Oct 2013|Vol 10|Iss10

   
 
Case
 
   
A case of Endometriosis, Renal Calculus and Hepatomegaly
 

 

Dr.Sandeep Kumar Mishra, MD(hom)
7/159-A , Swroop Nagar
Near Maruti My Car Driving School
Model Bakery Road, Kanpur
Mobile no.-+919839114138
Email: skumarm@iitk.ac.in

 
 
 

A twenty seven year old male presented the following complaints-
• pain whole abdomen,
• Hyperacidity,
• heaviness in abdomen,
• belching, eructation’s,
• profusely menstrual bleeding,
• spotting between periods,
• Loss of appetite.

        Initially she had sudden pain in the whole abdomen, she became restless with profuse perspiration, excruciating, intermittent pain that radiates from the flank to the groin. Accompanied by urinary urgency, restlessness, sweating, nausea, and vomiting. Backache more while lying better by pressure. For which she rush near physician and get pain reliving treatment. Loss of appetite. Acidity .Heaviness sensation in abdomen especially upper abdomen since last 6-8 months after taking fatty foods, aggravation at evening ,rich food causes nausea feeling, sour eructation’s and belching, rumbling sound in abdomen aggravation at night, prefers loose the garments. Last 8-9 months menstrual character changed gradually abnormal vaginal bleeding, including bleeding or spotting between menstrual periods. Backache more while lying ,by pressure, weakness always she feel tired and desire to lie down. ultrasonography advised by the physician and imp0rression was given as hepatomegaly, endometriosis and right renal calculi

Generals

Thermal reaction-chilly patient catches cold easily
Appetite-don’t want to take food, heaviness sensation constant belching, eructation’s,
Craving-sour, sweet, prefers hot food
Thirst-profuse for cold water
Tongue-slight white coating, moist
Taste- bitter taste
Bowel-irregular, pain in lower abdomen before passing stool, pain during bowel movements, constipation during periods
Urine-urinary urgency, frequency, and sometimes painful voiding
Perspiration-profuse on slight exertion especially on upper lips
Menstruation-painful, sometimes disabling cramps during menses; pain may get worse over time, accompanied by lower back pain. Throbbing, and dragging pain to the legs, Pain can also start a week before menses, during and even after menses. During general bodily movement like exercise, pain from standing or walking,

Mental symptoms-weeping disposition, irritable, brooding, likes company, consolation aggravation. Chronic fatigue. During general bodily movement like exercise, pain from standing or walking

Clinical examination-anaemia

Investigations – Ultrasonography of whole abdomen revealed hepatomegaly, endometriosis and right renal calculi

Final selection of medicine- 11.12.10 on the basis of symptom similarity Kali Carb 30 4 globules twice daily for3 days, with sac lac 30 6 globules thrice daily for 15 days

Follow up-1                                   27.12.10

       Heaviness in abdomen after taking rich food, sour eructation and belching, appetite is not improved. Bowels are irregular but pain in lower abdomen before passing stool is not present, urinary urgency, frequency, and painful voiding is better, as a whole she feels no change .But as slight symptoms are changed ,so Kali Carb 30 two doses only with sac lac 30 6 globules thrice daily for one month

Follow up-2                                   22.1.11

       No change in backache, weakness ,menstrual complaints as it is ,heaviness in abdomen is decreases, cant tolerate rich food, sour belching and eructation’s are still persists ,appetite not improved, bowel are still irregular, in urinary problems she feels change as a whole only slight changes are there so no change in the medicine, Kali Carb 30 two doses only with sac lac 30 6 globules thrice daily for one month

Follow up-3                                   14.2.11

       Patient is absent but as reported there is no change in her complaints as well as again period occurs with same menstrual character, after the studying the case high potency is prescribed Kali Carb 200 4-4 globules twice daily for one day with sac lac and placebo 30 4-4 globules four times prescribed

Follow up-4                                   17.3.11

       Heaviness abdomen improves, belching same, she still feels weakness and backache too, no change in bowel character, patient took medicine for two months, Kali Carb 200 4-4 globules twice daily for one day with nihilinium 30 and placebo 30 for two months prescribed.

Follow up-5                                   23.5.11

       Patient is absent but as reported she feels better in her complaints and asked for one more month medicine the complaints better as a whole marked improvement is there, Kali Carb 200 4-4 globules twice daily for one day with nihilinium 30 and placebo 30 for one month prescribed.

Follow up-6                                   20.6.11

       Patient is absent but as she reported she feels better in all her complaints, so ultrasonography is advised with nihilinium 30 and placebo 30 for 15 days

Follow up-7                                   4.711

       Ultrasonography reports revealed no pathology, as well as patients feels better in all her complaints, especially she is happy now she feels her self energetic and can sit for long time with out backache for which she suffered for last 5 years (about the duration of these two complaints patient told me today)

Discussion and conclusion

       The case showed relief in symptoms and pathology with homoeopathic medicine prescribed on symptoms of the case which cover totality of symptoms. Ultrasonographic examination revealed right. renal calculi, hepatomegaly, and endometriosis she was treated according to homoeopathic principles and followed up for 8 months, resulting in total relief of signs and symptoms. Kali Carb was selected on the basis of symptoms covering totality, Kali Carb not only relived presenting complaints but also reduced the other associated symptoms like weakness, back pain loss of appetite etc, thus upholding the principle of homoeopathy as a ‘holistic approach’. This is verified in the present study.