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drmayurdalvi · 1 year

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Urologic Emergencies Management and Treatment Strategies

Overview

Urologic emergencies refer to conditions that require immediate medical attention due to their potential for serious complications. These emergencies can range from life-threatening conditions such as urosepsis to painful conditions such as kidney stones.

In this blog post, we will discuss the management and treatment strategies for some common urologic emergencies.

Urinary Tract Infection (UTI)

UTIs are a very common urologic emergency, especially in women. Symptoms include burning pain during urination, increased frequency and urgency to urinate and fever. UTIs can cause major problems, like kidney infections if they are not addressed.

Management: The first step in managing a UTI is to obtain a urine culture to identify the bacteria causing the infection. Antibiotics are then prescribed based on the culture results. For intravenous antibiotics, hospitalization may be required in extreme cases.

Kidney Stones

Kidney stones are solid masses made of crystals that form in the kidneys. Severe side or back discomfort, nausea, vomiting, and blood in the urine are all symptoms. Kidney damage and urinary tract obstruction can both result from kidney stones in extreme circumstances.

Management: Treatment for kidney stones depends on the size and location of the stone. Pain management with analgesics is important to help patients cope with severe pain. Small stones can be treated with medication and hydration to help pass the stone. Large stones may require surgery or shock wave lithotripsy to break up the stone.

Testicular Torsion

Testicular torsion occurs when the spermatic cord twists, cutting off blood flow to the testicle. The scrotum will be extremely painful, swollen, and red. Testicular torsion is a medical emergency and requires immediate attention as the testicle can die within hours of torsion.

Management: Surgery is the primary treatment for testicular torsion. The goal of surgery is to untwist the cord and restore blood flow to the testicle. It might be necessary to remove the testicle if it is significantly injured.

Urosepsis

Urosepsis is a severe infection that occurs when a urinary tract infection spreads to the bloodstream. Symptoms include fever, chills, confusion and rapid breathing. Urosepsis is a life-threatening condition that requires immediate medical attention.

Management: Treatment for urosepsis includes hospitalization, intravenous antibiotics and supportive care. In severe cases, patients may require admission to the intensive care unit (ICU).

Acute Urinary Retention

When a person is unable to empty their bladder, acute urine retention develops, causing excruciating agony and discomfort. Causes include prostate enlargement, bladder stones, and neurological conditions.

Management: Using a urinary catheter to empty the bladder is part of the treatment for acute urine retention. In some circumstances, surgery can be required to address the retention's underlying cause.

Conclusion

urologic emergencies require prompt medical attention to prevent serious complications. Early identification and treatment are key to successful management. If you are experiencing symptoms of a urologic emergency, seek medical attention immediately. If you are seeking such as urological condition please visit for better constancy

drmayurdalvi.com

#Urology #Emergency Medicine #Urinary Tract Infection #Kidney Stones #Testicular Torsion #Urosepsis #Acute Urinary Retention #Medical Treatment #Symptom Management #Surgery #Antibiotics #Pain Management

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peppermintrer · 2 months

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I would make the best toxicologist because I’ve personally intentionally poisoned myself with a myriad of things just to see what they do. Muscarinics (Ergots, Muscarine), alcohols (various, not just ethyl), Nitrites, Isoproteranol, Anti-Muscarinics, Amphetamines, Terpanoids, Indoles, Ethers, and Organic Compounds.

“You don’t know what I’m going through!”

“I did Kratom for 2 years and quit cold turkey, I have a decent idea what you’re going through.”

#It’s not AS bad as true opiate withdrawals but it was a rough 3 weeks #Nausea urinary retention muscle pains and a mild case of the shakes

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drneelima · 7 months

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#lady gynecologist in mumbai #top gynecologist in mumbai #best gyno in mumbai #best female gynaecologist in mumbai #best gynecologist in navi mumbai #best gynecologist in mumbai #best gynecologist and obstetrician in mumbai #female gynaecologist and laparoscopic surgeon in mumbai #Postpartum Bladder Urinary Retention #best gynecologist in south mumbai

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mcatmemoranda · 2 years

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elevated postvoid residual (PVR) volume (more than 100 mL)

Bladder capacity is 400 to 600 mL

#urinary retention #PVR #bladder capacity

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cosmicintro · 1 year

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Astro observations: Health aspects from the 6th house 💫

6th house in Aries: Be mindful of strong reactions, impulses and emotions as these could trigger high blood pressure, stress or unwanted headaches. Possible problems associated with the adrenal glands if health is not good. The person could be nearsighted/farsighted. Teeth issues and sensitive gums are common with this placement.

6th house in Taurus: Be careful with ‘burnout’ and try to keep a healthy work-life balance. The individual is prone to respiratory conditions, jaw and neck pain/problems, weight gain (associated with thyroid issues). Thyroid disease. Problems with your voice or throat. Take it easy and follow a rhythm that honors your needs.

6th house in Gemini: Allergies, infections, asthma, cough, breathing issues. Arms, hands and fingers might be sensitive. Anxiety and nervousness caused by too many unorganized/unwanted thoughts. Be careful with hand, arm and/or shoulder injuries.

6th house in Cancer: Sensitive breasts/chest area. Inflammation associated with water/fluid retention. Pay close attention to your salt and fat consumption. Intolerance to different ingredients. It is vital for individuals with this placement to express their emotions as this can feel like a detox process for a 6th house cancer.

6th house in Leo: Hear what your heart is telling you. Don’t let stress or anger take you 'over the edge'. Similar to Aries in this house, it is common for the native to suffer from high blood pressure if a balanced lifestyle is not followed; a healthy diet will help this native tremendously. Be careful with hernias and your spine. Back pain/injuries. Spend more time outside.

6th house in Virgo: Food sensitivities. Problems with digestion. Pay attention to sugar, fats, starches and the way your body reacts to them. Pancreatitis. Bloating associated with food intolerances. Meditation is recommended to calm an active mind and a healthy relationship with food will help with digestive issues.

6th house in Libra: Lumbar pain. Problems with the lower back. Sensitivity to salt. Kidney stones. Insulin resistance. Diabetes. Partnerships have a big influence in your life; stress or strong (negative) emotions resulting from these relationships can have a big impact in your health.

6th house in Scorpio: Constipation. Bladder/Urinary tract infections. Issues with libido/sex hormones. Cystitis (inflammation of the bladder; can cause pain or/and a burning sensation when peeing). Problems with the colon and elimination systems. Let go of any guilt/shame around your sexuality and keep a healthy relationship with your needs.

6th house in Sagittarius: Issues associated with the pituitary gland. Hip mobility problems, pain or injuries. Obesity. For optimal liver health, alcohol and stress levels need to be monitored and, if possible, reduced to a minimum. Yoga can help ease stiffness around the hips and thighs.

6th house in Capricorn: Knee pain. Injuries/procedures can cause significant scarring. Hair loss or scalp issues. Arthritis and joint pain. If your body is telling you to slow down, honor it and rest. Movement in every way is beneficial for the native. Be careful with your bones.

6th house in Aquarius: Varicose veins. Frequent cramps. Arteries and veins might need to be monitored closely, as the native is prone to circulation problems. Calf pain. Stress, nervousness, anxiety, insomnia. Be careful with addictions. Stay hydrated.

6th house in Pisces: Problems with the lymphatic system. Feet pain, inflammation, discomfort, injuries. Plantar fasciitis. Be careful with falls. Sleep problems, nightmares. Sadness that can lead into deep depression. Time alone is necessary. Make sure you’re getting the hours of sleep that your body requires to work harmoniously.

Stay tuned for more! :)

#astrology #astro notes #astro observations #astro placements #zodiac #zodiac signs #the 6th house #birth chart #birth chart placements #mars #neptune #pisces #aries #cancer #escorpio #astrology placements #my text #mp

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raykay23 · 10 months

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updates from here and the medical saga continues

Hello everyone, So tomorrow we see urology to discuss getting the surgical catheter placed as of urinary attention. Speaking of urinary retention, the other day we had to go to the ER because our Foley catheter wasn’t draining. We called our normal nurse, but didn’t realize it was her day off. We then called the after hours home health nurse, and the on-call nurse didn’t answer her phone twice.…

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#chronic illness #urinary catheter #urinary retention

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mediinfo · 2 years

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Overactive bladder is a condition in which the patient feels a frequent and strong urge to urinate. This can also cause urge incontinence in which patients experience a strong desire to urinate, but leak before they are able to get to the bathroom. Interstitial cystitis is another condition, which can lead to the symptoms of an overactive bladder and pelvic pain associated with urination and sometimes intercourse.

#Urinary Retention

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bougiebutchbitch · 6 months

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I have to ask. I'm not that far into watching House MD but my god these bitches are gay. My question is, what is the context here for the piss kink? Like is that. Really canon. If you have the time I'd love to hear an explanation of evidence

Good morning, babes, bros, and nonbinary hos of the jury.

Firstly, welcome to Queerbait, The Show, The Musical, The Original. I hope you enjoy your stay in Gay Doctorland.

Now, if I might move onto the first item of evidence: EXHIBIT A.

Aka, the classic House MD drinking game of 'take a shot eevry time House and Wilson have a drawn-out discussion while standing next to each other, pissing, at the urinals'

Now EXHIBIT B: a certain episode where House's drug use starts to affect his kidneys, causing urinary retention. How does Wilson react when House finally comes to him with big sad eyes, pleading for help? Well, obviously he smirks and delights in House's pee-holding agony, refusing to give him any diuretics because he wants to teach House a 'lesson' about drug abuse in a typically Housian fucked up and kinda dangerous way because he figures hey, it's omorashi time

Later the same episode, we have House dreaming of pissing himself in front of his colleagues and wetting the bed, which is shown to be a massive, euphoric relief & release.... Love that for my gay bitchy doctor. Love it.

AND LEST I FORGET, the self-catheterisation scene where House lubes up a catheter, slides it into himself, and makes the most wretched little moans.... Hugh Laurie acted his tight little butt off to give us a cranky old doctor keening softly as he feeds a catheter into his dick, and honestly, we're all grateful.

FINALLY we come to EXHIBIT C: the episode where House and Wilson encourage a patient's partner to drink her piss while they just. Sit there. And watch. Just medical malpractice boyfriends doing medical malpractice boyfriend things xxx

Doubtlessly, there are another dozen or so Incidents that I forgot - but suffice to say, folks of the jury, I think you will find this evidence satisfactory.

#house md #hate crimes md #piss kink md #hilson #gregory house #james wilson #I love this stupid show

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likedovesinthewindd · 1 year

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Request for reader taking Rues place in s1 ep2 when mouse pays a visit to Fez

ofc, hope you like!

fezco x fem!reader (season one ep 02: stuntin' like my daddy)

warning: drug use/abuse, coercion, violence, swearing, slight sexual language, mentions of overdosing, after effects of naloxone (narcan) and fentanyl like nausea, urinary retention, drowsiness.

wc: ±2465

a/n: requests welcome!

gif not mine, all credit to original creator.

The only time you'd ever really see Fez at a party was if he was dealing. He wasn't one who really enjoyed going out or being around a lot of people, but parties were one of the fastest ways to sell his shit, and a guy's gotta eat. On the days he had all to himself, he'd often be at home doing nothing.

The only thing he enjoyed more than relaxing at home, was relaxing at home with you. You seemed to have that effect on him; he enjoyed doing things more when you were around. He'd take you shopping because he knew you'd buy actual food and not just any random stuff with no nutritional value. He'd take you with him on random night drives through the city because you had the best playlists to listen to and he wouldn't admit it, but he secretly loved listening to the different genres of music you enjoyed. He always enjoyed having your presence around the house, and around him.

Right now, however, he really really wished you had stayed home. Not that he didn't want to see you, but he was about 5 minutes away from doing business with one of his suppliers (not one of the nicests guys either), and he didn't want to anywhere near when they arrived.

"Hold on, you can't be in here right now," he drawled nervously when he saw your wet frame enter the living room. "I just came to make you guys dinner, got everything for your favorites," you smiled as you made your way inside, placing the groceries you had bought on the kitchen table. You toed off your shoes and made your way to Fez's room. "Nah, you gotta go Y/N," he said following after you.

"Why, am I not welcome anymore?" you joked, looking through his drawers for dry clothes. You settled for a pair of old sweatpants and a t-shirt you had forgotten there, and swiftly changed.

"I'm serious, come back in a few hours but right now you gotta get the fuck up outta my house," he said seriously. You frowned at his words. Was he seriously going to kick you out in the middle of a rainstorm? "It's fucking pouring outside, Fez. I can just—"

"Nah you ain't listening, you gotta go right now before these motherfuckers come through," he interrupted you. By now you had grown irritated by his behavior. "Who are you talking about?" you asked angrily, walking past him to go sit on the couch in the living room. "My guy's boutta come through and I don't want you here when he gets here, you understand?" he said following you. Right. His guy, as in his supplier. You were on the verge of asking him what the big deal was if you just stayed out of their way for the few minutes, when his phone buzzed from the table he was previously sitting at.

You peered behind the back of the couch towards the table and then back at him. He did the same, and when your eyes met, you could see the anger mixed with fear on his face. "I could fuckin' kill you right now," he muttered before reaching for his walkie talkie. "Yo Ash, they here," he spoke into it before he started packing stacks of money into a paper bag.

By now you had grown a bit nervous at what was about to go down. Fez never allowed you to join him when he was doing any of his deals. He wanted to keep you as far away as possible from that side of his life, and right now you were about to meet one of his suppliers.

He walked over to the couch were you still sat frozen in fear, pushing his hands between the two cushions and pulling out a gun, checking to see if it was loaded. Your eyes widened before meeting his. "Look I'm serious Y/N," he said quietly, "just stay right there, keep your mouth shut and be cool. These dudes ain't fuckin' around." You could only nod in response, watching closely as he placed the gun back between the cushions.

☆☆☆☆

To say the big bald guy with the face tattoos currently standing behind you was scary, would be one hell of an understatement.

"So this your little bitch?" you heard him ask. You didn't dare turn around, nervously clasping your hands together in your lap to stop them from shaking too visibly. "Nah bruh, that's my girl," Fez subtly corrected him as the guy made his way around the back of the couch. He kneeled infront of the couch and extended his hand in greeting. "Well hello there," he said. You nervously unclasped your hands and placed one in his, which he took and kissed softly. You wanted to retract your hand from the feeling of his cold, dry lips on your skin, but you had no idea if that could potentially piss him off, and you didn't want to find out what he'd do if he got mad.

"My name is Mouse, it's a pleasure to meet you," he said. How ironic you thought, but you couldn't find anything humorous in the way his stare sent chills down your spine. When he walked away you looked over to Fez again, who was sitting right across from you. He gave you a small nod as you tried your best to calm down your racing heart.

Mouse started unpacking and naming all the diffrent drugs he had available. You tried not to look as shocked as you felt, but truth was you weren't used to all of it. Yeah your boyfriend was a drug dealer, but you didn't do drugs, and he's made it his life's mission to keep it that way You turned around and caught a glimpse of all the different bottles and pills all packed in big plastic zip lock bags.

"7750," Mouse's lackey Custer said as he finished calculating the price of everything at a quite impressive speed. Fez quickly got the paper bag with the money, throwing it to Mouse, who threw it to Custer. "Sure you don't want no Fentanyl?" he asked. "Nah man I'm cool off that shit. Too many OD's, man. I don't want the heat," Fez said calmly.

Mouse turned around to where you sat. "How about you pretty girl," he asked, "you ever tried Fentanyl?"

"No," you said quietly, still looking down at your lap. "Nah, she's good bro," Fez said as Mouse took a seat next to you on the couch and placing his arm behind you on the back of it. He used his outstretched hand to play with the loose strands of your hair. "You gonna let your boy talk for you?" he asked with a smile. You looked over at Fez, not knowing of you should answer him or not. "I don't know—"

"Don't look at him, look at me." You felt as though you might burst into flames if you did look at him. You turned your head slightly towards him, and you were met with a smile that made your stomach churn nervously. "You ever tried it?" he asked again.

"Yo forreal bruh, I don't want her fuckin' wit that shit," Fez said through a clenched jaw. You could hear the irritation and anger in his voice. Whether it was aimed at you for being here right now or at Mouse talking to you, you didn't know.

Mouse ignored Fez's talking, moving closer to you until his mouth was at your ear. "You know that feeling when you cum so hard you can't feel or hear shit?" he asked. You frowned, turning your face away from him and looking down at your lap once again. You didn't want to answer him, you didn't want to be talking to him anymore. "You like that feeling?" he added. You couldn't do anything but nod dumbly, afraid of what he might do if you ignored him.

"Well shit, you gon' love this."

Soon he was reaching for his pockets, pulling out a knife and a pouch of liquid Fentanyl, placing a small amount of the substance on the tip of the blade. He bought it closer to your face, and before you could think you were instinctively shaking your head and moving your head away from the knife.

"I don't— I don't think I should," you said softly. "What, you don't trust me?" he asked. "Yo for real man, she's good," Fez said desperately trying to diffuse the situation. He was praying that you didn't come close to that blade, he didn't want you using that shit at all. "Shut the fuck up bitch," Mouse said, still looking at you, "ain't nobody talkin' to you."

"Tell your boy I ain't talking to him right now. Tell him to shut the fuck up," he said to you. You looked over at Fez, the tears already burning behind your eyes. "C'mon don't be scared. It won't bite you." His voice bought your attention back to the blade that was still infront of your face.

"C'mon, try it."

Fez was shaking his head at you, praying that you weren't stupid enough to take up his offer. You were shaking like a leaf. You didn't know what to do, you just wanted to get out of this situation as fast as possible.

Without a second thought you placed your mouth on the tip of the knife and licked the substance off. Please don't let me die the words replayed in your head over and over and over as you felt yourself slowly and quietly slip into a diffrent state. After a while you couldn't even sit up straight anymore, and you found yourself softly falling on the couch cushion. Please don't let me die please don't let me die please don't let me die please—

"It hits quick," you heard Mouse's voice faintly as you tried desperately to hold onto some form of lucidity. Fez was watching you closely, trying to see if you were still conscious. "You like the way that feels?" he asked placing your leg over his lap. "Mhm," you managed to get out through lips that felt as heavy as concrete. "You wanna couple of patches pretty girl?" he asked and you replied with what you hoped was a yes. He got the patches from his jacket pocket and placed them beneath the waistband of your sweatpants.

"Its gon' cost you three hundred," he said to you, but looking over at Fez, "C'mon, pay up pretty girl."

"I only have like, seven dollars on me," you said, slurring your words like a drunk. "I said three hundred," Mouse repeated running his fingertips along your leg. "I bought like, groceries and shit." You could feel the drool running out your mouth and down your cheek, but it felt like your body was nailed to the couch. You felt so relaxed, so good and fuzzy that you couldn't even be bothered by the drool.

"Yo Mouse, lemme pay for it man," Fez spoke up. "I thought you was too good for Fentanyl" Mouse said with a taunting smile. "What is it, everybody changing they motherfuckin' minds on me?" he asked turning to Custer who sat on the back edge of the couch laughing.

"She can't afford it, she gon' have to find another way of paying me. Straight up," he said, now rubbing along your leg. "Ok," you replied, thinking he was still talking to you. Fez wanted nothing more than to pull out the gun from between the two cushions and shoot Mouse right there and then. He could feel himself getting angrier with every stroke of Mouse's hand along your clothed leg.

"Yo man, jus' lemme pay for it. Got the money right here."

Fez stood up from the couch, and placed three hundreds in Mouse's hand. "Damn, your boy must love you. Its gon cost you six hundred now, man."

☆☆☆☆

After Fez gave Mouse his extra money he counted the bills before standing up to leave. "It's always a pleasure doing business with you," he smiled, pushing your leg from his lap and getting up from the couch. As soon as the door closed behind him, Fez stood up, taking the Fentanyl Mouse had left on the couch and calling Ash. "Flush that shit down the toilet, and go grab the Narcan, just in case," he said placing the pouch in Ash's hand.

He went over to the couch were you were still laying quietly and motionless, your one leg still hanging off the couch. He carefully pulled it back up the couch, maneuvering it to prevent you from rolling onto your stomach, and covered your body with the small blanket that layed by the couch's end. He sat by your head on the couch, softly stroking your hair and praying that you were okay. Your eyes fluttered open when you felt his soft touch on your head. "'M sorry," you slurred, trying to keep your eyes open, to stay awake. Your breathing was irregular and soft, and you felt a dull discomfort in your chest.

"It's ok," he said softly, wiping away the layer of sweat from your forhead. "I ain't leaving you."

When Ash returned with the Narcan you were quickly given some in each nostril and after a while your breathing returned to a somewhat normal tempo. You couldn't fight the urge to sleep anymore and soon you were closing your eyes and dozing off.

☆☆☆☆

You layed in bed next to Fez feeling like absolute shit. You couldn't fall asleep. The dull pressure in your bladder and the constant nausea made it impossible to get comfortable. You turned around slowly, to find Fez laying next to you, his eyes trained on you. He hadn't left your side since your little run-in with Mouse, and had you stay with him until you felt better. He even went as far as to ask one of your friend to bring you clean clothes from your house.

"How you feelin'?" he asked, voice thick from sleep. You only shook your head no, you couldn't even find the strength to talk. "You want some' to eat?" he asked softly. The mention of food made your stomach churn uncomfortably and before you knew it you were jumping out of bed and making a beeline for the bathroom for what felt like the millionth time.

You felt Fez's hand rubbing circles into your back softly as you threw up once again. "Let it all out, baby," you heard him say softly. He knew you hated throwing up, and he hated seeing you ill, so he tried his best to give you any sort of comfort.

After you finished you flushed the toilet and wiped your mouth. The cold tiles beneath your knees and the warm press of Fez's hand against your even warmer body grounded you. "I'm sorry for taking that shit," you said through quiet sobs. You hadn't even noticed you'd been crying. "Is alright," Fez said softly. He hated seeing you cry more than anything. "You'll be alright, okay?" he said, pulling you into a hug, "I ain't going no where. Gonna look after my girl."

#fezco euphoria #fezco fanfic #fezco x you #fezco x reader #fezco fic #fezco x y/n #fezco #fez euphoria #fez x reader #fez x y/n #fez fanfic #likedovesinthewindd

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cryptwrites · 1 year

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Poisons

Hello! I'm gonna share how I go about writing poisons and the things I think are helpful to keep in mind. Now, I have never actually poisoned someone - shocker - but I have done extensive research on the topic, so I would say I know a decent amount about how to effectively poison someone. Disclaimer: This is for writing purposes only, don't poison people. Thanks.

Keep In Mind:

Poisoners need little to no physical strength although they do need a strong sense of self control & nerves of steel. Shooting or stabbing someone takes a mere moment of consideration and is frequently the result of a split second decision, while position requires dedication. Many poisons require a certain amount of time to work and the poisoner usually must administer several doses of poison in order to work. The poisoner also usually must be within close proximity to their victim and often will have to look them in the eye and engage with the person while the person slowly dies.

Exotic poisons can be more trouble than they’re worth. Importing exotic poisons leaves a trail for authorities to follow, and they require more research to correctly use.

Smart poisoners work with what they’ve got. The clever killer looks for drugs that are already in the victim’s medicine cabinet and that could be deadly. Read medical warning labels to get an idea of how to use them.

Poison can be used in ways that aren’t deadly. If the goal isn’t death, you can render someone dizzy or dopey, making a character vulnerable to a bad influence.

Common Poisons

Hemlock: Poison hemlock comes from a large fern-like plant that bears a dangerous resemblance to the carrot plant. It was readily available for treating muscle spasms, ulcers, and swelling, but in large doses will cause paralysis and ultimately respiratory failure.

Mandrake: It was used as a sedative, hallucinogen and aphrodisiac. Superstition mediaeval denizens believes when the vaguely human-shaped root was pulled out that plant gave a piercing shriek that would drive anyone to madness or death - hence the harry potter scene.

Arsenic: Arsenic comes from a metalloid and not a plant, unlike the others but it’s easily the most famous and is still used today. instead of being distilled from a plant, chunks of arsenic and dug up or mined. It was once used as a treatment for STDs , and also for pest control and blacksmiths, which was how many poisoners got access to it. It was popular in the Renaissance since it looked similar to malaria death, due to acute symptoms including stomach cramps, confusion, convulsions, vomiting and death. Slow poisoning looked more like a heart attack.

Nightshade: A single leaf or a few berries could cause hallucinations - a few more was a lethal dose. Mediaeval women used the juice of the berries to colour their cheeks, they would even put a few drops on their eyes to cause the pupils to dilate for a lovestruck look which is why Nightshade is also called ‘Belladonna’ or “Beautiful woman.” The symptoms include dilated pupils, sensitivity to light, blurred vision, tachycardia, loss of balance, staggering, headache, rash, flushing, severely dry mouth and throat, slurred speech, urinary retention, constipation, confusion, hallucinations, delirium and convulsions.

Aconite: This toxic plant, also called Monkshood or Wolfsbane, was used by indigenous tribes around the world as arrow poison. The root is the most potent for distillation. Marked symptoms may appear almost immediately, usually not later than one hour, and with large doses death is near instantaneous. The initial signs are gastrointestinal including nausea, and vomiting. This is followed by a sensation of burning, tingling, and numbness in the mouth and face, and of burning in the abdomen. In severe poisonings pronounced motor weakness occurs and sensations of tingling and numbness spread to the limbs. The plant should be handled with gloves, as the poison can seep into the skin.

If someones poisoning another:

The character should analyse the daily life of the target well before attempting to poison them. Note what sort of medicines they take, at what moments they are most vulnerable, how attentive they are to their surroundings, and so on.

Choose a poison that suits your needs. You need to be as discreet as possible and not arouse suspicion. Too dramatic and people will know something is up. Choose poisons that are easy to slip into meals/don't have to be administered constantly, or you could simply frame it as an overdose by using the target's own medicines.

Think of how you want to administer the poison. Some take effect through touch while some require being swallowed. Based on that, come up with a plan to poison your target.

Make sure everything corresponds with the plot and characters, and nothing becomes a plot hole. Don't have a typically nervous character be perfectly calm when thinking of poisoning. Don't poison someone just for the sake of it. Have everything tie back to the plot, your characters rarely should be poisonings someone just for the "cool" effect. Trust me, it doesn't actually have that effect and just comes off like lazy writing. Have your characters act in accordance with their personalities.

Research time periods and history when choosing poisons. Not all poisons were popular during the same time periods, and not all of them are native to the same geographical areas.

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