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Alexa Fleckenstein M.D.

Blog: On Health. On Writing. On Life. On Everything.

Signs and Symptoms of Arsenic Poisoning

October 4, 2016
Tags: water, herbs, Movement, food, order, abdominal discomfort, abdominal pain, Aches and Pains, acrocyanosis, acute respiratory failure, acute tubular necrosis, adult respiratory distress syndrome, agitation, Aldrich-Mees's lines, alopecia, altered mental status, anemia, anemia – aplastic, anhidrosis, anorexia, anxiety, aplastic anemia, arrhythmia, arsenic, ascites, ataxia, atherosclerotic disease, autonomic neuropathy, basal cell carcinoma, basophilic stippling, birth defects, blackfoot disease – black, mummified dry gangrene, bladder cancer, blood in urine, bone marrow suppression, Bowen disease, brittle nails, bronchitis, bronchospasms (inhaled arsenic), burning in mouth/esophagus/stomach/bowel, cancer – lung/liver/kidney/bladder/skin/colon/larynx/lymphoid system, capillary dilation with fluid leakage and third spacing, cardiac arrhythmias, cardiac arrest, cardiomyopathy, carotid atherosclerosis, cerebral infarction, cerebrovascular disease, chills, cholangitis, cholecystitis, chronic lower respiratory diseases, cilantro, cirrhosis, clear skin lesions suddenly from such as acne, CNS depression, colitis, colon cancer, coma, concentration – poor, confabulation, confusion, congestive heart failure, conjunctivitis, convulsions, coordination difficulties, corneal necrosis, corneal ulcerations, cough with/without expectoration, cramps, cramping muscles, cyanosis of the fingers, death, dehydration, delirium, depression, dermatitis, dermatitis - allergic-type, dermatitis – exfoliative, desquamation of skin, Diabetes, diarrhea - often severe and/or bloody, disordered thinking, disorientation, disseminated intravascular coagulation, drinking water, drowsiness, dyspnea (when inhaled), dysphagia, eczema, edema – non-pitting of hand and feet, EKG changes: ST changes/QT prolonged/torsades de pointes/T wave inversion, encephalopathy – acute, enzyme inhibition, esophagitis, eyes blood-shot, eyes burning, facial edema, fatigue, fatty liver, fever – low grade, fibrillation – ventricular, fingernail pigmentation, fingernails with white marks, fluid loss, flushing, folate, folic acid deficiency, gallbladder inflammation, gangrene of limbs, garlic, garlic-smelling breath or body fluids, gastritis, gastro-intestinal bleeding, generalized muscle aches and body pains, gingivitis, global trade, goiter, Guillain-Barré syndrome – resembling, hair loss, hallucinations, headaches, hearing loss, heart disease, heavy metals, hematuria, hemoglobinuria, hemolysis, hepatomegaly, herpes, hormone imbalance, hyperesthesia, hyperpigmentation of nails and skin, hyperpyrexia, hyperkeratosis - thickening of the skin of the palms and soles, hypersalivation, hypertension, hypertension-related cardiovascular disease, hypopigmentation – “raindrop” areas of lost skin color, hypotension, hypovolemia, imbalance, immune functioning impaired, immune suppression, impaired healing, inhibition of sulfhydryl enzymes – garlicky odor to breath/stool, insomnia, irritability, ischemic heart disease, jaundice, karyorrhexis, keratosis, kidney cancer, kidney damage, kidney failure, Korsakoff’s psychosis, lack of appetite, Landry-Guillain-Barré syndrome – resembling, larynx cancer, laryngitis, leg cramps, lens opacity, lethargy, leukemia???, leukocyturia, leukonychia striata, leukopenia, lightheadedness, listlessness, liver cancer, liver - central necrosis, liver congestion, liver dysfunction and elevated liver enzymes, liver - fatty degeneration, low grade fever, lung cancer, lung - chronic restrictive/obstructive disease, lungs - inflammation of respiratory mucosa, lung irritation, lymphoma???, major depression – mimicking, malabsorption, malaise, medicinal herbs, Mees's lines, melanosis of the eyelids/areolae of nipples/neck, memory loss, memory – poor, mental retardation, mental status altered, metallic taste in mouth, methionine, microcirculation abnormalities, mitochondrial dysfunction, movement disturbances, muscle aches, muscle fasciculations, muscle tenderness, muscle twitching, muscle wasting, muscle weakness, muttering, myocardial depression, myocarditis, nasal mucosa irritation (when inhaled), nasal septum perforation, nausea, neuralgia, neuritis, night blindness, nightmares, numbness, oliguria, oral burns (acute, when taken by mouth), pancreatitis, paralysis, paranoia, paresthesia – symmetrical, stocking-glove, pedal edema, pericarditis, peripheral neuritis, peripheral neuropathy, peripheral vascular insufficiency, personality change, pigmentation changes – hypo and hyper, pins and needles in hands and feet, pneumonia, bronchial pneumonia, polyneuritis, portal fibrosis, proteinuria, psychosis, pulmonary edema, pulmonary insufficiency (emphysematous lesions), pulse – irregular, QT prolonged, quadriplegia, Raynaud’s syndrome, renal cortical necrosis, respiratory failure – acute, respiratory muscle insufficiency, respiratory tract infection, rhabdomyolysis, rhino-pharyngo-laryngitis, rice, rouleaux formation of red blood cells, salivation excessive, sauna, seizures, selenium, sensorimotor peripheral axonal neuropathy, sensory changes, shock, Signs and Symptoms of Arsenic Poisoning, singing, skin bronzed, Skin Cancer, skin lesions and rashes including vesiculation, skin pallor, sleep, sore throat, spasms, splenomegaly, squamous cell carcinoma, ST changes, stomach pain, stomatitis, stroke, stupor, suicidal ideation, swallowing difficulty, sweating, sweating – excessive, sweet metallic taste, tachycardia, tea, throat constriction, thirst, thrombocytopenia, tingling, torsades de pointes, tracheobronchitis, tremor, tubular necrosis – acute, T wave inversion, unsteady gait, uremia, vasodilation, vasospasm, vegetables, vertigo, visual hallucinations, vitamin A deficiency, vitamin B12, vitamin C, vitiligo, vomiting, vomiting blood, weakness of distal muscles – hands and feet, Weight Loss, well, wobbliness, zinc
Most arsenic poisoning is chronic: Through global trade, we are ingesting more and more arsenic-contaminated products – mainly rice, tea, medicinal herbs. Acute arsenic poisoning usually is accidental or occupational (mainly workers in pest control, electronics manufacturing industry and pressure-treated carpentry). Few are homi- or suicidal. Earlier this year I have been diagnosed with arsenic-induced ataxia. Ataxia means imbalance, wobbliness. For me, I am glad that I have “just” ataxia, and not more. The list below contains Latin as well a common names to make it easier to find things. Here is the short of what I have been doing to reduce my arsenic levels: 1. Stop using tainted products; look for safer sources. 2. Sauna as often as possible to sweat out heavy metals. Sweating through exercise and summer heat also helps. 3. Eating fresh garlic and cilantro bind and expel heavy metals 4. Vitamin C, selenium, vitamin B12, zinc, folate and methionine add to the elimination of arsenic. 5. And, of course, all the other lifestyle goodies: A healthy diet heavy on vegetables. Movement. Enough sleep. Plenty of water (some areas of the US have arsenic-contaminated drinking water from wells – careful!). Signs and Symptoms The myriad manifestations of arsenic intoxication do a roller coaster through all medical specialties, it seems. Since there are so many overlapping features with many diseases, it will take an open mind and special alertness to make a diagnosis. Just to show the enormous scope of signs and symptoms, I have thrown together acute and chronic arsenic intoxication. The list is not thought for diagnosing yourself - consult your physician. Here is the list: Abdominal discomfort Abdominal pain aches and pains Acrocyanosis Acute respiratory failure Acute tubular necrosis Adult respiratory distress syndrome Agitation Alopecia Altered mental status Anemia Anemia, aplastic Anhidrosis Anorexia Anxiety Aplastic anemia Arrhythmias Ascites Ataxia Atherosclerotic disease Autonomic neuropathy: unstable blood pressure, anhidrosis, sweating, flushing Basal cell carcinomas Basophilic stippling Birth defects, Blackfoot disease – black, mummified dry gangrene Bladder cancer Blood in the urine Bone marrow suppression Bowen disease Brittle Nails Bronchitis Bronchospams (inhaled arsenic) Burning in mouth/esophagus/stomach/bowel Cancer – lung, liver, kidney, bladder, skin, colon, larynx, lymphoid system Capillary dilation with fluid leakage and third spacing Cardiac arrhythmias Cardiac arrest Cardiomyopathy Carotid atherosclerosis Cerebral infarction Cerebrovascular diseases Chills Cholangitis Cholecystitis Chronic lower respiratory diseases Cirrhosis Clear skin lesions such as acne CNS depression Colitis Colon cancer Coma Concentration - poor Confabulation Confusion Congestive heart failure Conjunctivitis Convulsions Coordination difficulties Corneal necrosis Corneal ulcerations Cough with/without expectoration Cramps, cramping muscles Cyanosis of the fingers Death Dehydration Delirium Depression Dermatitis Dermatitis allergic-type Dermatitis, exfoliative Desquamation of skin Diabetes Diarrhea, often severe and/or bloody Disordered thinking Disorientation Disseminated intravascular coagulation Drowsiness Dyspnea (when inhaled) Dysphagia Eczema Edema – non-pitting of hand and feet EKG changes: ST changes, QT prolonged, Torsades de pointes, T wave inversion Encephalopathy, acute Enzyme inhibition Esophagitis Eyes blood-shot Eyes burning Facial edema Fatigue Fatty liver Fever - lowgrade Fibrillation, ventricular Fingernail pigmentation Fingernails with white marks Fluid loss Flushing Folic acid deficiency Gallbladder inflammation Gangrene of limbs Garlic-smelling breath or body fluids Gastritis Gastro-intestinal bleeding Generalized muscle aches and body pains Gingivitis Goiter Guillain-Barre syndrome - resembling Hair loss Hallucinations Headaches Hearing loss Heart disease Hematuria Hemoglobinuria Hemolysis Hepatomegaly Herpes Hormone imbalance Hyperesthesia Hyperpigmentation of the nails and skin Hyperpyrexia Hyperkeratosis thickening of the skin of the palms and soles Hypersalivation Hypertension Hypertension-related cardiovascular disease Hypopigmentation – “raindrop” areas of lost skin color Hypotension Hypovolemia Immune functioning impaired Immune suppression Impaired healing Inhibition of sulfhydryl enzymes – garlicky odor to breath/stool Insomnia Irritability Ischemic heart disease Jaundice Karyorrhexis Keratosis Kidney cancer Kidney damage Kidney failure Korsakoff’s psychosis Lack of appetite Landry-Guillain-Barré syndrome - resembling Larynx cancer Laryngitis Leg cramps Lens opacity Lethargy Leukemia??? Leukocyturia Leukonychia striata Leukopenia Lightheadedness Listlessness Liver cancer Liver: central necrosis Liver congestion Liver dysfunction and elevated liver enzymes Liver: fatty degeneration Low grade fever Lung cancer Lung: Chronic restrictive/obstructive diseases Lungs: Inflammation of respiratory mucosa Lung irritation Lymphoma??? Major depression – mimicking Malabsorption Malaise Mees's lines, or Aldrich-Mees's Melanosis of the eyelids, areolae of nipples, and neck Memory loss Memory – poor Mental retardation Mental status altered Metallic taste in mouth Microcirculation abnormalities Mitochondrial dysfunction Movement disturbances Muscle aches, spasms, weakness Muscle fasciculations Muscle tenderness Muscle twitching Muscle wasting Muttering Myocardial depression Myocarditis Nasal mucosa irritation (when inhaled) Nasal septum perforation Nausea Neuralgia Neuritis Night blindness Nightmares Numbness Oliguria Oral burns (acute, when taken by mouth) Pancreatitis Paralysis Paranoia Paresthesia – symmetrical, stocking-glove Pedal edema Pericarditis Peripheral neuritis Peripheral neuropathy Peripheral vascular insufficiency Personality change Pigmentation changes – hypo and hyper Pins and needles in hands and feet Pneumonia, bronchial Polyneuritis Portal fibrosis Proteinuria Psychosis Pulmonary edema Pulmonary insufficiency (emphysematous lesions) Pulse – irregular Quadriplegia Raynaud’s Syndrome Renal cortical necrosis Respiratory failure, acute Respiratory muscle insufficiency Respiratory tract infection Rhabdomyolysis Rhino-pharyngo-laryngitis Rouleaux formation of red blood cells Salivation excessive Seizures Sensorimotor peripheral axonal neuropathy Sensory changes Shock Singing Skin bronzed Skin cancer Skin lesions and rashes, including vesiculation Skin pallor Sore throat Splenomegaly Squamous cell carcinoma Stomach pain Stomatitis Stroke Stupor Suicidal Swallowing difficulty Sweating, excessive Sweet metallic taste Tachycardia Throat constriction Thirst Thrombocytopenia Tingling Tracheobronchitis Tremor Tubular necrosis, acute Unsteady gait Uremia Vasodilation Vasospasm Vertigo Visual hallucinations Vitamin A deficiency Vitiligo Vomiting Vomiting blood Weakness of distal muscles – hands and feet Weight loss Read More 
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Vegetarian? Vegan? Omnivore?

August 13, 2010
Tags: food, anemia, ants, beef, Butterflies, carnivore, cat, caterpillar, cattle, cleansing, Dementia, dog, earth, eggs, fats - animal, fish, game, grain, greens, herbivore, horses, insect, lamb, lion, lobster, mouse, omnivore, photosynthesis, pig, Prayer, predator, rabbit, scavenger, Sheep, shrimp, slaughterhouse, sun, Turkey, vegan, vegetal, vegetarian, Vegetarian? Vegan? Omnivore?, vitamin B12
We had this before: I am not a vegetarian. Not because I don’t like animals or because I don’t care for the Earth. No, because I am a pragmatic person. I eat what my body needs. If you ask me what my body needs, my standard answer is: vegetables, vegetables, vegetables. But we need more than vegetables. We need some fish, and occasionally even some meat. Some eggs will do, too. Vegan or vegetarian food is a great way to cleanse the body after too many years of bad nutrition. People who have switched to vegetal food often remember how wonderful they felt that first month after the change - and therefore are reluctant ever to go back to meats. But after a month or two, deficiencies slowly set in. As a doctor, I am familiar with vitamin B12 deficiency in vegetarians and vegans. It is a big problem. Because without vitamin B12 one gets anemia (low count of red blood cells) and dementia. The brain needs vitamin B12 to function. The sad fact is: If you are vitamin B12 deficient and replenish with that little red pill (or shots from your doctor), your anemia will vanish – but the brain damage is done: The marbles you have lost, you will not recover because dead brain cells don’t come back. Vitamin B12 deficiency is a pretty good argument for a doctor not to be a rigid vegetarian. But for people who have not seen the effects of a tiny vitamin lacking, it means nothing. So, here is another argument: We all know that the animal world is divided into two groups: herbivores and carnivores. The first eat greens exclusively, and the others are carnivores – predators that feast on other animals. And, sure enough, there is a third group, the omnivores; they eat everything that comes near their snouts, and pigs and humans are their most notorious members. Come to think about it: A cow in the pasture munches on grass, solely, right? Wrong! A cow eats tons of insects, caterpillars, ants and butterflies - creeping, crawling creatures that land in their stomachs by accident – and are put to good use. I heard this story (first-hand!): A young, inexperienced farmer kept horses and sheep in one meadow together. After lambs were born in the spring, she found – to her horror – that a horse had smashed a baby lamb’s skull and licked up the brains. This happened not once but twice. She talked with an older farmer, who looked at her with pity and gave this piece of advice: “That’s why you don’t put out horses and sheep together in the pasture.” Conversely, when a carnivore catches its prey – let’s say a cat a mouse – they eat it whole, including the stomach contents which contain grains. Lions are known for seeking out especially the stomachs of their victims. This means that the concepts of strict herbivorism or carnivorism are myths: All creatures need both sources of nutrition (albeit in different proportions) – and seek out what they lack. On our planet Earth, we get our energy from the sun, and from the plants that convert sun energy into sugar and starches – that is how we are nourished, by photosynthesis. Interestingly, carnivores usually don’t hunt other carnivores; they prefer herbivores. Why? Because the meat of herbivores has been grown on an herbal diet. Even carnivores cannot get too far away from the power of the sun in plant materials. And that, by the way, is the reason we usually don’t eat carnivorous cats and dogs but prefer rabbit, cows, game, lambs. And it might be one of the reasons in Jewish traditions for “forbidden” foods: pigs, shrimp, lobsters, and so on – animals that are carnivores or scavengers (eating dead meats). They are too far away from the green source of vitality. And so, by the way, are cattle that are fed corn: No greens strengthening their meat. One last thought: So, which are the healthiest meats around? Americans seem to think that chicken and turkey are the best – as if chickens and turkey are not animals. From a nutritional standpoint, poultry are only marginally better than beef, for instance; they also contain unsavory animal fats, especially if they are grain-fed and from a commercial source. In a normal supermarket, the healthiest meat actually might be lamb. Lambs are born out in the meadows; they eat grass all their lives, they are not fed grains and are not treated with antibiotics, and so on. Then they are harvested. Rule of thumb: Eat vegetarian three days a week, fish or eggs three days, meats one day. No deli – ever. Sorry, if this is a bit graphic. But even if you close your eyes to not see it - the fact is that animals die so that we can eat; meat is not concocted in factories and comes shrink-wrapped and cooled. Let's make sure that the whole operation - from raising animals, keeping them, to slaughterhouses - is run as humanely as possible. For every animal I prepare in my kitchen – including fish – I say a prayer. To thank this being that died so that my family can be fed. Read More 
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Raw Foods

July 18, 2010
Tags: food, Climate, dairy, detoxification, eggs, fish, Fire, food - raw, food - seasonal, grains, greens, grubs, intestines, legumes, meat, milk - raw, nutrients, nuts, omnivore, protein, rabbits, raw foods, Roots, starch, teeth, vegan, vegetarian, vitamin B12, vitamins
The raw foods movement is an ideology – just as the vegetarian and vegan foods movements are. Fact is that we are omnivores. The length of our intestines, the shapes of our teeth, the hydrochloric acid produced in our stomachs, digestive enzymes produced in our pancreatic glands and our appetites – they all are witness to that fact. We are omnivores because during evolutionary times, we did not have much choice in what we ate: we had to eat what was at hand, from roots to rabbits, from grubs to greens. We need a diet that is mixed from raw foods and cooked foods. Recent research shows that mankind has had fire much longer than we thought; we used to think that fire came only about 100,000 years ago. Now the estimate goes to a million years, perhaps two million years. That time is long enough that our bodies have adjusted to cooked food. The main advantage of cooked food is that we can get more nutrients out. Yes, a few vitamins get destroyed in the cooking process, but overall we gained. Do we need a fixed ratio between cooked and raw foods? No. Naturally, we tend to prefer longer cooked foods in fall and winter, and raw foods in the summer. We eat more raw food in warmer climates. We are adaptable. We also have different needs. A person who is warm, can take more uncooked food. A person who is always cold, can't digest raw foods well. A raw or vegetarian or vegan diet is perfect to detoxify your body when you have lived too many years on too much meat and fast foods. People like to stay on a diet that made such a dramatic difference in their lives, and are often not aware that they might run into deficiencies after a while. I have seen too many patients on a vegetarian diet that consisted of pizza, donuts and ice cream. After a month or so on a raw/vegetarian/vegan nutritional regimen, the body needs to go a bit more toward omnivore again – a little bit meat and fish, once to twice a week, if one wants to avoid too much meat for reasons of protecting animals and/or the Earth. To get protein and vitamin B12 from fish and/or eggs, it is sufficient to eat animal fare about once a week; more than twice a week might have negative outcomes. There is enough protein (not as perfect though) in nuts, grains and legumes to feed people most of the time. The discussion raw vs commercial milk (or: a potentially infectious vs pasteurized, homogenized, fortified – adulterated foodstuff) should not be discussed with other raw food issues. But so much here: Dairy in any disguise is not healthy and not necessary - except in rare cases of non-thriving children. The two food groups you don’t need are dairy and white starch. Read More 
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