Antibiotic associated diarrhea

What is antibiotic associated diarrhea
Antibiotic-associated diarrhea is a side effect that results from taking medication used to treat bacterial infections also known as antibiotics. You may find yourself passing loose, watery stools consistently after taking antibiotic medication.
In most cases, diarrhea requires no treatment as it is mild and it clears up in a few days after you finish the medication but a serious case of antibiotic-associated diarrhea may require you to stop or change medication.

Symptoms of antibiotic associated diarrhea
Antibiotic-associated diarrhea might begin about a week or so after you start taking an antibiotic. You will experience mild symptoms like recurrent bowel movements that may cause abdominal pains, nausea and loose stool. Other manifestations of antibiotic-associated bacteria that are less common may include, mild fevers, complete loss of appetite and cramping. However, some symptoms don't appear until after you have finished antibiotic treatment.


Causes of antibiotic associated diarrhea
What causes antibiotic-related diarrhea, you may ask? Well, it is caused by changes in the composition and function of the intestinal flora. Bacteria that are toxin producing upsets the ratio of good to bad bacteria in your gastrointestinal tract. The pathogen may also cause antibiotic-associated colitis, an inflammation of the large intestine caused by Clostridium difficile infection that results in excessive diarrhea which normally occurs after the antibiotic therapy. Taking multiple antibiotic medications can also lead to severe cases of antibiotic-associated bacteria. For instance, taking Cephalosporin’s, such as Suprax and Penicillin’s, such as amoxicillin. Combinations of the two types of medication may lead to inflammation of the bowel.

Risk factors for antibiotic associated diarrhea
Like any other disorder, antibiotic-associated diarrhea it definitely has risk factors that increase your chances of developing it. They include advanced ages of 65 years and above which is 50 to 100 times more than that of a teenager or a young adult, previous surgical operations on your intestinal tract and having previously experienced antibiotic-associated diarrhea.

 Having been previously hospitalized is also a risk factor that might lead to you suffering from the disorder. This is due to the antibiotic treatment that is administered to patients in hospitals. In comparison to a study conducted in Sweden, bacterial colonization of hospitalized adults was 20 to 30 percent more than that of outpatients which were only at 3 percent.

Complications of antibiotic associated diarrhea
The most common complication of antibiotic-associated diarrhea or any other form of diarrhea is dehydration. It is advisable for you to take lots of fluids especially water to compensate for the loss of electrolytes. Severe dehydration is life-threatening and can be fatal. Symptoms of dehydration include intense thirst, a dry mouth and to feel general body sluggishness.
Other complications include bowel perforation which can be repaired surgically and a toxic megacolon that is accompanied by paralysis of the peristaltic movements of the bowel that enable you to defecate.

Diagnosis of antibiotic associated diarrhea
Diagnosing of Antibiotic-associated diarrhea involves conducting a series of tests like abdominal radiography and endoscopy to detect the presence of toxins produced by the bacteria in the abdomen.
Diagnosis is also made by analyzing stool samples. This approach is advantageous because it yields a higher degree of accuracy if it’s conducted correctly. However, you have to wait for two to four days for the results. It is advisable for you to have more than one stool specimen tested as this increases the diagnostic yield.

Precautions & Prevention of antibiotic associated diarrhea
The best precaution for you to take to minimize chances of antibiotic-associated diarrhea is to avoid antibiotics or to limit their use unless your doctor prescribes them for u. You should also inform your doctor if you have previously experienced antibiotic-associated diarrhea so that he/she can take it into consideration when prescribing you medication.

Taking probiotics can also be helpful for you. It might beat logic that you are taking antibiotics so taking probiotics will undo the treatment the antibiotics have done. But this is not the case, probiotics add good bacteria to your digestive system to treat the side effects that have resulted from the antibiotics.

You should also watch what you eat. Some foods and dairy products naturally contain probiotics. It is recommended for you to take at least half a liter of natural yogurt per day. Never the less, some foods are culprits for stomach upsets. It’s always good to stay away from such foods when you are on antibiotic medication as they may flare diarrhea. Always follow the instructions written on your antibiotics so as not to hinder their effectiveness. Not all antibiotics are absorbed on an empty stomach thus some are recommended to take after meals.

How is antibiotic associated diarrhea treated and managed?
Treatment depends on the conditions of your symptoms. Mild antibiotic-associated diarrhea is likely to go away in a few days after you are through with your antibiotics. In a case of severe antibiotic-associated diarrhea that leads to developing Clostridium difficile infection, other forms of treatment may be approached.

Homeopathic treatment can be incorporated in treatment. It boosts your body’s immunity and it also opposes side effects of the antibiotics.  This kind of treatment addresses the pathological condition of your body as it creates an equilibrium in energy, immunity and body functions thus curing the root of the disorder. Common homeopathic treatment medicines for antibiotic-associated diarrhea include Carb V and Sulph.

Conventional or allopathic treatment of antibiotic-associated diarrhea mainly constitutes of antibiotic prescriptions that your doctor may prescribe or recommend depending on the severity of your antibiotic-associated diarrhea after tests have been carried out.
In cases of extreme antibiotic-associated diarrhea that has led to a toxic megacolon or if your body is not responding to medical treatment, surgical measures can also be taken. Surgery has a high mortality rate of close to 40 percent therefore early and continuous surgical consultation is recommended for better outcomes.

Dietary and herbal treatment of antibiotic-associated diarrhea is the most common form of treatment. It involves watching what you eat and taking homemade remedies to replenish the body with electrolytes lost due to dehydration. You should drink plenty of fluids and avoid spicy and fatty foods or foods with high fiber contents.

Taking precaution is far cheaper and safer than managing complications or getting treatment for extreme antibiotic-associated diarrhea. You should, therefore, invest more in taking precaution and preventive measures.

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Anthrax

What is anthrax?

Anthrax is a disease caused by a bacteria Bacillus anthracis. It normally affects ruminant animals for example goats, cattle, sheep, and moose. If these ruminant animals are infected and human beings get in touch with them, the disease can be transmitted to them. Anthrax is not considered contagious since it does not spread from one person to another.

An anthrax bacterium exists in an active form referred to as spores. Inactive ones live in soil and are carried in on the skin of animals. The spores live for a long time due to the hard coating of the animals.

 Anthrax spores enter human body when you touch or inhale in anthrax spores. Once in the human body, it changes into an active form. It multiplies and causes very serious illness.

What causes Anthrax?

You can catch anthrax either directly or indirectly inhaling, being in touch or ingesting the bacteria Bacillus anthracis. This bacterium is found in ruminant animals. You can also come into contact with anthrax through biological weapons.

If you touch domestic or wild animal’s blood that is affected by anthrax, you can get the disease. Moreover, you can get anthrax if you eat undercooked infected meat.

Signs and symptoms of Anthrax

The signs  of human being depend on the means of contact.

Skin contact. When your skin gets into contact with an infected animal, you can get small, raised sore that is itchy. This sore normally appears like an insect bite. It then grows into a blister. It also does not cause any pain. After one to five days, the symptoms will develop.

Ingestion of Bacillus anthracis.

The symptoms of this kind of anthrax develop within a week after exposure. These signs include vomiting, loss of appetite, abdominal pain, neck swelling, and bloody diarrhea.

Inhalation

if you inhale anthrax, the signs will also develop within a week. They include difficulty in breathing, sore throat, cold symptoms, fever, cough, feeling fatigue, nausea, chills and shaking.

Diagnosis of Anthrax

For your doctor to diagnose anthrax, he will take your history to determine the exposure and give crucial diagnostic examinations. If you contracted anthrax through inhalation, your doctor will carry out chest X-rays or CT scan. These tests will affirm if you have mediastinal widening and pleural effusion, therefore, confirming you have inhalation anthrax. Skin testing.: Your the doctor will take a suspicious lesion on your skin that will be examined for signs of cutaneous anthrax. Anthrax bacteria  i.e bacillus anthracis can also be detected in your system using a blood sample. Your stool may also be examined for gastrointestinal anthrax (ingestion of anthrax bacteria). Anthrax meningitis may be tested by inserting a needle in your spinal canal and withdrawing a small amount of fluid. This test will confirm whether you have this kind of anthrax. Your doctor might also measure the antibodies in your system or the level of toxins to determine whether you have anthrax.

Complications OF Anthrax

The only major complication for anthrax is soreness of the membranes around the brain and backbone. This leads to too much bleeding hence causing death. This condition is also referred to as hemorrhagic meningitis.

Risk factors of Anthrax

People who are at a higher risk of getting anthrax include those who work in the laboratory. This is because they are exposed to the bacterium causing anthrax when performing tests on patients. People who work with livestock as a veterinarian can also easily catch the disease. Individuals who handle animal skin such as those who work in slaughterhouses are also at a  risk. If you have a pet that is ruminant for example rabbit or a horse and it is infected you can also easily be infected with the disease. Another group of people who are at a risk is the once who handle or dress game animals such as deer. The military that is deployed in areas with high risk of anthrax can easily contract it.

Treatment and management of Anthrax

The regular treatment for anthrax is a two-month course of an antibiotic. This antibiotic may either be ciprofloxacin or doxycycline. You can either take one antibiotic or both of them depending on how you are infected with the disease, age or your health. The treatment will be more helpful if started as soon as the diagnosis.

Advanced inhalation anthrax may not respond to the above-mentioned antibiotics. At this stage, the bacteria have developed and have produced more toxins and therefore the drugs cannot eliminate. Anti-toxin therapy has been invented. This therapy eliminates the toxin. Your doctor may surgically remove the infected tissue. This is only done for the cases of injection anthrax.

The homeopathy treatment for anthrax is done by a number of medicines. Many homeopaths prefer anthracinum. Other medicines may include pyroginum, crot-h, and echinacea.

Precautions and prevention of Anthrax

You are recommended to use antibiotics to curb infection if you are exposed to the spores. Some of these antibiotics that you can use include ciprofloxacin, doxycycline.

There is anthrax vaccine meant for humans. This vaccine can cause side effects such as soreness at the place that you were injected or more severe allergic reactions. It does not have live bacteria, therefore, it can't lead to infection. It is important to note that the vaccine is not intended for the public, it is for military personnel and those at a higher risk for infection.

You can also avoid it by avoiding infected animals. If you are in an environment where anthrax is common and the animals are not regularly vaccinated, avoid contact with the herd or animal skin. In addition, avoid meat that has not been appropriately cooked.

Handle dead animal with precaution.If you work in a company that deals with wool, fur or hide, be more careful because the virus may be active.


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Anoxia

What is anoxia?
Anoxia is a disease resulting from decreased oxygen supply to your brain. It is a consequence of hypoxia. If your body suffers from lack of oxygen, you develop an anoxic- hypoxic injury. Hypoxia is caused by conditions such as insufficient oxygen in areas of high altitude, poisoning from carbon monoxide, chocking and near drowning, asthma, pneumonia and other conditions that cause difficulties in breathing. Excessive loss of blood could also lead to hypoxia.

Your brain, kidneys, heart and other bodily tissues may stop functioning completely if hypoxia turns into anoxia.  Anoxia is especially detrimental to your brain. If you go for a short period, even of five minutes without oxygen getting to your brain, your brain cell may die and other functions of your brain may be stopped or interfered with. If it is severe it may even lead to death.

There are different types of anoxia namely:
Anemic anoxia which is caused by the blood not carrying sufficient oxygen around your body organs for proper functioning. Lack of hemoglobin which is responsible for delivery of oxygen to your blood vessels and other body organs leads to the development of anemic anoxia.

Toxic anoxia which is a result of inhalation of toxic environmental fumes. This will hinder blood from effective transportation of oxygen to your body organs. The most common cause of toxic anoxia is carbon monoxide poisoning.

Stagnant anoxia, commonly referred to as hypoxic-ischemic injury, is caused by blood not reaching your brain and other body parts requiring its presence. It is mostly caused by diseases of the heart.
Anoxic anoxia is another type of anoxia. This is as a result of insufficient energy in your body. This leads to your bloodstream not having enough oxygen to transport throughout the body. Being in high attitudes increases your chances of getting this disease.

What causes anoxia?
Different conditions cause the development of anoxia. They include;
Having insufficient oxygen reaching the brain, being in high altitude areas, the exertion of the body, toxic poisoning, mountain climbing, hiking, snowboarding, and skiing. If your lungs are not functioning properly due to either of the following factors, you may also develop this disorder. They include; breathing difficulties resulting from pneumonia and asthma, abuse of drugs, suffocation, near drowning and chocking.

What are the common signs and symptoms of Anoxia?
The signs and symptoms of anoxia are not so obvious in the beginning. Before any symptoms can be seen, your brain may go up to a few minutes without oxygen. They may even take as long as a few days or even weeks to surface.

The signs that will appear at the initial stage include; temporary memory loss, personality and mood changes, slurred words and speech, sluggishness. You may also feel dizzy, inexplicable headaches, loss of body balance, and loss of concentration. You may also experience other symptoms such as hallucinations, seizures, and constant fainting. If you are experiencing such symptoms, you should seek immediate medical attention.

How is anoxia diagnosed?
The diagnosis and prognosis of anoxia are done to investigate if the symptoms you have are indeed for anoxia. Your doctor may decide to perform blood tests, tests on the nervous system or even some blood tests and X-rays. Some common tests usually used to determine if the symptoms elicited are of anoxia. They include; an MRI (magnetic resonance imaging.) to determine the reaction of your brain to different activities. You may also need to take a CT scan for a general view of your brain. An EEG (electroencephalogram ) will also be done to monitor your brain’s electrical activity. You may also need to take a blood and gas test to indicate the levels of hemoglobin and blood oxygen. You may be given other brain tests that will help your physician see how your brain reacts to the environment.

How is anoxia treated and managed?
The treatment for anoxia will depend on the period you have been ailing from the disease and for how long your brain has not been getting enough oxygen supply. Some mental and physical body functions may stop if you lack oxygen in the brain even for a few minutes. The treatment for this is your doctor trying to regulate your blood oxygen levels. You may need to have CPR performed or even be placed on a ventilator.

Seizures will be treated to avoid delay of your recovery in the long run. This is a complication that results from anoxia. It is better treated to avoid further complications later in life or worsening of the disease.

In the case that your anoxia is as a result of a heart attack, you will be treated for it to restore oxygen supply to the brain. You will need these forms of treatment to avoid prolonged damage to your brain or other body organs requiring oxygen to function properly. They include - Physical therapy which helps you in the restoration of your walking ability and general body control. You may also go for speech therapy to correct your slurred speech and swallowing ability. Psychotherapy is a very vital part of the treatment combined with occupational therapy as they will help you to adjust and deal with any major changes you may experience as a result of this disease. Recreational therapy will aid you in the promotion of your health and personal well being in the form of art and craft, music and dance or even community activities.

In addition to that, homeopathic treatment is very useful. It will give you exceptional results in the improvement of body tissues oxygenation. You will be treated holistically and constitutionally. You will get a balance in energy levels, improvement in immunity and body functions. The root of the disorder will be dealt with thus giving you as a person relief from complications and symptoms caused by anoxia.

Another treatment for anoxia is acupuncture and acupressure which focuses on balancing the body organs and their functions. It will ensure your blood flows in a normal manner thus restoring mental and physical health. Needles will be connected to structures that are neutral thus stimulating your whole nervous system.

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Ankylosing Spondylitis

What is ankylosing spondylitis? 
This is a type of persistent inflammation of the sacroiliac joints and the spinal cord. These joints are normally found in the lower part of your back. This is where the bone above the tailbone and the iliac bone intersect. The inflammation of these bones causes intense pain and stiffness in the spinal cord and the areas surrounding it. This includes the lower and middle back, the neck and buttocks. Gradual inflammation can cause the fusion of the vertebrae and eventual immobility of the spine thus leading to Ankylosing spondylitis.

This is also a systemic disease which can affect body tissues. It can lead to the tenderness of other joints and manifest itself as arthritis. It can also affect other body organs like the heart, eyes, mouth among others. It is related to other forms of arthritis which lead to inflammation of the spine and joints. Ankylosing spondylitis is a rheumatic disease as it mainly affects muscles and joints in your body.

It is most common in men than women. If you are a woman, the joints located further from the spine are affected often in comparison to men. This disease will affect people in all age groups even children. If your child is affected, then it will be referred to as juvenile ankylosing spondylitis. The onset stages of this disease are the twenties and thirties. This disease is also known as Bechterew’s disease or by abbreviation, AS.

What are signs and symptoms of Ankylosing spondylitis
If you show the following signs and symptoms, you might need to get checked for ankylosing spondylitis. If your neck or feels pain and is stiff, or if you experience pain in your lower back, hips, and buttocks for a period longer than three months, you may be suffering from ankylosing spondylitis. It will usually begin around your sacroiliac joints at the point of intersection of your lower spine and the pelvic bone of the lower back.

If you have an overgrowth of your bones, you may develop an unusual unification of bones referred to a bony fusion. This may interfere with your ability to perform daily tasks and routines as it will affect mainly your neck, hips, and backbones. If the unification of the bones affects the breastbone or the ribs, it will cause you difficulties in attempts to take deep breaths.

You may also experience ligament and tendons pain. These tendons and ligaments are attached to bones. Inflammation of these will cause you to feel pain in the area you use to step on the ground. (the area behind your heel)  and at the rear of your ankles.
You may also experience high fever, fatigue and general body sluggishness, redness and pain in the eyes, loss of appetite and rarely, heart and lung problems. You may also develop anemia, low iron and progressive loss of body weight.

What causes ankylosing spondylitis?
There is no known cause of ankylosing spondylitis yet. However, it tends to be running in families. This means that it could be genetically transferred. Therefore, if anyone in your family has the disorder, you are also likely to develop the disease in comparison with someone whose family does not have this history.

How is Ankylosing spondylitis diagnosed?
You may see a rheumatologist for diagnosis of ankylosing spondylitis. This is a doctor who specializes in arthritis-related diseases. You will have to undergo a comprehensive physical examination as the doctor asks you about your signs and symptoms and your medical history.

A spine or joint X-ray will be required to help establish if there is any attrition. If you are in the early stages of this disease, your tests may not show the erosion. An erythrocyte test might be conducted to test the presence of tenderness in the affected areas. An HLA-B test will be done only to confirm if you have a gene that produces the protein that may lead to the development of ankylosing spondylitis.

What are the risk factors of Ankylosing spondylitis?
Among the factors that may increase your risk of developing this disease is; being in the age bracket of twenty to forty years. If you are a man, this also places you in danger of developing this disease as it occurs more in men than women. If you have had a case of ankylosing spondylitis in your family, your chances of getting the disease are also increased.

What are the precaution and prevention measures of Ankylosing spondylitis
To take precaution against something especially a disease is better than treating and curing it. Thus, the prevention measures you may employ for this disease include; preventing yourself from being disabled by maintaining body activeness. You can also focus on healthy eating and maintenance of standard body mass.

How is Ankylosing spondylitis treated?
As there is no known cure for this disease, the treatment you receive if basically for management of pain and other symptoms you may be having.

The anti-inflammatory drugs like naproxen and ibuprofen are the commonest prescriptions you will be given to help In the management of your symptoms although if they do not give you enough relief from pain, you will be given stronger pain medication.

You are encouraged to be involved in daily exercise activities as they aid you in maintaining elasticity and motion. A prescription of physical therapy may come in handy in this case. You should practice good posture since it helps in the prevention of spine deformity that could come later in life.

Applying hot or cold compresses to the joints affected by stiffness reduces pain and swelling respectfully. If the ankylosing spondylitis is severe, correctional surgery may be done on the affected areas of the spine or joints. This happens mostly in cases of bone infusion or severe deformity.

Homeopathy comes in handy in the management of this disease as it assists in controlling it through the administration of medication. Acupuncture is also another known treatment for this disease as it helps in pain reduction in some people. It will be performed by a trained and experienced physician through disposable and sterilized needles. Psychotherapy is recommended as it will help you through use of conversations by words. This helps you to deal with problems effectively with the aim of finding solutions to them. It also helps you deal with trauma experienced through the management of the disease.

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Angina

What is angina?   

Angina is discomfort, tightness or chest pain that is a result of the decreased supply to the muscles surrounding the heart. (cardio-vascular muscles.). though it is not a disease, it is a symptom of coronary artery disease which is the commonest disease of the heart. Narrower coronary arteries result in plaque upsurge (atherosclerosis) due to insufficient oxygen-rich.

If you have narrow arteries, they cause you pain, lead to coronary disease of the heart, cardiac arrest and consequently even death. Angina has different ways of manifesting itself, it could be pain and discomfort in the chest, or an angina attack lasting for about 15 minutes. It is usually categorized into variant, stable and unstable angina.


Types of Angina

There are different types of angina depending on the causes. They are:

Chronic angina, which is a heart attack caused if you are working harder than usual. It is predictable as it has a regular pattern that is progressive over the years. It is usually relieved if you take medication and adequate rest.

Unstable angina, on the other hand, is unpredictable as it follows no regular pattern. Even when you are at rest, it could still attack you. It could be an indicator that you will suffer a heart attack in future or even within hours or weeks.

The other types of angina are known as microvascular angina and variant which rarely occur. They can happen even when you are resting even if you have no known coronary artery disorder. It is caused by anomalous contraction of the blood vessels causing the reduced flow of blood to your heart. Medication can be used to relieve you of the symptoms.

What causes angina?

Angina is caused by many factors. They include the following:

If you have had an existing coronary artery disease may cause angina. This results from cholesterol build-up on arterial walls forming hard plaques narrowing the artery. This makes blood supply to the heart insufficient affecting the normal functions of the heart.

If you are a smoker, this may also lead to the development of the coronary heart disease. In addition to this, high cholesterol and fat levels in the blood will cause plaques to form and they will cause damage to your arteries. The plaques lead to thinning of the arteries or complete blockage from blood clots in the artery.

Angina attacks result from insufficient oxygenated blood supply to the heart.  They are mostly triggered by too much physical work since the heart will be deprived of oxygen if you exert too much energy. If you are going through emotional stress that is intense or you consume a heavy meal. If you are fond of smoking or you are exposed to intense temperatures, this may cause an angina attack.

Partial or complete blockage of any of your arteries may cause blood clots which in turn lead to an angina attack. This is normally the unstable or unpredictable angina. If you get blood clots that are large in size, it may cause you a heart attack.

If your artery experiences contractions, it may be narrowed or tightened resulting in reduced blood supply to your heart. Exposure to drug use, extreme cold and stress may be the cause development of variant angina.

What are the signs and symptoms of Angina?

If you experience these signs and symptoms, you may be suffering from angina. They include;
Constrictions, pressure, heaviness and squeezing with a burning sensation starting behind the breast stone. This pain will extend to your other body parts like teeth, throat, back, neck or even jaw.
You may also experience increased sweating, general body sluggishness, increased levels of heartburn and even indigestion. Shortness of breath, cramping and nausea may also be experienced.  Stable angina will feel like indigestion while unpredictable angina will hit you even during rest, lasts longer and even worsens over time.

What are the risk factors associated with Angina

If you suffer from coronary heart disease, you are at increased risk of angina. These factors also raise your risk of getting angina. They include the following:

If you have unhealthy cholesterol levels, high blood pressure, a tendency of smoking regularly, obesity and diabetes, your chances of getting angina are very high. You may also develop angina if you are a man or woman aged 45 and 55 respectively. Furthermore, if you have a history of heart disease or your family has had continuous cases of heart disease, it increases your risk of developing the disease (angina).

What are the prevention and precaution measures for angina

By adjusting your lifestyle, and treating conditions related to angina, you reduce the risk posed to you, delay and prevent angina. Giving up smoking, keeping fit and healthy and eating healthy food also reduces and prevents you from developing angina. Proper treatment for high fat and cholesterol levels and high blood pressure also helps prevent the development of this disease.

How is Angina diagnosed?

If you have the signs of having chest pains, you will undergo a physical exam together with an oral one to help your doctor establish if you are suffering from angina or not. Details of your medical and family health will also be required. You may need to undergo the following tests to determine the cause of your signs and symptoms.

A stress test where the reading of the blood pressure test kit will show increased physical activity, an electrocardiogram which will be recording your hearts electrical activity and can help identify if your heart has been receiving insufficient oxygen amounts. A blood test shows the levels of fats and sugar in your blood while coronary angiography and a chest X-ray will help in seeing your internal chest structures.

How is Angina treated and managed?

The main aim of angina medication is to reduce symptoms, prevent risks of getting a cardiac arrest and to lower chest pain and constriction. Mostly you will be given prescription medicine, have to change your lifestyle or undergo surgical procedures.

For treatment to be effective, you may have to make the following lifestyle adjustments, you may have to cut down your eating habits, smoking habits, control your weight, checking your cholesterol levels regularly, avoiding stress, resting and avoiding strenuous activities and eating lean meat and fruits regularly.

Other treatment methods include; homeopathy which mainly includes the prescription of medicine for the reduction of blood pressure and blood cholesterol and fat levels. Acupressure and acupuncture treatment includes insertion of needles on your skin’s pressure points to help reduce the pressure on them. Psychotherapy and hypnotherapy is recommended for you if you suffer from angina. This will help you relax and deal with emotional stress.


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