by
Dr. Pawan S. Chandak
Name: ABCAge : 60/M
Occupation: Farmer
Chief Complaints: A Patient aged 60/M having pain in right hypochondrium extending to scapular region, back. Recurrent acidity. Burning pain in epigastrium. Acidic Dyspepsia. Nausea & vomiting from rich food. Distention in the abdomen better by eructations. Sour eructations. Flatulence. Patient is sensitive to pressure of clothing.
Pain in left lumbar region extending to lower abdomen.
Joint pain right sided.
Past History: Rheumatism since 3 years.
Family History: NAD
Physical Generals:
Patient is thirst less.
Desires for Sweets.
Appetite: Normal. Hungry at night.
Thirst: Less
Desires: Sweets
Sleep: Sleep on right side
Thermal Relationship: Hot patient.
Physical Examination:
During Examination there is tenderness in right hypochondrium and right subcostal region.
General Examination:
Pulse: 74/min
Bp: 130/80 mm hg
Investigation: Before Treatment: USG Report dated 17/10/06
Evidence of single large echogenic
structure of size about 18.0 X 13.1 mm having posterior acoustic shadowing GB
lumen suggestive of Gall Bladder Calculus.
Evidence of grade I dilatation of
left sided pelvi-calyceal system with sgnificantly dilated left ureter secondary
to single ER calculus of size 5.5 X 4.2 mm in left lower ureter about 5 cmc
proximal to left VUJ favors suggestive of Left Lower Ureteric Calculus.
Abdominal USG reveals evidence of
1) Left sided pelvi-calctasis with
left V-U-J edema.
2) Secondary to left lower ureteric
calculus.
3) Gall bladder Calculus noted, no
associated cholecystitis.
USG of The
Patient Before Treatment
Evaluation:
Rubrics considered
from Synthesis Repertory during repertorisation are
- STOMACH -
ERUCTATIONS - gallstones, with
- ABDOMEN - GALLSTONE colic
- ABDOMEN - GALLSTONE colic
- ABDOMEN - PAIN -
Liver - colic, gallstone
- ABDOMEN - PAIN -
Liver - eating - satiety; to
- ABDOMEN - PAIN -
Liver - extending to - back
- ABDOMEN - PAIN -
Liver - touched, when
- KIDNEYS - PAIN - ureters - left side
- KIDNEYS - PAIN - ureters - left side
First Prescription:
Rx
Lycopodium 200
single dose
Placebo x 2weeks
Cardus Marians Q.
10 drops 2-3 times a day as per severity of gall-stone colic.
Follow up:
05/11/2006
Improvement in
acidity, flatulence. Pain in right hypochondrium decreased. Pain lumbar region
i.e. Ureteric colic decreased.
Rx
Lycopodium 1 M
single dose
Nux Vomica 200
prescribed during acute attacks of ureteric colic & also in gall stone colic.
Cardus Marians Q.
continued 10 drops 2-3 times a day.
Placebo for 15
days
Follow up
23/11/2006
Improvement in
Gall stone colic & ureteric colic. No acidity.
Rx
Placebo
12/12/06
Improvement in all
complaints. USG repeated
After Treatment USG dated 12/12/06
No Gall bladder calculus.
No Cholecystitis. No hydronephrosis.
No ER Renal Calculus. No VUJ calculus.
USG of The
Patient After Treatment
Case Cured by
Dr. Pawan S. Chandak
‘Shradha’ Vishnu nagar,
Basmat Road, Parbhani
Maharashtra, India
Email:
pavanchandak498@gmail.com
Website:
http://www.modernhomoeopathy.com
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