A female aged 35 years attended NIH outdoor clinic and
presented constant lower abdominal pain more on the left side
and severe low back pain for last 7 years along with burning urination,
all of which had got aggravated of late.
H/o Present illness
Patient was suffering from lower abdominal pain which was gradual
in onset but persistent for last 7 years along with constant low
back pain. She was also having burning urination more or less
persistent for last 2 years. She has taken homoeopathic treatment
locally without much relief.
· Typhoid at the age of 13 years.
· Appendicectomy done at the age of 17 years.
· Premature menopause in both of her sisters at the age
of 35 and 37 years respectively.
· Mother living - Joint pain.
· Father living - Breathing trouble.
No addiction. P 0+0.
· Menopause at the age of 35 years.
· Appetite : Average,
· Desire : Bitter, extra salt in her food
· Intolerance : Milk causes nausea and wheat product produces
acidity and flatulence
· Thermal : Hot patient, sun heat always causes headache
· Tongue : Moist no coating
· Thirst : Average
· Stool : Hard
· Urine : Burning urination specially at the closure of
· Sweat : Profuse, feels better after sweating, stains
Sleep : Good
· Dreams : No particular dreams
· General sensations: burning sensation over palms, soles
and vertex, of recent origin.
disposition, weeping while telling her symptoms, aggravation from
consolation and irritability. She was grieved that she did not
have a child.
Patient came with previous whole abdomen ultrasonography report
“Right adnexa shows an ovoid thick-walled Cyst with a septation
measuring about 3.3× 2.2 cm. Another thick-walled Cystic
SOL measuring about 3.7×2.2 cm. is seen in the POD on left
side-? bilateral cystic SOL- ?bilateral cystic ovaries. A hypoechoic
ovoid SOL measuring about 6.5×4.2 cm. is seen in the left
adnexa. ? pedunculated subserous myoma.”
the Plate Before)
On the basis of marked physical generals like desire for extra
salt, bitter food, intolerance milk and bread, sun headache, burning
urination at the closure of it, hard stool and mentals like weeping
disposition, consolation aggravation, Natrum Muriaticum 200, 2
doses was prescribed
Follow Up 1
Except for the symptom of burning urination all the generals remained
the same. Pain abdomen persisted and low back pain
was reduced. Placebo was prescribed for one month.
aggravation of all symptoms including burning palms, soles and
vertex and burning while urination. These, with the patient’s
pelvic pathology, desire for salt, increased thirst, profuse sweat,
Medorrhinum 200, 2 doses was prescribed.
was on placebo as she was better last month. Again there was reappearance
of all previous symptoms, so Medorrhinum 1M, 1 dose was prescribed.
was continuing on placebo. Patient’s abdominal pain and
low back pain got reduced and also burning
with urination was much less. Now again for the features like
hard stool, persistent desire in respect of food like bitter and
salt, sun headache, and also the mental generals Natrum muriaticum
1M, 1 dose was prescribed.
Patient appeared much improved. Constipation improved. Frequency
and intensity of headache also reduced. Pain abdomen was still
less. Mentally patient appeared less anxious.Placebo was prescribed.
Patient received some acute remedies for cough cold etc.
in the mean time. Apart from this patient was on placebo. Now
her abdominal pain again increased, back pain increased, constipation
appeared and her desire for bitter and extra salt persisted. Again
Natrum muriaticum 10M, single dose was prescribed. Patient was
asked to come with a lower abdominal ultrasonography on her next
Patient was better in all her mental symptoms and physical
generals including the lower abdominal pain. Lower abdominal ultrasonography
as on 05.09.2010 showed:
“SOL - 47×29mm, right adnexal mixed echoic SOL, solid
in nature. Impression: Right sided TO Mass”. No subserous
fibroid was seen.
Placebo was given
Patient came back with burning while urination, burning palms
and soles and her extreme desire for cold foods and drinks. Even
with this approach of winter she could not tolerate any covering.
Considering the inherent sycotic trait of her case and all the
indications, Medorrhinum 1M, one dose was prescribed.
Patient having no lower abdominal pain and backache. Her physical
generals like those of sun headache,
constipation, burning urination, burning palms, soles and vertex
were no more. Lower abdominal ultrasonography (3rd USG) as on
03.03.2011 showed: “No TO Mass now seen”.
the Plate After)
In this case the menstrual disturbances (amenorrhoea) was not
considered a problem by the patient as two of her sisters also
experienced ‘premature menopause’ at about her age.
But she was extremely happy at the improvement of her distressing
symptom of pain. During the course of her treatment she was not
taking any hormonal medicines or other medicines prescribed by
modern medicine. The fact that improvement occurred not just in
her symptoms but was also evident from the sequential improvement
in the pathology as seen on ultrasonography must be considered
as an achievement for homoeopathy. The case shows the extreme
efficacy of homoeopathic treatment even in cases with organic