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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
patients 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. |
