April 2010|Vol 7|Issue 4

April 2010 | Volume 7 | Issue 4



Cure
 
A case of Goitre
 


 


Dr.Ravindra Babu B.Sc ,B.H.M.S
PO-Boath, Dist-Adilabad
Andra Pradesh
Pin : 504304
Mobile : 9440549208



       A female aged 25 years presented with swelling in the neck region since 10 years.

    She presented the following symptoms

    · Loss of weight with dwindling of her breast

    · Increased appetite and hungry after eating

    · Palpitation < Exertion

    · Breathlessness on movement

    · Irregular periods with intermittent flow

    Past History
    H/o frequent tendency to catch cold and cough with fever

    Had been vaccinated for all communicable disease.

    Family History

    Paternal Grand father - Diabetic

    No history of Thyroid Disorders

    Treatment History
    Took allopathic treatment for the swelling in the neck

    Physical Generals
    Appetite - Increased
    Thirst - Normal
    Stool - Normal
    Urine - Normal
    Sweat - Profuse, more in palms
    Sleep - Normal
    Food Type - Vegetarian,
    Desires - Spicy food

    Has the habit of drinking tea

    On examination
    BP - 130/90 mm Hg
    Pulse - 74 beats /min
    Temp - Afebrile

    Mental Generals
    Mental and intellectual state of mind is very irritable
    Anxious and depressed.
    Provisional Diagnosis
    Goitre with Hyperthyroidism

    Before
    After

    First prescription 10-1-2004
    Rx
    · Iodum 1M one dose o.d on empty stomach
    · Placebo for one month

    Follow Up -1 10-2-2004
    Anxiety and depression -Better
    Swelling in the neck persists
    · Iodum 1M one dose o.d on empty stomach
    · Placebo for one month

    Follow Up -2 14-3-2004
    Swelling in the neck started reducing
    · Iodum 1M one dose o.d on empty stomach
    · Placebo for one month

    Follow Up -3 20-4-2004

    Palpitation reduced
    Generally feels better
    · Iodum 1M one dose o.d on empty stomach
    · Placebo for one month

    Follow Up -4 28-5-2004
    Swelling reduced further, complaints better
    · Iodum 1M one dose o.d on empty stomach
    · Placebo for one month

    Follow Up -5 01-7-2004
    Swelling completely reduced
    · Iodum 1M one dose o.d on empty stomach
    · Placebo for one month

    Refer the plate - Before and After

    Discussion
    This case simply responded to prescription based on the Totality of Symptoms. The Dynamic Medicinal force has evicted the Disease Force from her body by the suitable remedy. Here the signs and symptoms makes a clear provisional diagnosis of Hyperthyroidism with Goitre. Investigations and imaging studies had not been done since the patient is not affordable for the cost.