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Lybrate.com has an excellent community of Homeopaths in India. You will find Homeopaths with more than 26 years of experience on Lybrate.com. We will help you find the best Homeopaths online in Vijayawada. View the profile of medical specialists and their reviews from other patients to make an informed decision.
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Book Clinic Appointment with Dr. M V S S Ramakrishna
Asian Homeocare (An Institute for Advanced Homoeopathy)
H.No 120, Behind Pure 'o' Natural Veeramachaneni Street, Teachers Colony, Benz Circle, Gurunanak Nagar, Vijayawada Get Directions
Asian Homeocare (An Institute for Advanced Homoeopathy)
Opp.Prathima Appartment, Kabbur road, Hubli-Dharwad Get Directions
Asian Homeocare (An Institute for Advanced Homoeopathy)
Railway Station Road, Opp Gvr Towers, Kadapa Get Directions
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Services
Treatment Of Acne/Pimples
Weight Loss Treatment
Treatment of Headaches
Treatment of Fever
Treatment of Hair Fall
Management of Underweight & Malabsorption Disorder
Back Pain Treatment
Treatment of Pain
Treatment of Hair Loss
Treatment & Management of Cold
Treatment of Stomach Pain
Treatment of Body Weakness
Increasing Height Treatment
Sex Education
Treatment of Joint Pain
Treatment of Female Hair Loss
Treatment of Dandruff
Treatment of Leg Pain
Prevention & Treatment of Diabetes
Treatment of Itching
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Your feedback matters!Patient Review Highlights
Reviews
Chetan Patil
I got very good treatment with Doctor Ramakrishna, I had suffered from thyroid problem since 5 years, allopathic doctors told me to take medicines life long, after taking these homeopathy since 1year my thyroid levels are normal and doctor had reduced the allopathic medications, now am happy and satisfied
Verified
Very pleasant indeed! Dr. Ramakrishna is a great doctor who listens to the patient and takes care of him/her with great attention...and Very satisfied and feel like I am in good hands, very professional, a good listener and provided me with excellent service for my medical condition.
A. Chatterjee
The Doctor attended me with great care. He took time to observe my allergies and gave me medicine, with these medicines I had a rapid recovery and also no recurrence since 1 month. Thank you doctor
Hema Sekhar
"Dr. Ramakrishna is awesome. He is caring and utmost concern is your comfort. His treatment and suggestions are very helpful to cure diseases quickly and he will gives good health tips as well."
Zoheb Shaikh
He is a great doc. Has good clinical experience and and available when every there is an emergency. Genuinely concerned about his pt
Gayatri
Gave good medicine's ..... given faster relief.....nice treatment..... doctor is good....
Madhusudhan
Best treatment provided by appropriate medicines with personal care
Verified
His nature is good and friendly have a good practical knowledge
Srikar Naidu
He is good at his practice and suggested better medicine.
Abhishek M
Dr. Ramakrishna provides answers that are thorough. Nice
Karthik
Wonderful care.very couteous and concerned doctor.
Rabiwang
A well experienced and ideal physician.
Pavani
Best doctor for caring and treatment
Jayesh
One of excellent Homoepathic doctor
Verified
excellent treatment
Verified
Nice treatment
Harish
Well responded
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HEEL PAIN, Causes, Exercises, Home Remedies, Prevention, Homeopathic Treatment
Heel pain is one of the most common ailments of the foot. The most common form of heel pain is pain at the bottom of the heel. It tends to occur for no apparent reason and is often worse when placing weight on the foot. The pain can be a sharp, shooting pain or ulcerative pain or splinter like pain or present as a tearing feeling at the bottom of the heel. As the condition progresses, there may be a throbbing pain or there may be soreness that radiates up the back of the leg. Pain may also radiate into the arch of the foot.
CAUSES OF HEEL PAIN
* Irritation or inflammation of planter fascia (a thick ligament attached to the bottom of the heel and spread out into the ball of the foot, attaching to the base of the toes. The plantar fascia is made of dense, fibrous connective tissue that will stretch very little. It acts like a shock absorber)
* Spur growth on the heel bone (If the inflammation of planter fascia continues, the planter fascia partially tears away from the heel. The body will fill this torn area with calcium, developing it as a bone, resulting in a heel spur, calcaneal spur)
* Achilles tendonitis (Inflammation of achilles tendons. The Achilles tendons are the very largest, tough tissue found in lower legs and connect the calf muscles to the heel
* Being overweight
* Wearing shoes with poor foot beds
* Heel bone stress fracture
* Cyst or tumor on heel
* Arthritis i.e RA, Gout
* Trauma
* Tarsal tunnel syndrome
* Abnormal arch of foot
* Retrocalcaneal bursitis
* Tendoachilles bursitis
* Haglund's deformity
* Calcaneal epiphysitis
* Corns
* Thining of bone
EXERCISES FOR HEEL PAIN
Exercises to stretch the calf muscles may help. Here are some exercises:
* Sit in a chair, hold the leg out straight, and flex and extend at the ankle joint. Repeat 10 times on each foot.
* Stand facing a wall. Place the foot that has the heel pain behind the other foot. Keep the front knee bent and the back leg straight, with the foot on the ground. Pull the hips forward toward the wall until you feel a stretch in the calf of the lower leg. Repeat 10 times. If there is pain in both heels, stretch both calves.
HOME REMEDIES
Home care can help get rid of heel pain that is not severe. This includes:
Rest: Avoid running or standing for long periods, walking on hard surfaces, and any activities that may stress the heels.
Ice: Place an ice-pack wrapped in cloth on the affected area for about 15 minutes, but not directly onto the skin.
Footwear: Shoes that fit well and provide good support are crucial, especially for athletes.
Foot supports: Wedges and heel cups can help relieve symptoms.
PREVENTION
Prevention of heel pain involves reducing the stress on that part of the body. Tips include:
* wearing shoes when on hard ground, and not going barefoot
* maintaining a healthy body weight to reduce stress on the heels
* choosing footwear with heels made of material that can absorb some stress, or using inserted heel pads
* ensure shoes fit properly and do not have worn down heels or soles
* avoid shoes that seem to trigger pain
* rest your feet rather than standing if you are susceptible to heel pain
* warm up properly before engaging in sports and activities that may place lots of stress on the heels
* wear suitable sports shoes for each task
HOMEOPATHIC TREATMENT
Heel Pain
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MIGRAINE, Types, Symptoms, Stages, Causes, Diagnosis, Homeopathic Treatment
A migraine is usually a moderate or severe headache felt as a throbbing pain on one side of the head.
Many people also have symptoms such as nausea, vomiting and increased sensitivity to light or sound. Migraine is a common health condition, affecting around one in every five women and around one in every 15 men. They usually begin in early adulthood.
Types Of Migraine
There are several types of migraine, including:
Migraine With Aura
Where there are specific warning signs just before the migraine begins, such as seeing flashing lights.
Migraine Without Aura
The most common type, where the migraine occurs without the specific warning signs.
Migraine Aura Without Headache
Also known as silent migraine – where an aura or other migraine symptoms are experienced, but a headache doesn't develop.
Some people have migraines frequently, up to several times a week. Other people only have a migraine occasionally. It's possible for years to pass between migraine attacks.
Symptoms Of Migraine
* The main symptom of a migraine is usually an intense headache on one side of the head
* Nausea
* Vomiting
* Aura
Stages Of Migraine
Migraines often develop in distinct stages, although not everyone goes through all of these:
Prodromal (Pre-headache) Stage
Changes in mood, energy levels, behaviour and appetite that can occur several hours or days before an attack.
Aura
About one in three people with migraines have temporary warning symptoms, known as aura, before a migraine. These include:
* visual problems – such as seeing flashing lights, zig-zag patterns or blind spots
* numbness or a tingling sensation like pins and needles. which usually starts in one hand and moves up your arm before affecting your face, lips and tongue
Aura symptoms typically develop over the course of about five minutes and last for up to an hour. Some people may experience aura followed by only a mild headache or no headache at all.
Headache Stage
Usually a pulsating or throbbing pain on one side of the head, often accompanied by nausea, vomiting, and/or extreme sensitivity to bright light and loud sounds, which can last for four to 72 hours.
Resolution Stage
When the headache and other symptoms gradually fade away, although you may feel tired for a few days afterwards.
Causes Of Migraine
Though migraine causes aren't understood, genetics and environmental factors appear to play a role. Migraines may be caused by changes in the brainstem and its interactions with the trigeminal nerve, a major pain pathway. Imbalances in brain chemicals — including serotonin, which helps regulate pain in your nervous system — also may be involved. Researchers are still studying the role of serotonin in migraines.
Serotonin levels drop during migraine attacks. This may cause your trigeminal nerve to release substances called neuropeptides, which travel to your brain's outer covering (meninges). The result is migraine pain. Other neurotransmitters play a role in the pain of migraine, including calcitonin gene-related peptide (CGRP).
Migraine Triggers
A number of factors may trigger migraines, including:
Hormonal Changes In Women
Fluctuations in estrogen seem to trigger headaches in many women. Women with a history of migraines often report headaches immediately before or during their periods, when they have a major drop in estrogen. Others have an increased tendency to develop migraines during pregnancy or menopause. Hormonal medications, such as oral contraceptives and hormone replacement therapy, also may worsen migraines. Some women, however, find their migraines occur less often when taking these medications.
Food
Aged cheeses, salty foods and processed foods may trigger migraines. Skipping meals or fasting also can trigger attacks.
Drinks
Alcohol, especially wine, and highly caffeinated beverages may trigger migraines.
Stress at work or home can cause migraines.
Sensory Stimuli
Bright lights and sun glare can induce migraines, as can loud sounds. Strong smells — including perfume, paint thinner, secondhand smoke and others — can trigger migraines in some people.
Changes In Wake-Sleep Pattern
Missing sleep or getting too much sleep may trigger migraines in some people, as can jet lag.
Physical Factors
Intense physical exertion, including sexual activity, may provoke migraines.
Changes In The Invironment
A change of weather or barometric pressure can prompt a migraine.
Medication
Oral contraceptives and vasodilators, such as nitroglycerin, can aggravate migraines.
Diagnosis Of Migraine
If you have migraines or a family history of migraines, a doctor trained in treating headaches will likely diagnose migraines based on medical history, symptoms, and a physical and neurological examination. The doctor may also recommend more tests to rule out other possible causes for pain in head as:
Blood Tests
The doctor may order blood test for blood vessel problems, infections in your spinal cord or brain, and toxins in your system.
An MRI uses a powerful magnetic field and radio waves to produce detailed images of the brain and blood vessels. MRI scans help doctors diagnose tumors, strokes, bleeding in the brain, infections, and other brain and nervous system (neurological) conditions.
CT Scan
A CT scan uses a series of X-rays to create detailed cross-sectional images of the brain. This helps doctors diagnose tumors, infections, brain damage, bleeding in the brain and other possible medical problems that may be causing headaches.
Spinal Tap
The doctor may recommend a spinal tap (lumbar puncture) if he or she suspects infections, bleeding in the brain or another underlying condition. In this procedure, a thin needle is inserted between two vertebrae in the lower back to remove a sample of cerebrospinal fluid for analysis in a lab.
ASTHMA, Symptoms, Types, Causes, Prevention, Homeopathic Treatment
Asthma is a condition in which your airways swell and narrow and produce extra mucus. This can make breathing difficult and trigger coughing, wheezing and shortness of breath.
What Are Signs & Symptoms Of Asthma?
Asthma symptoms vary from person to person. You may have infrequent asthma attacks, have symptoms only at certain times — such as when exercising — or have symptoms all the time.
Asthma signs and symptoms include:
* Difficulty breathing
* Shortness of breath
* Chest tightness
* Trouble sleeping caused by shortness of breath, coughing or wheezing
* A whistling or wheezing sound when exhaling
* Coughing or wheezing attacks that are worsened by cold or flu
What Are Types Of Asthma?
Types of asthma depend on cause or risk factor of asthma. The following three types of asthma are described as:
Exercise Induced Asthma
It occurs while exercising.
Occupational Asthma
It is triggered by workplace irritants such as chemical fumes, gases or dust etc.
Allergic Asthma
It is triggered by airborne substances, such as pollen, mold spores, cockroach waste or particles of skin and dried saliva shed by pets
What Are Causes Of Asthma?
Asthma may be due to a combination of environmental and genetic factors. Exposure to various irritants and substances that trigger allergies can trigger signs and symptoms of asthma. Asthma triggers are different from person to person and can include:
* Airborne substances, such as pollen, dust mites, mold spores, pet dander or particles of cockroach waste
* Respiratory infections, such as the common cold
* Physical activity (exercise)
* Air pollutants and irritants, such as smoke
* Certain medications, including beta blockers, aspirin, ibuprofen (Advil, Motrin IB, others) and naproxen (Aleve)
* Strong emotions and stress
* Sulfites and preservatives added to some types of foods and beverages, including shrimp, dried fruit, processed potatoes, beer and wine
* Gastroesophageal reflux disease (GERD), a condition in which stomach acids back up into your throat.
What Are Risk Factors Of Asthma?
A number of factors are thought to increase your chances of developing asthma. These include:
* Having a blood relative with asthma
* Having another allergic condition, such as atopic dermatitis or allergic rhinitis (hay fever)
* Being overweight
* Being a smoker or passive smoker
* Exposure to exhaust fumes or other types of pollution
* Exposure to occupational triggers, such as chemicals used in farming, hairdressing and manufacturing
Prevention Of Asthma
- Avoid smoking
- Get vaccinated for influenza and pneumonia
- Identify and avoid asthma triggers
- Take your medication as prescribed
Muscular Dystrophy
Muscular Dystrophy is not a single disease but a group of hereditary muscle destroying disorders. There are more than 30 types of these disorders, vary in their inheritance pattern, rate of progression, initial muscle attacked and age of onset.
The skeletal muscles are the main group of muscles affected in this disorder. The skeletal muscles are used during the voluntary body movements. There is progressive weakness and degeneration of these group of muscles.
The disease may occur in adulthood or childhood, but the more severe form tends to occur in early childhood.
Causes of Muscular Dystrophy
It is an inherited disorder, means it is passed down through generations in a family. Many cases occur from spontaneous mutation, that are not found in genes of either of the parent, and this defect can be passed to next generation.
Symptoms of Muscular Dystrophy
The day to day activities of the patient is affected. Some of them are
- inability to walk
- poor balance
- loss of bowel control
- drooping eyelids
- waddling gait
- respiratory difficulty
- limited range of movements
- frequent falls
- loss of strength in a muscle or a group of muscles as an adult
- low muscle tone (hypotonia)
- joint contracture (club foot, claw hand or others)
- abnormally curved spine (scoliosis)
Some types involve heart muscles, causing cardiomyopathy or disturbed heart rhythm (arrhythmias)
Diagnosis of Muscular Dystrophy:
The diagnosis is based on the combination of characteristic clinical presentation and the results of muscle biopsy.
Prognosis of Muscular Dystrophy
There is no remission in this disease. The severity of the disability depends on the type of muscular dystrophy. Some cases may be mild and progress very slowly over a normal lifespan, while others produce severe muscle weakness and functional disability. All types of Muscular Dystrophy slowly get worse, but how fast this happens varies widely.
Treatment of Muscular Dystrophy
It is not an incurable disorder, rather a genetic disorder for which no satisfactory treatment has been found in any system of medicine.
The treatment is aimed at controlling the symptoms.
Progressive loss of muscle mass is primarily responsible for reduced quality and length of life. The drug treatment is based on slowing the process of muscle degeneration and thus improvement of the quality of life. Corticosteroids are known to extend the ability of these patients to walk, but have substantial side effects and their mechanism of action is unknown.
Inactivity (such as bed rest and sitting for long periods) can worsen the disease.
Physical therapy, exercises, orthopedic instruments (wheel chairs and standing frames), speech therapy and corrective orthopedic surgeries may help to preserve muscle function and prevent joint contractures.
Occupational therapy may be given as a supportive line of therapy for being self sufficient to do daily activities (self care, self feeding etc)
Homeopathic treatment for Muscular Dystrophy
Homeopathic treatment helps to slow down the process of muscular degeneration, and can work on bringing some symptomatic relief, such as improving muscle power. It is aimed at better quality life.
Homeopathic medicines are prescribed after the detailed case study consisting of physical, emotional and genetic make up of an individual. Homeopathic medicines help to reduce the muscle weakness and control the disease progression. There are some specific Homeopathic remedies, which help for muscle paralysis and weakness and which have been found effective in the treatment of Muscular Dystrophy. Homeopathic treatment is recommended.
About Normal Sleep
An average person spends about one-third of his life sleeping. Normally people (adults) require about 6-9 hours of sound sleep to function well but some people can do very well even with 4-5 hours of sleep. It must be understood that the quantity of sleep is not the prime requirement. It is the quality of 'restfulness' that is more important.
Infants require much more sleep as compared to adults and they can sleep for up to 18 hours a day (average between 16- 20 hours). By the time they are 3-6 months old, they require about 15 hours of sleep. Children older than this require about 10-13 hours of sleep daily. Pre-teens and teenagers require anywhere between 9-10 hours of sleep.
As age advances above 50 years, the sleep duration reduces to about 5 to 6 hours at night.
Normal sleep is of two types:
-
Slow-wave (non-REM) sleep
-
Rapid eye movement (REM) sleep
Slow-wave (non-REM) sleep:
Non-REM sleep lasts about 70-90 minutes. It has four stages as follows:
- Transitional stage (lasting about 1-7 minutes)
- Light sleep
- Moderately deep sleep (about 20 min after falling asleep)
- Deep sleep
Rapid eye movement (REM) sleep:
This is a very important stage of sleep
- It usually occurs within 50-90 minutes of falling asleep
- Initially lasts 5-10 minutes; gradually this stage lengthens until the final REM period lasts 50 minutes
- Most dreaming occurs during this phase of sleep
- The eyeballs of a sleeping person will make rapid side-to-side movements under the lids during REM sleep
- The muscles of the body are very relaxed during this phase of sleep
- REM sleep is particularly useful for growth and repair of the brain itself, while the non-REM sleep is useful for repair of the rest of the body
Normal Sleep Pattern:
REM sleep and non-REM sleep alternate with each other during the normal sleep pattern. The cycle has been illustrated below:
This entire cycle repeats itself about 3-5 times during the entire night. Each cycle lasts for about 90 minutes. About 50% of an infant's sleep is constituted by REM sleep and about 20% of an adult's sleep is constituted by REM sleep.
Why is sleep important?
Having enough quality sleep is vital to the emotional and physical well being of a person and hence all the importance given to sleep is justified.
Sleep patterns:Sleep patterns may vary from person to person. Some people are comfortable going to sleep early and waking up early. Others may be late sleepers and used to pushing off late from the bed in morning. Then there are also some kinds of people who may be used to taking regular naps during the daytime whereas others may not feel the need for this at all.
bright lights, and trouble seeing at night.
Definition:
Kidney stones are clumps developed from solidified crystals in the kidney or urinary tract. The urine has all the ingredients that form the stone, but all these ideally pass through without our knowledge. When there is an imbalance in any of these substances, the crystals cluster together into stones. The size of the stone can be as small as a grain of sand to one as large as the size of a golf ball. The most commonly found kidney stone in humans is usually made of calcium oxalate. Other rare varieties of kidney stones include those made up of cystine, struvite (magnesium, ammonium, and phosphate), calcium phosphate, uric acid, etc.
Kidney stones are one of the most painful of urologic disorders. Men tend to be affected more frequently than women.
Causes of Kidney stone formation
Certain foods may promote stone formation in people who are susceptible. This stone formation is enhanced when there is increased intake of calcium, calcium oxalate, uric acid or salt in our diet, with an inadequate intake of fluids. A positive family history (genetic tendency) also makes a person prone to kidney stone formation.
Certain foods that increase the risk for kidney stone formation in susceptible individuals include Spinach, rhubarb, chocolate, peanuts, cocoa, beet, coffee, cola, nuts, strawberries, tomato juice, grapefruit juice, apple juice, soda (acidic and contains phosphorus), all types of tea, and berries.
Symptoms of Kidney stones:
Kidney stones can remain asymptomatic until they obstruct the flow of urine. When obstruction to the flow of urine occurs at some point of time, the patient starts experiencing acute symptoms. The patient usually presents with the most agonizing pain in the lower back just below the ribs, which often extends into the groin area (described as ‘loin to groin’ radiation of pain). The patient may also experience nausea, vomiting, blood in the urine (haematuria), restlessness and fever (if infection is present).
Stones less than 5 mm in size usually pass out spontaneously; however, the majority of stones greater than 6 mm require some form of intervention, especially so if the stone is stuck causing persistent obstruction and/or infection of the urinary tract.
The suggestion about homeopathic treatment
When the stone size is small, homeopathy is likely to help in the passage of stone as well as in relieving the agonizing pain caused by the same. If the stone size is larger, or the stone is impacted, or there are multiple stones, then the patient is better treated surgically. However, even after surgical removal of stones, homeopathy still has a role to play in preventing its recurrence (as the chance of having recurring stones are about 70-80%).
Life Force Homeopathy has succeeded in treating several cases of kidney stones. Kidney stone homeopathy treatment has got some really good and effective natural remedies to treat this condition and minimize its reoccurrence remarkably. Homeopathic medicines for kidney stones are safe, natural, and without any side-effects. Here are some effective homeopathic remedies for kidney stone treatment which can help you obtain relief from it.
1. Berberis Vulgaris
One of the prominent homeopathic medicine for a kidney stone, particularly that affecting the left side, is Berberis vulgaris. This homeopathic remedy helps the patients who experience discomfort complaining sensation of urine still remaining after the urination or those who pass urine comprising mucus and sediments. This kidney stone treatment also helps treat the bubbling sensation in kidneys effectively.
2. Lycopodium clavatum
Another homeopathic medicine for kidney stone complaint, particularly affecting the right side, is Lycopodium clavatum. Kidney stone treatment comprising Lycopodium clavatum helps to treat the individual who is suffering from pain in the right ureter or right kidney and if the pain worsens before urination.
3. Cantharis vesicatoria
If an individual is experiencing an intense burning sensation on passing the urine, kidney stone homeopathic treatment comprising Cantharis vesicatoria can be quite effective. Symptoms, such as burning sensation before passing the urine and which continues after urination, indicates the need for Cantharis vesicatoria to get relief.
4. Sarsaparilla officinalis
For the individuals suffering from excessive burning sensation and white sediments in urine, sarsaparilla officinalis can offer an effective kidney stone homeopathic treatment. It helps relieve you of the right-sided kidney stone discomfort.
5. Hydrangea arborescens
If you are having kidney stones in the bladder and ureter, then Hydrangea arborescens is an ideal homeopathic medicine for a kidney stone. It acts as a stone-breaker and treats the condition. Yellow sand or white deposits in the urine indicated the need for this medicine in kidney stone treatment.
Homeopathy is strongly suggested for kidney stones which are not too large to pass through the ureteric and urethral passages. If any time you are suffering from a kidney stone, count on homeopathic medicine for kidney stone think of homeopathy.
Stammering or stuttering is a type of speech impairment where sounds or syllables are repeated involuntarily or there are unintended gaps in between words when the person is unable to make the desired sound. People develop stutters due to genetic flaws, motor functioning defects, coordination problems or due to psychological stressors. The condition can result in anxiety, depression and withdrawal from verbal communication.
A stutter can be practised away or corrected by speech therapy but there is no specific medicine that can be used to cure stammering. Homeopathic medicines can provide relief from the symptoms by fixing flawed nervous functions, improve motor coordination and modify the vocal apparatus. Different homeopathic treatments can be used depending on the nature of the condition. The following is a list of homeopathic remedies and lifestyle changes that can be used to address the problem:
1. Foods rich in vitamin B6 like nuts, fish, bananas and chicken should be consumed regularly by children who have a stutter to help with motor functions.
2. Adults should avoid caffeine, tobacco and other recreational drugs as they cause hyperstimulation of the nervous system.
3. Stramonium(jimsonweed) can be used when the stammering is violent and the person distorts his facial muscles heavily in order to be able to speak.
4. Lychopodium (clubmoss) can be useful for stammering as well as depression, memory weakness and sleep problems. This is especially helpful if the patient struggles with the last few words of a sentence.
5. Spigelia is beneficial for a mild stutter at the beginning of a sentence, often followed by undisturbed speech.
6. Causticum is prescribed when emotional excitability causes stammering, twitching of the facial muscles or problems in the vocal cords.
7. Staphysagria can aid in reducing social anxiety which often causes stammering i.e. the stammer only appears while interacting with strangers or authority figures.
8. Nux vomica (strychnine) is the medicine to use when stammering is a result of extreme stress or overwork.
9. Fright or shock often causes speechlessness or stammering. Aconite can provide immediate relief in such cases.
10. Lachesis is an effective homeopathic medicine when the patient stutters over specific letters or syllables.
11. Gelsemium is used to treat stuttering after severe viral infections when the patient complains of a heavy tongue and lack of general coordination.