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76 years old male
patient, Mr. N. G. P (Patient ref. no.: S5187) was brought to the clinic for
complaints of decreased appetite since the last 2-3 months. This had got still
worse in the last one month. He also complained of generalised weakness due to
the same. He had suffered from a stroke (lacunar infarct) about 4 months back.
He had started developing recurrent episodes of hypoglycaemia recently whereby
his blood sugar level would go below 30mg/dl and he would develop
unconsciousness due to the same. He had been hospitalised 6 times for such
episodes and all investigations done were normal. There was no evidence of any
pancreatic tumour or adrenal tumour on investigating. His diabetologist declared
this as a case of Idiopathic Hypoglycaemia.
He also
complained of bowel disorder since one month whereby he would alternately get
diarrhoea or constipation. He would also have dull aching pain in the abdomen
that would be more localised to the region of the epigastrium.
He was fond of
sweets although he wouldn’t even take sweets since the onset of complaints. His
thirst was normal and he no complaints in relation to urination. His sleep had
decreased markedly and he was very anxious due to this.
He stayed with
his son, daughter-in-law and grandchildren. He had some dispute with his
daughter-in-law and they could never get along with each other. He constantly
felt lonely and sad in general. He had loathing for life and he said he was not
afraid of death. He also felt nervous due to these complaints that he was
developing.
Based on the
above history, he was prescribed Phosphorus 200 along with a single dose of
Carcinosin 50. His family was advised to keep a daily check on his blood sugar
levels. 2 weeks later, he reported to us with slight improvement in his
appetite. His blood sugar levels remained on average between 40 to 80 whenever
checked. During this span of 2 weeks he did not get any episode of hypoglycaemia
at all. The medication was continued after adding Baryta Carbonicum 200 to his
regular medicines. He maintained to have a poor appetite for some time and he
did get hypoglycaemic episodes about twice in the next 2 weeks. The potency of
the medicines was stepped up and there was further improvement in his health. He
got just 1 hypoglycaemic attack in the next 2 weeks after which he did not have
any further episodes. His blood sugar levels continued to improve and maintained
on about 75mg/dl thereafter. Another few months of medication saw improvement in
his appetite and his blood sugar levels had also stabilised by now. The
generalised weakness that he would constantly feel was also much better than
before. The treatment was concluded after some time.
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. |
