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Left sided Ulcerative colitis and proctitis, girl passing frank blood in stools with lower abdomen pain

Baby. C.S (Patient Ref. No. L-6905) a 14 years old girl reported to the clinic with her parents for complaints of Ulcerative colitis since last 4 years. She had been diagnosed as having left sided UC and proctitis. She had complaints of frank blood in stools along with pain in the lower abdomen. Such episodes would occur at least once every fortnight. The pain would be constant crampy pain in the lower abdomen accompanied by nausea. Frequency of stools was 7-8 times even on other days when there would be no blood in stools or pain. She would have the urge to pass stools as soon as she would eat or drink anything. She did not pass any mucus with the stools and the consistency of stools was fairly normal. She had urgency and she would have to rush to pass stools whenever she would get the urge. She had lost 20 kilograms of her weight in the span of 3 years and she would feel very weak on account of the same. Her complaints would be worse from spicy foods, eggs, pulses, lifting weights, etc. one peculiar thing about her complaints was that the pain in her abdomen would get worse from loud noise.

Her appetite was average though she had easy satiety. She was fond of sweets, chocolates, cold drinks and bread. She disliked spices, milk and fruits. Her thirst was very less and she would barely take 3-4 glasses of water per day out of compulsion. Her sweat was scanty and she would dislike extremes of temperature. She had been obese as a child but had lost 20 kgs of weight since she got this complaint.
She had suffered from recurrent urinary infections in childhood and had also developed severe bronchitis once. There was no history of ulcerative colitis in the family but her father had hypertension and grandfather had bronchial asthma.

Her colonoscopy had revealed ulcerative proctitis and biopsy of her rectum suggested strong possibility of ulcerative colitis. Barium enema also confirmed ulcerative colitis.

She was a short tempered girl and she was especially fussy about food. She would throw up temper tantrums whenever the food would not be to her liking. She would shout and throw things when she would get very angry. She would also get angry on being contradicted and would start weeping when she would be very angry. Consolation would make her feel better. She was sensitive and would get hurt easily by others' words. She was obstinate too and would want things to happen just as she wished. She had marked fear of sudden loud noises and of dogs. She was very good at her studies and would always be amongst the rankers in her class. She was fond of company and would not like to stay alone.

Based on this history she was prescribed Natrum Carbonicum in the 200th potency along with a dose of Carcinosin 200. At the end of about 6 months of treatment, the frequency of her stools had come down to about 4-5 times a day. The urgency for stools was much less than before and she did not have any nausea now. The severity of the pain in lower abdomen was much lesser than before. She would not pass blood in stools as frequently as before though she would get mild relapse of the bleeding occasionally. She had to continue treatment for some more time to get further relief from her complaints.

It must be stressed that a proper diet and regimen must be followed in order to get good relief from the condition. This disorder is known to relapse after certain symptom-free period but the treatment should be targeted so that the relapse (if it does occur) is very mild and does not cause much trouble to the patient.

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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