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Angina

Overview

Angina is a medical condition arising from restricted passage of blood in the heart or any other parts of the body. This may lead to pain and discomfort to the patient. Angina is mostly seen for the heart, stomach or mouth. There are different types of anginas and each of them is treated differently.

Types of Angina

    * Angina Pectoris- Patient may experience chest pain due to lack of blood flow and oxygen supply to the heart.
    * Abdominal Angina- The pain occurs due to the insufficient blood flow to the visceras.
    * Ludwig’s Angina- It is a potentially life threatening infection of tissues present in the floor of the mouth.
    * Prinzmetal’s Angina- Is a syndrome of cardiac pain that occurs in cycle while the patient is resting.
    * Vincent’s Angina- It is a mouth infection of gums that leads to its inflammation, bleeding, deep ulceration and necrosis.
    * Angina Tonsillaris- Is a medical condition where the patient suffers from the inflammation of tonsils.
    * Herpangina- In it pharyngeal blisters are formed due to the attack of Coxsackie A virus or Echovirus.


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Causes

Angina Pectoris is caused by primary constriction of veins and arteries. The constriction leads to the reduced oxygen supply to the heart. Congenital malformation of heart may also lead to this disease. Stable Angina is caused when a person stresses oneself with physical effort such as running or exercise. Variant Angina may occur while patient is resting. It is curable with drugs. Unstable Angina is most dangerous of all and can occur any time. It is difficult to treat.
Abdominal Angina is caused by the inadequate blood circulation in the mesenteric viscera.
Ludwig’s Angina is caused by failure of treating infected tooth in the mouth. It may also occur after an injury of mouth and not treated with antibiotics.


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Signs & Symptoms

    * Patient suffering from Angina Pectoris may suffer from severe pain in chest, jaw, neck, throat and arms. The pain gradually subsides but may reoccur.
    * Abdominal Angina pain occurs frequently after the patient has his/her food. It is known to occur at fixed time after intake of food.
    * Patient with Ludwig’s Angina will have swelling in the affected tissues, which may also lead to obstruct the airway. This may call a medical emergency. Other than that, patient may also suffer from fever, excessive drooling, swelling and redness around the neck. One may also feel pain in the neck and earache.

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Prevention


    * The best way to avoid Angina Pectoris is to lose weight, quit smoking and avoid high cholesterol food. You may be recommended blood pressure medications and asked to stay away from stressful conditions as per your medical condition.
    * There is no noted precaution of Ludwig’s Angina. 


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Treatments
Aspirin and Antibiotics Modern Medicine


    * Patients with Angina Pectoris should be given Aspirin or any other vasodilator similar to asthma.
    * Stents are the popular drug of choice to treat Abdominal Angina.
    * The best treatment is to put the patient under the course of antibiotics, which will treat both the infection and the persisting dental problem. Intubation and tracheotomy are the treatments required when the disease is in severe stage and completely blocking the airway.

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