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25 years old with Bronchial asthma since 3 years, experienced heaviness in the chest & inability to speak due to breathlessness

This is the case of a 25 years old male patient, Mr. S. S. J. (Patient ref. no: L6649), who reported to us for complaints of Bronchial Asthma since 3 years. He would get episodes of breathlessness about twice every month and these would last for 6- 8 hours. He would experience heaviness in the chest and inability to speak due to the breathlessness. These complaints would be worse in the morning from 3 a.m. to 10 a.m. These symptoms would be triggered on exposure to dust and chilly powder at his work place (He was working at a grocery store). The breathlessness would worsen on lying down and in the winter season. During the episodes of wheezing, he would gain some relief on sitting up. He had also been admitted once in the hospital for control of a severe asthmatic attack. He was not on any regular medication for this, but would require medicines only during the acute phase.

There were complaints of recurrent colds since childhood. He would get these severe bouts of sneezing about once every month. The nasal discharge would be mucoid and cause much irritation of the nose. At the same time, he would also experience throat irritation and blockage of the nostrils. These complaints would last for about 3-4 days and would be worse form cold food or drinks and in the cold weather. Change of weather would also trigger off his complaints. During the colds he would get excessive lachrymation and congestion of the eyes.

His was a lean built, with poor appetite. He was very fond of sweets and milk. His bowel movements were not satisfactory and would require some straining to pass stools. The sweating was not much but he mentioned that his hands and feet would always be cold to touch. His sleep was sound and he had no complaints pertaining to that.

He stayed away from his parents in Mumbai with his brother and both of them were into a business. He had not suffered from any major illness in the past except for jaundice a few years ago. His mother had complaints of allergic rhinitis and bronchial asthma.

He had marked anxiety about his health and he would often wonder that if he was having all such problems at this young age, what would happen to him when he would get old. He would feel that he would die due to his breathlessness and would have marked fear of death form breathlessness. He would like to be in company of people. He said that he would rarely get angry but whenever he would get angry, his temper would be violent. Often, he felt like beating up the opposite person but he would have the tendency to suppress his anger and not express it at all. His anger would mostly get triggered by contradiction and was completely intolerant of contradiction.

He was prescribed Thuja 200 for his complaints based on the above history. At the end of 3 months of treatment, the frequency of asthmatic attacks was much better than before. He had just 2 episodes of breathlessness during these 3 months and they were very mild and lasting for just a few hours. The medication was continued for another few months and after another 6 months, his asthma was significantly better than before. He was completely off any other medication for asthma now. He would occasionally get mild episodes that would subside within few hours after medicines.

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.

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