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  Case Studies of Ureteric Colic 68 years old male patient Mr. C. M. P. (Patient reference no. L6406) was brought to the clinic by his 2 children for complaints of increased frequency of micturition since 5 days. He would have to rush for passing urine every 30- 45 minutes and there was pain in the left side of the abdomen radiating from the loin to groin region. The pain would come on intermittently and was quite severe in intensity. He also had mild nausea since a few days but no vomiting. The ultrasonography of the abdomen revealed a 7mm calculus at the left uretero-vesical junction which was causing certain back-pressure changes in the left kidney. He did not have any history of fever or passage of blood in urine. He had been diagnosed as having benign enlargement of the prostate about 8 months back. Since then he had been having increased frequency of micturition but it was never as severe as this time. He had been suffering from right sided hemiplagia (paralysis of the right side of the body) since past 5 years. He had recovered to some extent after this attack but there still was stiffness of the right side of the body but he could manage to walk with some support. He would get episodes of frequent colds since the last 25 years. He had chronic thick whitish discharge from the nose and constant clearing of the throat. He would occasionally get severe bouts of sneezing. His appetite had decreased significantly in the past few days. He was very fond of sweets, yogurt, cold drinks and ice-creams. He did not like eating vegetables. His thirst was lesser than normal and sweat was scanty in general. His sleep would be quite disturbed due to increased frequency of micturition at night. He was a retired person who was previously employed with Air force and later with the ministry of communication. He stayed with his 2 daughters. His son reported that the patient’s vocabulary had markedly reduced after he had suffered from the stroke. He would be at a loss of words and would often have to use gestures to communicate with others. He would often use one word instead of another and would have great difficulty in finding the correct word to speak. His speech was clear and there was no slurring. His activities were much restricted because he did not like watching TV or reading newspapers and would not be able to talk to someone on the phone either. He would get angry very easily and would shout when he was angry. His anger would be easily triggered by contradiction. He was a very impatient person and could not wait for things to happen; he would want things to be done quickly. Obstinacy was an important feature in his case; his daughter said that once he says “no” for anything, he will never change his opinion. He would not obey the opposite person even if it was in the best of his health to do so. He was otherwise a very soft-hearted, kind and helpful person. He had much anxiety about the health of his daughters, one of whom suffered from Bipolar disorder and the other one who suffered from lupus arthritis. He would like to have company of people and desired o remain active rather than doing nothing. He would often weep when he was sad and would feel better when consoled by someone. In the past he had one episode of ureteric calculi about 10 years ago and left sided stroke about 5 years ago. His elder brother had similar complaints of renal calculi and diabetes mellitus. His mother had arthritis and another brother of his suffered from hypertension and ischemic heart disease. Based on the above history he was prescribed Strychninum 30 repeated 4 times daily for his ureteric calculus. A week later he reported that the pain was much better, more than 75% better than before. The frequency of micturition was almost the same as of now. He did not have any burning during or after micturition and the nauseas was completely gone. His appetite had also improved as compared to before. Another week of medication relieved him of the pain completely and the frequency of micturition came down to his original (every 2 hours). He did not have any nausea or vomiting or fever. The medication was continued later for some more time for his frequent colds. Remark: The remedy prescribed in these cases is patient-specific i.e. it has been prescribed based on the symptoms specific to the patient at that point of time. It is advisable that the patient does not indulge in any self-medication. Click here for more Case Studies |
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