed with “silent” acid reflux around 6 weeks old. He began gagging in his sleep so we took him to the Children’s ER. We were told to elevate his crib and hold him upright for 30 minutes after nursing. He continued to gag in his sleep and breathing problems ensued. The second ER trip, they gave me diet restrictions and provided us with a “danny sling” to keep our son more upright during sleep. A few days later my son was screaming in pain for hours and the only thing that would console him was breastmilk but each time I nursed him, he would be screaming again 30 minutes later. Again, we went to the ER and this time they had us stay for more testing which confirmed the reflux. My son was given Zantac which seemed to help for a while then his symptoms returned. We tried chiropractic and acupuncture but it didn’t help. We were severely sleep deprived and desperate by the time we saw a pediatric GI specialist who recommended Prevacid which he began using at 4 months old. We tried weaning him from Prevacid around 9 months with no success. At 12 months, we were determined to have him off of it. We began this by giving him half his normal dose. He did well for 2 weeks, then he began showing reflux symptoms again. This is when I consulted Mr. De Livera for his therapy. We started the Nat Phos 6x and I stopped the Prevacid. He did well the first couple days and then he seemed to still be suffering from reflux symptoms. I also believe he was having acid rebound which can happen when stopping the PPI medication. I continued Mr. De Livera’s therapy and in less than two weeks my son’s reflux symptoms were gone. It’s been almost a month and he is still symptom free. Thank God! We are very grateful for Mr. De Livera’s help. I only wish I had known about this therapy from the beginning. It works and anyone who’s had a child with reflux needs to know about it! ”

I would like to add that Nat Phos 6x is best taken immediately after a meal and the dosage depends on the intensity of the ailment. 2 tablets usually suffice but in the case of Chronic GERD the Adult patient may increase the dosage to a maximum of 6 tablets after a meal although 2-4 usually work to alleviate the uncomfortable burning sensation which has sometimes been diagnosed as a Heart Attack, when the patient is rushed to the ER.

Nat Phos 6x seems to work by stimulating Peristalsis as the patient who is suffering from severe discomfort and burning after a meal suddenly feels relieved after taking the dose of Nat Phos 6x (3-6 tablets) in the short space of about 10 minutes.

The bonus that can be enjoyed by the regular use of Nat Phos 6x is the reduction of weight by 1kg per WEEK and this may be of interest to those who have tried other means of weight reduction unsuccessfully.

Nat Phos 6x is absolutely safe in use even over long periods and can be safely used to CURE all cases of GERD.

Dr Wilhelm D Schuessler
Natrium Phosphoricum 6x

Sodium and Phosphate ions are to be found in our body in the muscle, nerve and brain cells, in the blood corpuscles and in the tissue fluids. Nat Phos splits the lactic acid, which is produced by the work of muscles into carbonic acid and water. The carbonic acid is absorbed by the sodium phosphate and brought to the lungs where it is eliminated in the process of breathing. If sodium phosphate is lacking, there results an excess of lactic acid and consequently a sour taste, heart burn, sour stools, vomiting of sour, caseous matter, particularly in babies who are overfed with sugar and milk. If lactic acid reaches the lymphatic glands, the albumin of the lymph glands coagulates and the gland begins to swell. In the initial stages of swelling of the lymphatic glands therefore, Nat Phos has a healing effect because it can split lactic acid. Nat Phos further assures that the uric acid of the blood which is formed by the splitting up of the albuminous substance is kept in solution and secreted by the kidneys. Should this not be the case, uric acid will be deposited in the joints. The sequels are Rheumatism. Gout, Sciatica, Lumbago. In the Gall, Nat Phos saponifies the fatty acids which have been consumed with the food. It is hence indicated against digestive disturbances resulting from excessive consumption of fat.

May 2014

Thursday, May 1st, 2014

April 2014

Sunday, April 6th, 2014

Arnica CURES Eczema in 20 days.

Monday, March 31st, 2014

Submitted on 2014/03/30 at 11:03 PM

Respected, Dr Joe De Livera, As requested, below is a complete case record of my Eczema and successful treatment with Joepathy:
I am 67 years old male from India . In begining of Sept.’13, I experienced skin problem having rashes and ichings on my hands, side back, buttocks, and outer thighs . I contacted a skin specialist doctor and started allopathic treatment that included (1) Inj Karacort 40mg – once only, (2) Tab Allegra M – morning (3) Lerafil 5 – night (4) Emolin cream – morning and (5) Halovate F cream – evening. This treatment was given for one month and it gave me significant relief but by leaving the treatment symptoms started reappearing.
A friend of mine suggested that Homeopathy can provide lasting cure for skin problems, so I contacted a Homeopathic Doctor who gave me the following treatment on weekly basis: (1st week) Romex 30, Astacus 30, LRT UR 30 (2) Fago 30 and Astacus 30 (3) Apis 30 (4) GR 30, Croton 30, Apis 30 (5) Croton Tig 30, Astacus 30, PET 30 (6) CR 30, PET 30, GR 30+, UTR LR 30, (7th week) Astacus 30, Fago 30, Apis 30. The Homeopathic doctor indicated that I can simultaneously continue my allopathic treatment also. However, I took only the Homeopathic medicines for 7 weeks. During this period, the itching and rashes started appearing, I again started taking allopathic medicines.
In Jan’14, I read an article on Arnica 30c wet dose by Mr Joe De Livera which fascinated me so much that from 5th February 2014, I stopped all previous treatments and started taking Arnica 30c Wet Dose twice daily and also applying the same over the rashes. I noticed that rashes and itching started diminishing and reduced by almost 90% within a period of 15 days .
I observed that although no rashes, but sort of burning/itching used to occur on side of thighs, knees and hands, I brought this to the knowledge of Mr Joe De Livera and he advised me to replace Arnica 30c by Arnica 6c wet dose Thrice daily and apply the same on the iching/burning areas ( Eczema ).
I started using Arnica 6c w.e.f. 13 03.14 and by 26.03.14 found that all my problems of skin cured by 26.03.14. I do not have words to convey Dr De Livera
about the efficacy of wet dose invented by him in “Joepathy”. And undoubtaly I am a fan of him because of his selfless service to the mankind.
With Warm Regards,
I. Singh

Perianal Abscess CURED in 31 DAYS.

Saturday, March 29th, 2014

This is the case history of how a Perianal Abscess which the patient himself had measured and recorded at 7 CENTIMETERS or almost 3 INCHES reduced down to 3CM in just 5 days and further reduced to almost normal in 31 days.

The patient is a qualified Psychotherapist and Homeopath and the etiology of his CURE is recorded below in his own words:

Steven Lane says:
March 14, 2014 at 4:28 PM (Edit)
Dear Mr. De Livera.

I consulted you on the 9th March in connection with a perianal abscess. You advised on Joepathy therapy and suggested the internal massage. In the event of that not working you suggested 5 days of amoxicillin. I have for the last 5 days tried the internal massage. The swelling has reduced from a diameter of around 7cm to 3cm. There has not been any apparent discharge. I visited my doctor today and he was very surprised that after 3 weeks of a perianal abscess it was so small. He was also surprised (as I am) that there is very little pain. I persuaded him to give me antibiotics, though he was only willing to give me Augmentin Duo which is a combination of Amoxicillin and potassium clavulanate. My question is: should I at this point take the antibiotic or should I continue as before and see what happens. With thanks for your consideration and time. Best wishes Steven

Reply
• Joe says:
March 14, 2014 at 5:38 PM (Edit)
Glad to learn that my therapy including the internal massage with the AB Ointment helped you in just 5 days.

It is your type of report that makes me happy as it is living proof that my Joepathy does work. And you may not be aware that I have no personal experience using my therapy as I have been spared this curse of Fistula, Fissure and Abscess and it was when a friend who suffered from it appealed to me to save him from yet another surgery as he had already suffered 6 previous experimental invasions of his anus which had left him a rag. He could not sit on a chair and was one gory mess.

I saved him from the 7th experiment which would have gone on for his lifetime and the surgeon was flabbergasted when he consulted him at my request in about a month with his lesions HEALED.

I note that your surgeon too was surprised with the improvement in your own status and you will be doing his a service if you invite him to visit my Website to read of the many cases I have CURED.

DO NOT TAKE THE ANTIBIOTIC AS IT IS NOT INDICATED.

I cannot understand the reason for his insisting on Augmentin as it is the drug of last resort. Amoxyl is by far safer and perhaps more effective.

Remember that you MUST USE THE FULL PROTOCOL I have prescribed and not use it in the manner you did up to now without the massage.

Reply
• Steven Lane says:
March 14, 2014 at 6:27 PM (Edit)
Many thanks for your kind reply. I shall proceed as you have suggested and report back at a later stage. Unfortunately, doctors in this country have no interest in homeopathy or any other kind of natural/non drug based treatment. In fact my doctor even refused to believe that the anti-biotic ointment could possibly have a positive effect, though he had to concede that “something seems to be working – we can’t argue with that!” Mr De Livera, I thank you profoundly for your help. You have spared me considerable pain already! Steven

Reply
• steven lane says:
March 26, 2014 at 5:15 PM (Edit)
Dear Mr. De Livera

I can report that as of today, 31 days after starting your treatment on my perianal abscess, I am totally free of the problem and its associated symptoms. I can not thank you enough. I am immensely grateful. Without surgery or even antibiotics, bar the antibiotic ointment, but just with Joepathy, the sizeable abscess (at its height it was around 7cm large) the problem has been healed. Furthermore, having had this problem 4 times previously, I know how immensely painful and uncomfortable it usually is. Not so with your treatment. Pain levels never went beyond 3 out of 10 – miraculous.

I can also report a side benefit – perhaps a result of the arnica: for the last 5 years my blood pressure has been around 145 over 100. Now it has dropped to a perfect 120 over 80. Amazing! Also, I am noticing an improvement to my sleep – I used to wake up around 5am and fail to go back to sleep. Now I am sleeping the night through until 7am.

Thank you so much and may many other people benefit from your unique approach. You are a light to the world!

Reply

Angina

Saturday, March 15th, 2014

I am copying below an article on Angina Pectoris which I picked up from the web which is of interest.

Angina is the shortened form of a medical term for “angina pectoris” which means literally, pain in the chest, although it is, in fact, a heart condition. True angina can be a serious matter and a great disability in life. On the other hand, it can be controlled by good management and drugs.

There is a condition, called false angina which despite its name has nothing to do with heart, disease. Similarly in ‘Vincent’s anginal the word angina is used in an old fashioned way to mean an inflammation of the throat. But the one I am dealing in this article is real angina pectoris. Every angina patient will be the better for understanding something about this symptom, its cause and its possible control, The majority can teach themselves to come to terms with it and in doing so, they will make their lives easier and the doctors treatment more effective..

The first thing is to recognize angina, face it and make up one’s mind to outwit, this troublesome invader of man’s peace.

The pain (sometimes called angina of effort) can occur in front or back of chest, or in shoulders or radiating up the neck, or down the arm, but it is always mainly a central chest pain of a crushing or constricting character, usually *steady but not sharp and lasts for a few minutes. Sometimes the pain is felt only in upper abdomen (epigastrium and is wrongly diagnosed as gastritis by some doctors and is treated- with antacids.

The Causes Or Angina

Angina pectoris is caused by the condition of the coronary arteries which convey blood to the heart muscle to enable it to beat and sustain the circulation, These special arteries called coronary arteries are most important. Your heart goes on beating day and night for all long as you live. Other parts of the body can go to sleep when you are in bed, but the heart can never stop,

As we get older, all of us suffer to a greater or lesser degree, some hardening and narrowing of arteries (atherosclerosis),

This is part of the wear and tear of life. Naturally in some people, it is worse than others and in these individuals these coronary arteries become so narrowed and inelastic that some part of the heart muscle is starved of its proper blood supply. This causes angina pain which has been called the cry of the heart for more blood. Frequently angina is a warning symptom of a future heart attack, Severe angina (unstable angina) if not properly treated usually can lead to a heart attack (myocardial infarction)

Why Angina Comes On

Normally the constriction in the coronary arteries (essential cause of angina) is not severe enough to starve the heart muscle of blood provided individual is relaxed or lying down or walking at a comfortable pace, However, as effort increases, more blood will be needed by the heart muscle and therefore the angina pain will come on.

This extra load upon the heart can be increased by many kinds of strain such as running for a bus or train, dashing upwards, losing ones temper or becoming worked up about some personal problem. All these and many others put an, extra load on the heart which it ha’s to bear, in addition to its ordinary work and the result will be angina. A woman may get angina when she comes home from shopping or marketing, but not when she sets out. The difference is probably the extra weight of her basket.

Sometimes getting a letter which from handwriting one recognizes is likely to bring bad news may start off the attack. And some people react so powerfully to meeting another, that angina comes on. Again angina at night can be set off by an unwise meal just before going to bed.

Sometimes some teledramas you watch can set off some special emotions in your mind which can cause stress. Tears and laughter do not cause stress; only fear and memory of fear can cause stress and precipitate angina in a coronary patient.

In this article, I am not going to discuss the management of an angina patient by your family physician or cardiologist e.g. using drugs such as beta blockers, calcium channel blockers, nitrates and antiplatelet drugs or investigations for angina such as ECG, exercise ECG, 2D Echo, coronary angiography, Thallium scanning or procedures such as PTCA (angioplasty) stenting and coronary artery, bypass surgery (CABG) as there have been a number of articles on above topics in the news journals and you may have been watching TV’ programmes. On above topics. I am discussing how you should adjust your life if you are a case of coronary heart disease (CHD).

Proper Use of Rest

We advise our angina patients to rest, but very few patients know how to use rest properly. It seems so simple when one is fit and well. But the angina patient has to use every opportunity to take the strain off the circulation. When you come into the house, automatically push up your., feet and remain for a short time in a comfortable position see that you get a proper amount of rest in bed at night, not necessarily asleep but in a horizontal position.

Smoking.

Undoubtedly cigarette smoking keeps up the tendency to attacks of angina and the smoker should make a big effort to abandon cigarettes completely. This can be done, and those who face the struggle for a week or two will undoubtedly find their angina less troublesome.

Relieving An Angina Attack

Since angina is brought on by stress or effort, the first thing we have to do is to reduce the heart activity to a more comfortable level. Stop what you are doing and stand or sit still, putting your feet up if possible, Gradually the need for extra blood will diminish and as it goes, so will the pain.

Happily we have drugs such as Glycerol trinitrate (GTN) sublingual tablets, GTN spray and Isosorbide mononitrate sublingual tablets. The latter 2 relieve an attack of angina in one or two minutes. Unfortunately some of, the GTN tablets available in Sri Lank take about 10 minutes to dissolve in your mouth. So whenever you get an attack of angina in addition to measures mentioned above, take GTN or Isordel (aublingual) or if you can afford, GTN spray.

Sometimes it does happen that the angina patient can I walk off the attack.. The heart seems to get a second wind and the pain which may have been quite severe, diminishes and disappears.

Angina caused by over — eating or by feeling of anger, tension or frustration (mostly subconscious) are not quite so easy to relieve,

Today we have very sound drugs such as beta-blockers, calcium channel blockers, nitrates and anti-platelet agents and the number of drug increase as research progresses, Your family physician or your cardiologist will know all about these and will preseribe the one which is most suitable for you personally and all these druge, should be used under your doctor’s guidance. Should a persistent attack of angina comes on take a sublingual GTN, contact your family physician if he can be contacted, swallow a tablet of soluble asprin and request one of your relatives or friends to take you to the nearest hospital as soon as possible.

Avoiding Angina

It is of course better to trace the cause that brings on an attack of angina rather than expose yourself to the risk and then to be obliged to take the drug, Drugs are an aid to the simple methods of prevention rather than as a method in itself. Angina can be brought on by a number of stimuli physical or mental. Physical exertion may bring it on for example walking uphill or an unduly long walk for a bus or carrying a too heavy a weight can precipitate angina pain.

Sexual intercourse which is painful or causes distress instead of pleasure may bring on an attack of angina, Unnecessary feats of activity such as moving the piano or opening a window which has become stiff or digging in the garden for too long or transporting a gas cylinder into the kitchen can precipitate an attack of angina.

Stress And Angina

There are mental causes which bring on angina. A violent TV program or a horror film -can produce the sort of fear situation that causes an attack. Strain, shock, fear about the family can induce an attack: of angina in a heart patient.

If angina comes on when you are walking, you will soon reduce the pace at which you can walk comfortably or it is advisable for you to take a GTN tablet before you start walking. Many angina patients develop a new scheme of organizing their lives, they arrange to avoid the excessive efforts, as for instance, by walking one way and taking the bus back. It is preferable for an angina patient to have a room down stairs.

Management of time is a difficult chore, Some of us work against the clock and this causes a strain on your circulation. A housewife must try to cut out unnecessary jobs, transfer some of the others to the family and gently tackle the rest herself. She should if possible put up her feet whenever possible, relaxing, with a cup of tea, reading a book or switching on a TV program or closing the eyes and meditating for a few minutes.

Obesity (Over weight)

Overweight is one, of the most serious forms of overstrain on heart and circulation. The heart has to, do more, the blood vessels have to work harder to keep the same quantity of blood circulating over a larger volume of muscle and fat,. If you are 10 percent overweight, then every moment of the day and night your heart has to do 10 percent more work than it was designed to do. Don’t try to reduce your weight too quickly, If you can bring it down to near normal within 2 to 4 months, this will be quite, satisfactory and only the first week or two will be really hard. Keep a record of your weight and this will encourage you.

There are many systems of diet.. Rice, bread, cakes, sugar, yams, fats, beer and spinta are the worst enemies of the person trying to lose weight. Always eat moderately especially before going to bed. A short walk after dinner is very healthy. Try to rest for 10-15 minutes or longer after each meal especially after lunch and dinner, Don’t eat or drink anything you know will disagree with you even if this means offending the cook or hostess as a digestive upset or flatulence can bring on an attack of angina. Too much alcohol is bad for an angina patient.

Emotional Stress

It is hard for any of us ‘control, our temperament. Anger, excitement, fear and tension all start the heart racing and if you are “highly strung type you should try to build up a discipline which will make you take life tolerantly, This requires distinct effort, You should accept calmly those pin .,pricks which come to all of Us.

Do not brood about people you dislike or you are sure have wronged you. Merely keep out of their way, Keep clean of people -and situations which make you lose your temper. Switch off over — exciting TV programmes and scenes of violence.

Motor Driving

You should do your utmost to rearrange your routes to avoid traffic jams as traffic jams precipitate angina in coronary patients, Fast driving is a form of stress which should be avoided, Weekend driving for relaxation and pleasure can be wonderful

Exercise for the Angina Patient

The safest exercise is walking not necessarily quick walking or sprinting but walking at a leisure pace — two to three kilometres in the open air in as pleasant surroundings, as possible. Swimming too is good- provided you do not overtax yourself and the water, is not too cold. Do ‘not be tempted into competitive games,

Most people who are no longer young get broken nights. A. Sunday nap will help you. It is advisable for heart patients to rest for about 15 to 20 minutes after lunch. Although sleeplessness is disagreeable for you as a heart patient, just lying in bed horizontally will be beneficial even when you are not asleep. Give yourself 8 or more hours in bed.

Holidays

Everyone is the better for a holiday that gives a real change of surroundings and activities. A holiday during which there is no pressure on you seems to endow you with increased energy. When you are holidaying, don’t drive your car like a madman after drinking beer or other alcoholic drinks. Let your holiday be restful in the open air and sunshine with congenial people.

Look upon your angina as a friendly warning signal that your circulation is in distress, and for your good, you should immediately stop all activity for a short time. You must get an early appointment to see your G.P who, I am sure will arrange for few tests like E.C.G., blood sugar and blood cholesterol after doing a good general examination. If necessary he will refer you to a cardiologist for tests such as exercise ECG, 2D-Echocardiogram and coronary angiography if these tests are necessary.