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CHD and Beriberi

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Full article: http://www.nlm.nih.gov/medlineplus/ency/article/000339.htm

Symptoms of wet beriberi include:

a.. Swelling of the lower legs

b.. Increased heart rate

c.. Lung congestion

d.. Enlarged heart related to congestive heart failure

e.. Shortness of breath with activity

f.. Awakening at night short of breath

Exams and Tests Return to top

A physical examination may show signs of congestive heart failure, including

swelling in both the lower legs, fluid in the lungs, rapid heartbeat, and

difficulty breathing with neck veins that stick out.

A person with late-stage beriberi may be confused or have memory loss and

delusions. The person may be less able to sense vibration. A neurological exam

may show signs of decreased reflexes, changes in the person's walk, coordination

problems, drooping of the eyelids, and other changes.

The following tests may be done:

a.. Blood tests to measure the amount of thiamine in the blood

b.. Urine tests to see if thiamine is passing through urine

Treatment Return to top

The goal of treatment is to replace the thiamine that the person's body is

lacking. This is done with thiamine supplements. Thiamine supplements are given

through a shot (injection) or taken by mouth.

Other types of vitamins may also be recommended.

Blood tests may be done after the person is given thiamine supplements to see

how well they are responding to the medicine.

Outlook (Prognosis) Return to top

Untreated, beriberi is often deadly. With treatment, symptoms usually improve

rapidly.

Heart damage is usually reversible and is not permanent. Full recovery is

expected. However, if acute heart failure has already occurred, the person's

outlook is poor.

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