A CASE OF RECURRENT URINARY CALCULI
-
DR. K.K.SENTHIL KUMARAN
Introduction
:
Nephrolithiasis
is very common ailment, which draws more attention in our regular practice.
Marvelous results had been obtained in the treatment of Renal and Uretric
calculi. Author had presented a case of recurrent urinary corroborated
well with symptom similarity. The patient had very good improvement,
the direction of cure assures his confidence.
A lean, tall
gentleman aged about 37 years working as a clerk for southern Railways
consulted me for his recurrent urinary calculi. He had been to casualty
about three times and got admitted for acute abdominal pain. Periodical
scan study revealed stones in the Renal pelvis and Ureteric pathways.
He was treated with I.V fluids, painkillers and diuretics. He tried
other alternative Indian Medicine therapy for sometime.
When he made
out his first consultation, he was suffering with severe acute pain
.He looked very pale, anxious and cold sweating on face. His hands are
clammy. He narrated typical renal colic on right side, which radiated
back on right side and traveling to the scrotum on the same side. Micturation
was so painful during and passed mild yellowish colour on periodical
attacks.
Meanwhile
his wife had conferred that he is very nervous, hard worker, irritable
and intelligent. He had been treated for primary complex in childhood
and also suffers from frequent gastric upsets.
I immediately
suggested a ultra sonogram for KUB, revealed that the following inference
26-10-2002
" Multiple small calculi each measuring
around 0.3 cm are seen in the right kidney
A calculus measuring around 1 cm is seen in the lower calyx of the left
kidney
Multiple calculi each measuring around 0.4cm are seen in upper and middle
calyx"
- (Refer Scan Report -1)
R/x
- Lyc 30 three doses for three days
- Beriberis Vulgaris Q 15 drops three times a day.
The pain is managed
with
- Mag-P 6C
- Sang 6C
- Coloc 6C
During the course
of treatment he showed a stone that he voided after very severe pain.
I realised that some improvement can expected in imaging studies and referred
him to anther study
29-3-2003
USG studied as follows
Two calculi measuring 0.6cm &0.9cm are seen in lower calyx of left
kidney
- (Refer Scan Report -2)
R/x
Meanwhile he had no pain and
ignorant of his complaint , then he had a casual check up
10-07-2003
Intravenous Pyelogram
" Normal study"
- (Compare the X-Ray Report-3)
Still the patients is on Lycopdium1m on
monthly intervals and the recurrence of calculi is being monitored
Facet of symptoms for
prescription :
- Lean, weak, irritable, intelligent and fault finding
- Pain on right side radiating to left with great urging
< before urinating,
> 4-8 pm
- Suffers from gastric ailments flatulence, sour eructation
- Past history of primary complex in childhood
- Familial diathesis for gout
- Urine - yellowish, scalding,
- Sore pain in the right shoulder
I prescribed
Lycopodium as it constitutionally fits well for the patient and also the
referred pain of left ureteric calculi had started from right to left.
Even though the management of pain was little difficult. I prescribed
the above remedies on symptom similarity. I hope that this patient will
not have any recurrence as the prognosis had shown as per our principles.
|
|
Dr.K.K.Senthilkumaran B.H.M.S
"Kannan Homoeopathic Clinic"
# 267,Brough Road,
ERODE-638001
Ph 0424-2262060 |
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