Other conditions can increase the risk of developing Ludwig’s angina, including:

• cuts or other injuries in the mouth
• poor dental hygiene
• tooth extraction

Diagnosis of Ludwig’s Angina

Typically, diagnosing Ludwig’s angina starts with a physical examination. The doctor will examine the neck and head for redness and swelling. They may also use imaging and test fluids to confirm the diagnosis.

A doctor can often diagnose Ludwig’s angina when one or more of the following symptoms are present:

• redness or swelling of the tongue, neck, or head
• extreme swelling of the tongue
• the tongue being out of place
• swelling on the floor of the mouth

If a visual examination is not sufficient, the doctor will likely order an MRI or CT scan of the head and neck. This can help them better visualize the swelling.

The doctor may also order a fluid culture to check for the presence of bacteria.

Complications of Ludwig’s Angina

Severe, life threatening complications can result from Ludwig’s angina, including:

• blocked airways
• sepsis
• septic shock, which occurs when sepsis causes dangerously low blood pressure and cellular changes

Clear the airway

If the swelling is interfering with your breathing, the first goal of treatment is to clear your airway. Your doctor may insert a breathing tube through your nose or mouth and into your lungs. In some cases, they need to create an opening through your neck into your windpipe. This procedure is called a tracheotomy. Doctors perform it in emergency situations.

Drain excess fluids

Ludwig’s angina and deep neck infections are serious and can cause edema, distortion, and obstruction of the airway. Surgery is sometimes necessary to drain excess fluids that are causing swelling in the oral cavity.

Fight the infection

It’s likely you’ll need antibiotics through your vein until the symptoms go away. Afterward, you’ll then continue antibiotics by mouth until tests show that the bacteria are gone. You’ll need to get treatment for any additional dental infections as well.

Get Proper Homeopathic Treatment of Ludwig’s Angina

Arsenicum Album

Headaches, Periodical burning pains, with restlessness; with cold skin. Hemicrania, with icy feeling. Delirium tremens; cursing and raving; vicious. Scalp itches intolerably; circular patches of bare spots; rough, dirty, sensitive, and covered with dry scales.

Burning in eyes, with acrid lachrymation. Lids red, ulcerated, scabby, scaly, granulated. Edema around eyes. External inflammation, with extreme painfulness; burning, hot, and excoriating lachrymation. Corneal ulceration. Intense photophobia; better external warmth. Ciliary neuralgia, with fine burning pain.

Skin within, raw and burning. Thin, excoriating, offensive otorrhoea. Roaring in ears, during a paroxysm of pain.

Thin, watery, excoriating discharge from nose. Sneezing without relief. Hay-fever and coryza; Burning and bleeding. Acne of nose. Lupus.

Face swollen, pale, yellow, cachectic, sunken, cold, and covered with sweat. Expression of agony. Tearing needle-like pains; burning. Lips black, livid. Angry, circumscribed flush of cheeks.

Mouthu unhealthy, easily-bleeding gums. Ulceration of mouth with dryness and burning heat. Epithelioma of lips. Tongue dry, clean, and red; stitching and burning pain in tongue, ulcerated with blue color. Bloody saliva. Neuralgia of teeth; feel long and very sore; worse after midnight; better warmth. Metallic taste. Gulping up of burning water.

Throat swollen, oedematous, constricted, burning, unable to swallow. Diphtheritic membrane, looks dry and wrinkled.

Unable to lie down; fears suffocation. Air-passages constricted. Asthma worse midnight. Burning in chest. Suffocative catarrh. Cough worse after midnight; worse lying on back. Expectoration scanty, frothy. Darting pain through upper third of right lung. Wheezing respiration. Haemoptysis with pain between shoulders; burning heat all over. Cough dry, as from sulphur fumes; after drinking.

Tachycardia, pain, dyspnoea, faintness. Irritable heart in smokers and tobacco-chewers. Pulse more rapid in morning. Dilatation. Cyanosis. Fatty degeneration. Angina pectoris, with pain in neck and occiput.

Hepar Sulphuricum

Vertigo and headache. Boring pain in the right temple and in root of nose every morning. Scalp sensitive and sore. Humid scald-head itching and burning. Cold sweat on head.

Ulcers on cornea. Iritis, with pus in anterior chamber; purulent conjunctivitis, with marked chemosis, profuse discharge, great sensitiveness to touch and air. Eyes and lids red and inflamed. Pain in the eyes.  Boring pain in upper bones of the orbits. Objects appear red and too large. Hypopyon.

Ears: Scurf on and behind the ears. Discharge of fetid pus from the ears. Whizzing and throbbing in the ears, with hardness of hearing. Deafness after scarlet fever. Pustules in auditory canal and auricle. Mastoiditis.

Nose sore, ulcerated. Soreness of nostrils, with catarrhal troubles. Sneezes every time he goes into a cold, dry wind, with running from nose, later, thick, offensive discharge. Stopped up every time he goes out into cold air. Smell like old cheese. Hay-fever (Hepar 1x will often start secretions and profuse drainage).

Face yellowish complexion. Middle of lower lip cracked. Vesicular erysipelas, with pricking in parts. Neuralgia of right side. Pains in bones of face, especially when being touched. Ulcers in corners of mouth. Shooting in jaw on opening mouth.

Mouth: Ptyalism. Gums and mouth painful to touch and bleed readily.

Throat: When swallowing, sensation as if a plug and of a splinter in throat. Quinsy, with impending suppuration. Stitches in throat extending to the ear. Hawking up of mucus.

Mezereum

Headache; worse from talking. Stupefying headache in right side. Scaly eruption, white scabs. Head covered with thick, leathery crusts, under which pus collects, Violent neuralgia about face and teeth, running towards ear, at night; worse, eating; better near hot stove. Roots of teeth decay. Teeth feel elongated.

Eczema; intolerable itching; chilliness with pruritus; worse in bed. Ulcers itch and burn, surrounded by vesicles and shining, fiery-red areola. Zona, with burning pain. Bones, especially long bones, inflamed and swollen; caries, exostosis; pain worse night, touch, damp weather. Eruptions ulcerate and form thick scabs under purulent matter exudes.

Nose: Sneezing, coryza, interior of nose, excoriated. Post-nasal adenoids.

Ears feel too much open, as if tympanum was exposed to the cold air and it blew into the ear. Desire to bore fingers in.

Eyes: Ciliary neuralgia after surgery. Especially after removal of eyeball. Pains radiate and shoot downward, with cold feeling and stiffness of bone.

Face red. Eruption around mouth, with coryza.

Anthracinum

A great medicine in epidemic spleen diseases, and in septic inflammation, carbuncles and malignant ulcers. In boils and boil-like eruptions, acne. Terrible burning. Induration of cellular tissue, abscess, bubo, and all inflammation of connective tissue in which there exists a purulent focus.

Tissues: Haemorrhages, black, thick, tar-like, rapidly decomposing, from any orifice. Glands swollen, cellular tissues oedematous and indurated. Septicaemia. Ulceration, sloughing and intolerable burning. Erysipelas. Black and blue blisters. Dissecting wounds. Insect stings. Bad effects from inhaling foul odors. Gangrenous parotitis. Succession of boils. Gangrene. Foul secretions.

Syphilinum

Linear pains from temple across, or from eyes backward. Falling of the hair. Pain in bones of head. Stupefying cephalalgia.

Eyes: Chronic, recurrent, phlyctenular inflammation of cornea; successive crops of phlyctenular and abrasions of epithelial layer of cornea; photophobia intense, lachrymation profuse. Lids swollen; pain intense at night; ptosis. Tubercular iritis. Diplopia; one image seen below the other. Feeling of cold air blowing on eye.

Ears: Caries of ossicles in ear of syphilitic origin.

Nose: Caries of nasal bones, hard palate and septum, with perforation; ozaena.

Mouth: Teeth decay at gum; edges serrated, dwarfed. Tongue coated, teeth-indented; deep longitudinal cracks. Ulcers smart and burn. Excessive flow of saliva; it runs out of mouth when sleeping.

Antipyrinum

Clinical features: Dysmenia. Enuresis. Epilepsy. Epistaxis. Erythema. German measles. Headache. Heart, paralysis of. Mind, deranged. Respiration, Cheyne-Stokes. Scarlatina. Throat, sore. Toothache. Urticaria.

Characteristics. Scarlet rash and oedema, headache, intense dysmenorrhoea. Loss of consciousness. Fear of impending insanity, Excitement. Continual crying. Anxiety.

Headache, with toothache; pain behind both ears of tearing character. Snapping sensation in head.

Complete loss of vision. Eyelids swollen so that eyes were almost closed. Coryza. Buzzing in ears.

Tingling burning in nose, with sneezing and running from eyes and nose; nose and face swollen. Coppery smell which comes and goes.

Facial edema; dusky red face. General toothache, together with headache; pain behind both ears of a tearing character. Tingling burning in gums, mouth, and throat. Lump in mouth about an inch thick just below level of upper teeth.

Throat: Dryness, burning, swelling, with aphonia; tonsil white and swollen. Tight, constricted feeling.

Pyrogenium

Clinical: Abscess. Anus, sweating near. Bed  sores. Bright’s disease. Constipation. Diarrhoea. Dysentery. Eczema. Enteric fever. Fistula. Headache. Heart, rapid action of; consciousness of; failure of. Hectic fever. Indian continued fevers. Influenza.-Intestines, ulceration of; obstruction of. Labour: puerperal fever. Ovary, abscess of. Peritonitis. Phthisis pulmonalis. Ptomaine poisoning. Puerperal fever. Pyaemia. Sepsis. Spine, Pott’s curvature of. Tabes mesenterica. Tuberculosis. Typhlitis. Ulcers, varicose; obstinate. Varicosis.

Pains in both mastoids with dull throbbing in mastoid region, throbbing of arteries of temples and head.  Eyeball sore, Projecting eyes.

Ears: Loud ringing (tinnitus), Ears cold. Ears red, as if blood would burst out of them.

Nose-bleed; awakened by dreaming it and found it was so. Sneezing: every time he puts hand from under covers; at night. Nostrils closing alternately.

Face: burning; yellow; very red; pale, sunken, and bathed in cold sweat; pale, greenish, or chlorotic. Circumscribed redness of cheeks.

Tongue: coated white in front, brown at back; yellowish brown, bad taste in morning. Tongue edges and tip very red; large, flabby; yellow brown streak down centre. Or Tongue clean, smooth, and dry; first fiery red, then dark red and intensely dry; smooth and dry; glossy, shiny; dry, cracked, articulation difficult. Taste: terribly fetid, as if mouth and throat full of pus; sweetish. Breath horrible; like carrion. Diphtheria with extreme fetor.

Streptococcinum

pains, weakness with pain, cough and bronchitis, pause forming in little injuries, itching with
cough and emphysema in esophagus, pause in kidney and mucus membrane. Septicemia, hyperplasia, bleeding with congestion in connective tissues. Exophthalmia, bleeding and swelling in eyes, acne, abscess, furuncle, impetigo contagious, parotiditis, mastitis, phlegmon, carbuncle, mastoiditis, empyema, ecthyma, cellulitis, pyelonephritis, phlebitis, lymphadenitis, pemphigus, sycosis, conjunctivitis, osteomyelitis, Teeth plaque/caries phemia, gelatinous edema, endocarditis.

Helleborus

Forehead wrinkled in folds. Cold sweat. Stupefying headache. Rolls head day and night; moaning, sudden screams. Boar head into pillow; beats it with hands. Dull pain in occiput, with sensation of water swashing inside. Headache culminates in vomiting.

Eyeballs turn upwards; squinting, vacant look. Pupils dilated. Eyes wide open, sunken. Night-blindness.

Nose: Dirty, dry nostrils. Rubs nose. Smell diminished. Nose pointed.

Face: Pale, sunken. Cold sweat. Wrinkled. Neuralgia on left side; parts so tender he cannot chew.

Mouth: Horrible smell from mouth. Lips dry and cracked. Tongue red and dry. Falling of lower jaw. Meaningless picking of lips. Grinding of teeth. Chewing motion. Greedily swallows cold water, though unconscious. Child nurses greedily, with disgust for food. Ptyalism, with sore corners of mouth.

Skin: Pale, dropsical, itching. Livid spots on skin. Sudden, watery, swelling of skin. Falling off of hair and nails. Angioneurotic oedema.

Stramonium

Raises head frequently from the pillow. Pain in forehead and over eyebrows, beginning in morning; worse until noon. Boring pain, preceded by obscure vision. Rush of blood to head; staggers, with tendency to fall forward and to the left. Auditory hallucinations.

Eyes: Seem prominent, staring wide open; pupils dilated. Loss of vision; complains that it is dark, and calls for light. Small objects look large. Parts of the body seem enormously swollen. Strabismus. All objects look black.

Face: Hot, red; circumscribed redness of cheeks. Blood rushes to face; distorted. Expression of terror. Pale face.

Mouth: Dry; dribbling of viscid saliva. Aversion to water. Stammering. Risus sardonicus. Cannot swallow on account of spasm. Chewing motion.

Myristica sebifera

A best antiseptic and antibiotic medicine. Inflammation of skin, cellular tissue and periosteum. Traumatic infections. Parotitis. Fistulas. Carbuncles. Specific action in panaritium. Pain in the finger nails with swelling of the phalanges. Hands are stiff, as if from squeezing something a long time. Coppery taste and burning in throat. Tongue white and cracked. Phlegmonous inflammations. Hastens suppuration and shortens its duration. Often does away with use of the knife. Inflammation of middle ear, suppurative stage. Fistula in ano. Acts more powerfully often than Heper or Silica.

Bryonia Alba

Frequent bleeding of nose when menses should appear. Also in the morning, relieving the headache. Coryza with shooting and aching in the forehead. Swelling of tip of nose, feels as if it would ulcerate when touched.

Ears: Aural vertigo. Roaring, buzzing. Tinnitus.

Eyes: Pressing, crushing, aching pain. Glaucoma. Sore to touch and when moving them.

Mouth: Lips parched, dry, cracked. Dryness of mouth, tongue, and throat, with excessive thirst. Tongue coated yellowish, dark brown; heavily white in gastric derangement. Bitter taste. Burning in lower lip in old smokers. Lip swollen, dry, black, and cracked.

Throat: Dryness, sticking on swallowing, scraped and constricted. Tough mucus in larynx and trachea, loosened only after much hawking; worse coming into warm room.

Antimonium Crudum

Aching, worse in vertex, on ascending, from bathing, from disordered stomach, especially from eating candy or drinking acid wines. Suppressed eruptions. Heaviness in forehead with vertigo; nausea, and nosebleed. Headache with great loss of hair.

Eyes: Dull, sunken, red, itch, inflamed, agglutinated. Canthi raw and fissured. Chronic blepharitis. Pustules on cornea and lids.

Ears: Redness; swelling; pain in eustachian tube. Ringing and deafness. Moist eruption around ear.

Nose: Nostrils chapped and covered with crusts. Eczema of nostrils, sore, cracked and scurfy.

Face: Pimples, pustules, and boils on face. Yellow crusted eruption on cheeks and chin. Sallow and haggard.

Mouth: Cracks in corners of mouth. Dry lips. Saltish saliva. Much slimy mucus. Tongue coated thick white, as if whitewashed. Gums detach from teeth; bleed easily. Toothache in hollow teeth. Rawness of palate, with expectoration of much mucus. Canker sores. Pappy taste. No thirst. Subacute eczema about mouth.

Throat: Much thick yellowish mucus from posterior nares. Hawking in open air. Laryngitis. Rough voice from overuse.

Phosphorus

Vertigo of the aged, after rising. Heat comes from spine. Neuralgia; parts must be kept warm. Burning pains. Chronic congestion of head. Brain-fag, with coldness of occiput. Vertigo, with faintness. Skin of forehead feels too tight. Itching of scalp, dandruff, falling out of hair in large bunches.

Eyes: Cataract. Sensation as if everything were covered with a mist or veil, or dust, or something pulled tightly over eyes. Black points seem to float before the eyes. Patient sees better by shading eyes with hand. Fatigue of eyes and head even without much use of eyes. Green halo about the candlelight. Letters appear red. Atrophy of optic nerve. Edema of lids and about e eyes. Pearly white conjunctiva and long curved lashes. Partial loss of vision from abuse of tobacco Pain in orbital bones.

Paresis of extrinsic muscles. Diplopia, due to deviation of the visual axis. Amaurosis from sexual excess. Glaucoma. Thrombosis of retinal vessels and degenerative changes in retinal cells. Degenerative changes where soreness and curved lines are seen in old people. Retinal trouble with lights and hallucination of vision.

Ears: Hearing difficult, especially to human voice. Re-echoing of sounds. Dullness of hearing after typhoid.

Nose: Fan-like motion of nostrils. Bleeding; epistaxis instead of menses. Over-sensitive smell. Periostitis of nasal bones. Foul imaginary odors. Chronic catarrh, with small haemorrhages; handkerchief is always bloody. Polypi; bleeding easily.

Face: Pale, sickly complexion; blue rings under eyes. Hippocratic countenance. Tearing pain in facial bones; circumscribed redness in one or both cheeks. Swelling and necrosis of lower jaw.

Mouth: Swelled and easily bleeding gums, ulcerated. Toothache after washing clothes. Tongue dry, smooth, red or white, not thickly coated. Persistent bleeding after tooth extraction. Nursing sore mouth. Burning in oesophagus. Dryness in pharynx and fauces. Thirst for very cold water. Stricture of oesophagus.

Baptisia

Confused, swimming feeling. Vertigo; pressure at root of nose. Skin of forehead feels tight; seems drawn to back of head. Feels too large, heavy, numb. Soreness of eyeballs. Brain feels sore. Stupor; falls asleep while spoken to. Early deafness in typhoid conditions. Eyelids heavy.

Face: Besotted look. Dark red. Pain at root of nose. Muscles of jaw rigid.

Mouth: Taste flat, bitter. Teeth and gums sore, ulcerated. Breath fetid. Tongue feels burned; yellowish-brown; edges red and shining. Dry and brown in center, with dry and glistening edges; surface cracked and sore. Can swallow liquids only; least solid food gags.

Throat: Dark redness of tonsils and soft palate. Constriction, contraction of oesophagus. Great difficulty in swallowing solid food. Painless sore throat, and offensive discharge. Contraction at cardiac orifice.

Arnica Montana

Hot, with cold body; confused; sensitiveness of brain, with sharp, pinching pains. Scalp feels contracted. Cold spot on forehead. Chronic vertigo; objects whirl about especially when walking.

Eyes: Diplopia from traumatism, muscular paralysis, retinal haemorrhage. Bruised, sore feeling in eyes after close work. Must keep eyes open. Dizzy on closing them. Feel tired and weary after sightseeing, moving pictures, etc.

Ears: Noises in ear caused by rush of blood to the head. Shooting in and around ears. Blood from ears. Dullness of hearing after concussion. Pain in cartilages of ears as if bruised.

Nose: Bleeding after every fit of coughing, dark fluid blood. Nose feels sore; cold.

Mouth: Fetid breath. Dry and thirsty. Bitter taste. Taste as from bad eggs. Soreness of gums after teeth extraction. Empyema of maxillary sinus.

Face: Sunken; very red. Heat in lips. Herpes in face.

Muriatic Acid

Vertigo; worse lying on right side; occiput heavy as if filled with lead. Sound of voice is intolerable. Pain as if brain were crushed.

Nose: Haemorrhage; much sneezing.

Face: Lower jaw fallen; pimples and freckles; lips raw, dry, cracked.

Mouth: Tongue, pale, swollen, dry, leathery, paralyzed. Deep ulcers on tongue. Hard lumps in tongue. Epithelioma; edges bluish-red. Aphthous mouth. Gums and glands swollen. Fetid Breath. Sordes on teeth.

Throat: Uvula swollen. Ulcers and false membrane. Edematous, dark, raw. Attempted swallowing produces spasm and choking.

Sulphur

Constant heat on top of head. Heaviness and fullness, pressure in temples. Beating headache; worse, stooping, and with vertigo. Sick headache recurring periodically. Tinea capitis, dry form. Scalp dry, falling of hair; worse, washing. Itching; scratching causes burning.

Eyes: Burning ulceration of margin of lids. Halo around lamp-light. Heat and burning in eyes. Black motes before eyes. First stage of ulceration of cornea. Chronic ophthalmia, with much burning and itching. Parenchymatous keratitis. Cornea like ground glass.

Ears: Whizzing in ears. Bad effects from the suppression of an otorrhoea. Over Sensitive to odors. Deafness, preceded by exceedingly sensitive hearing; catarrhal deafness.

Nose: Herpes across the nose. Nose stuffed indoors. Imaginary foul smells. Alae red and scabby. Chronic dry catarrh; dry scabs and readily bleeding. Polyps and adenoids.

Mouth: Lips dry, bright red, burning. Bitter taste in morning. Jerks through teeth. Swelling of gums; throbbing pain. Tongue white, with red tip and borders.

Throat: Pressure as from a lump, as from splinter, as of a hair. Burning, redness and dryness. Ball seems to rise and close pharynx.

Zinc Metallicum

Feels as if he would fall to left side. Headache from the smallest quantity of wine. Hydrocephalus. Rolls head from side to side. Bores head into pillow. Occipital pain, with weight on vertex. Automatic motion of head and hands. Brain-fag; headaches of overtaxed school children. Forehead cool; base of brain hot. Roaring in head. Starting in fright.

Eyes: Pterygium; smarting, lachrymation, itching. Pressure as if pressed into head. Itching and soreness of lids and inner angles. Ptosis. Rolling of eyes. Blurring of one-half of vision; worse, stimulants. Squinting. Amaurosis, with severe headache. Red and inflamed conjunctiva; worse, inner canthus.

Ears: Tearing, stitches, and external swelling. Discharge of fetid pus.

Nose: Sore feeling high up; pressure upon root.

Face: Pale lips, and corners of mouth cracked. Redness and itching eruption on chin. Tearing in facial bones.

Mouth: Teeth loose. Gums bleed. Gnashing of teeth. Bloody taste. Blisters on tongue. Difficult dentition; child weak; cold and restless feet.

Throat: Dry; constant inclination to hawk up tenacious mucus. Rawness and dryness in throat and larynx. Pain in muscles of throat when swallowing.

Arctium Lappa

Acne; eczema, especially scalp and mucous membrane, eruptions and discharges. Pain in head in region of veneration. Eczema of scalp. Feeling as if the eye was small and constricted. Styes. Inveterate acne. Spreading vesicular eruption, great tearing and itching. Herpetic eruption on ala nasi.

Alumina

Stitching, burning pain in head, with vertigo, worse in morning, but relieved by food. Pressure in forehead as from a tight hat. Inability to walk except with eyes open. Throbbing headache, with constipation. Vertigo, with nausea; better after breakfast. Falling out of hair; scalp itches and is numb.

Eyes: Objects look yellow. Eyes feel cold. Lids dry, burn, smart, thickened, aggravated in morning; chronic conjunctivitis. Ptosis. Strabismus.

Ears: Humming; roaring. Eustachian tube feels plugged.

Nose: Pain at root of nose. Sense of smell diminished. Fluent coryza. Point of nose cracked, nostrils sore, red; worse touch. Scabs with thick yellow mucus. Tettery redness. Ozoena atrophica sicca. Membranes distended and boggy.

Face: Feels as if albuminous substance had dried on it. Blood-boils and pimples. Twitching of lower jaw. Rush of blood to face after eating.

Mouth: Sore. Bad odor from it. Teeth covered with sordes. Gums sore, bleeding. Tensive pain in articulation of jaw when opening mouth or chewing.

Throat: Dry, sore; food cannot pass, oesophagus contracted. Feels as if splinter or plug were in throat. Irritable, and relaxed throat. Looks parched and glazed. Clergyman’s sore throat in thin subjects. Thick, tenacious mucus drops from posterior nares. Constant inclination to clear the throat.

Graphitis

Rush of blood to head with flushed face also with nose bleed and distension and flatulence. Headache in morning on waking, mostly on one side, with inclination to vomit. Sensation of cobweb on forehead. Feels numb and pithy. Rheumatic pains on one side of head, extending to teeth and neck. Burning on vertex. Humid, itching eruption on hairy scalp, emitting a fetid odor. Cataleptic condition.

Eyes: Ophthalmia, with intolerance of artificial light. Eyelids red and swollen. Blepharitis. Dryness of the lids. Eczema of lids; fissured.

Ears: Dryness of inner ear. Cracking in ears when eating. Moisture and eruptions behind the ears. Hears better in noise. Hardness of hearing. Hissing in the ears. Detonation in ear like report of a gun. Thin, white, scaly membrane covering membrane tympani, like exfoliated epithelium. Fissures in and behind the ear.

Nose: Sore on blowing it; is painful internally. Smell abnormally acute; cannot tolerate flowers. Scabs and fissures in nostrils.

Face: Feels as if cobwebs were on it. Eczema of nose. Itching pimples. Moist eczema around mouth and chin. Erysipelas, burning and stinging.

Mouth: Rotten odor from mouth. Breath smells like urine. Burning blisters on tongue, salivation. Sour eructations.

Belladonna

Vertigo, with falling to left side or backwards. Sensitive to least contact. Much throbbing and heat. Palpitation reverberating in head with labored breathing. Pain; fullness, especially in forehead, also occiput, and temples. Headache from suppressed catarrhal flow. Sudden outcries. Pain worse light, noise, jar, lying down and in afternoon; better by pressure and semi-erect posture. Boring of head into pillow; drawn backward and rolls from side to side. Constant moaning. Hair splits; is dry and comes out. Headache worse on right side and when lying down; ill effects, colds, etc; from having hair cut.

Face: Red, bluish-red, hot, swollen, shining; convulsive motion of muscles of face. Swelling of upper lip. Facial neuralgia with twitching muscles and flushed face.

Eyes: Throbbing deep in eyes on lying down. Pupils dilated (Agnus). Eyes feel swollen and protruding, staring, brilliant; conjunctiva red; dry, burn; photophobia; shooting in eyes. Exophthalmus. Ocular illusions; fiery appearance. Diplopia, squinting, spasms of lids. Sensation as if eyes were half closed. Eyelids swollen. Fundus congested.

Ears: Tearing pain in middle and external ear. Humming noises. Membrana tympani bulges and injected. Parotid gland swollen. Sensitive to loud tones. Hearing very acute. Otitis media. Pain causes delirium. Child cries out in sleep; throbbing and beating pain deep in ear, synchronous with heart beat. Hematoma auris. Acute and sub-acute conditions of Eustachian tube. Autophony-hearing one’s voice in ear.

Nose: Imaginary odors. Tingling in tip of nose. Red and swollen. Bleeding of nose, with red face. Coryza; mucus mixed with blood.

Mouth: Dry. Throbbing pain in teeth. Gumboil. Tongue red on edges. Strawberry tongue. Grinding of teeth. Tongue swollen and painful. Stammering.

Merc Solubilis

Vertigo, when lying on back. Band-feeling about head. One-sided, tearing pains. Tension about scalp, as if bandaged. Catarrhal headaches; much heat in head. Stinging, burning, fetid eruptions on scalp. Loss of hair. Exostosis, with feeling of soreness. Scalp tense; oily sweat on head.

Eyes: Lids red, thick, swollen. Profuse, burning, acrid discharge. Floating black spots. After exposure to glare of fire; foundrymen. Parenchymatous keratitis of syphilitic origin with burning pain. Iritis, with hypopyon.

Ears: Thick, yellow discharge; fetid and bloody. Otalgia, worse warmth of bed; at night sticking pains. Boils in external canal.

Nose: Much sneezing. Sneezing in sunshine. Nostrils raw, ulcerated; nasal bones swollen. Yellow-green, fetid, pus-like discharge. Coryza; acrid discharge, but too thick to run down the lip; worse, warm room. Pain and swelling of nasal bones, and caries, with greenish fetid ulceration. Nosebleed at night. Copious discharge of corroding mucus. Coryza, with sneezing; sore, raw, smarting sensation; worse, damp weather; profuse, fluent.

Face: Pale, earthy, dirty-looking, puffy. Aching in facial bones, Syphilitic pustules on face.

Mouth: Sweetish metallic taste. Salivary secretions greatly increased; bloody and viscid. Saliva fetid, coppery. Speech difficult on account of trembling tongue. Gums spongy, recede, bleed easily. Sore pain on touch and from chewing. Whole mouth moist. Crown of teeth decay. Teeth loose, feel tender and elongated. Furrow in upper surface of tongue lengthwise. Tongue heavy, thick; moist coating; yellow, flabby, teeth-intended, feels as if burnt, with ulcers, Fetid odor from mouth, can smell it all over room. Alveolar abscess, worse at night. Great thirst, with moist mouth.

Throat: Bluish-red swelling. Constant desire to swallow. Putrid sore throat; worse right side. Ulcers and inflammation appearing at every change in weather. Stitches into ear on swallowing; fluids return through nose. Quinsy, with difficult swallowing, after pus has formed. Sore, raw, smarting, burning throat. Complete loss of voice. Burning in throat, as from hot vapor ascending.

Mercurius Dulcis

Inflammation of ear. Eustachian catarrh, deafness. Diarrhoea, with soreness of anus. Prostatitis. Remittent bilious attacks. Pallor, flabby bloatedness, and turgid flaccidity. Inflammation with plastic exudate. Especially indicated in systems disposed to remittent bilious fevers; in peritonitis and meningitis with plastic exudate. Dropsies due to combined renal and cardiac diseases, especially with jaundice. Cirrhosis of the liver, especially in the hypertrophic form.

Ears: Otitis media; closure of Eustachian tube; ear troubles of scrofulous children; membrana tympani retracted, thickened and immovable.

Mouth: Offensive breath; salivation; sore gums. Ulcers. Tongue black. Constant flow of dark, putrid saliva; very offensive. Ulceration of throat, with dysphagia. Granular pharyngitis.

Stomach: Nausea and vomiting. Cyclic vomiting of infants.

Stool: Scanty, bloody mucus, with bile, and constant desire, without tenesmus. Dark-green, watery, with griping. Anus sore and burning. Dysentery; small stools of mucus and blood, covered with bile.

Skin: Flabby and ill nourished. Swollen glands. Phagedenic ulcers. Copper-colored eruptions.

Mercurius Iodatus Flavus

Throat affections, with greatly swollen glands and characteristic coating of tongue. Worse, right side. Chancre; induration remains long time. Swollen inguinal glands, large and hard. Mammary tumors, with tendency to much warm perspiration and gastric disturbances.

Tongue: Coated thickly; yellow at the base. Tip and edges may be red and take imprint of teeth.

Throat: Lacunar tonsillitis. When only the superficial part of the tonsil is involved. Cheesy exudates with offensive breath. Swelling begins on right side. Small ulcers on posterior pharynx. Easily detached patches on inflamed pharynx and fauces; worse on right tonsil; much tenacious mucus. Sensation of a lump. Constant inclination to swallow.

Mercurius Iodatus Ruber

Diphtheria and ulcerated sore throats, especially on left side, with much glandular swelling. Chronic suppurating buboes. Hard chancres. Old cases of syphilis in scrofulous patients. Early stages of cold, especially in children.

Throat: Fauces dark red; swallowing painful. Phlegm in nose and throat. Disposition to hawk, with sensation of a lump in throat. Stiffness of muscles of throat and neck.

Nose: Coryza and dull hearing; right side of nose hot. Hawks mucus from posterior nares. Turbinated bones swollen. Boggy mucous membrane of nose and throat; closure of Eustachian tube, opening with a pop.

Mouth: Gums swollen; toothache; glands swollen. Scalded feeling on tongue. Aphthae. Profuse saliva. Tongue feels stiff at base, and pains on moving.

Throat: Diphtheria; submaxillary glands painfully engorged, fauces dark red; worse on left tonsil. Parenchymatous tonsillitis. Will often abort peritonsillitis if given frequently. Cough form elongated uvula, with sore throat, Laryngeal troubles with aphonia.

Skin: Small fissures and cracks; hard papules; Hunterian chancre; syphilitic ulcers. Bubo. Sarcocele.

Any question about any type of Ludwig’s Angina etc please visit my clinic.

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Dr Sayyad Qaisar Ahmed (MD {Ukraine}, DHMS) ; senior research officer Dnepropetrovsk state medical academy Ukraine; is a leading Homeopathic physician practicing in Al-Haytham clinic, Umer Farooq Chowk Risalpur Sadder (0923631023, 03119884588), K.P.K, Pakistan.

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