Homoeopathy in urolithiasis-a case report

Dr Devika M

ABSTRACT
Urolithiasis can be defined as the process of formation of stones in the urinary tract, namely kidney or ureter or urinary bladder. Urinary stones are one of the most common diseases of the urinary tract. Even though it affects only 5% of the world population in that 12.7% are Indian population. Here is a case of 42 year old male diagnosed with urolithiasis was treated with homoeopathic medicines.  

INTRODUCTION
Urolithiasis generally begins when the urine becomes supersaturated with insoluble materials like calcium, Oxalate, uric acid, urates, etc. The most common symptom of urolithiasis is pain which is present in 75% of the patients mainly in flanks and lower back which may radiate to groin area and genitals .Other symptoms are increased frequency of micturition, haematuira, nausea, vomiting, pyuria etc. 

The lifetime prevalence of kidney stone diseases varies between 1% to 15%. Men are affected 2-3 times more than women. Studies have also shown that there is a significant association between the increased environmental temperature and kidney stones.

Following is a case of Urolithiasis treated by homoeopathic medicine.

CASE: A 42 year old man from a lower socio economic status family reported to the outpatient department of government homoeopathic medical college, Bangalore on 9/11/2019 with the complaints of pain in the left loin and left hypochondriac region since 6 months and increased frequency of micturition since 1 year. Pain was more while lying down, was better by pressure and it was of pricking type.

INVESTIGATION REVEALED:

USG ABDOMINO PELVIC,

IMPRESSION: Left non obstructive renal calculus (6mm)

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 PAST HISTORY: Patient has taken allopathic medication (pain killers) for the presenting complaints.

PAST SURGICAL HISTORY: Surgery was done for left femur after a road traffic accident.

FAMILY HISTORY: Mother had the history of Diabetes Mellitus, Hypertension and expired due to cardiac arrest. Elder brother also has hypertension.  

PERSONAL HISTORY:

Diet                   : Mixed

Appetite            : good

Thirst                : Increased

Desire               : Sweets

Aversion           : Nill

Bladder habit    : 8-10times/day, 3-4times/night

Bowel habit      : Regular, once/day, No difficulty

Perspiration      : Generalised

Sleep                : good

Dreams            : Unremembered

Thermal status: Chilly patient

Habits               : Nill

MENTAL GENERALS

Anxiety about health

Sensitive

Dependent

Yielding disposition

RUBRICS AND REPERTORISATION

1) Mind, Anxiety, health, about

2) Mind, dependent of others

3) Mind, sensitive

4) Mind, yielding disposition

5) Generals, food and drinks sweets, desire

6) Stomach, Thirst

7) Abdomen, pain, lying- back 

8) Abdomen, pain, pressure amel

BASIS OF PRESCRIPTION

The above mentioned rubrics were taken for repertorisation. With further reference from material medica Pulsatilla 200 was prescribed along with Berberis Q

FIRST PRESCRIPTION ON 19/11/2019

Pulsatilla 200 one dose and Berberis Q, BD for 7 days were given.

Follow up of the case is given in the below table.

DATE                 SYMPTOMS PRESCRIPTION
26/11/19 Patient is not better.

Complaints are the same

 Sleep : good

Appetite :good

Thirst-increased

1)Placebo/TID for 7 days

2)Berberis Q

10-0-10

03/12/19 Pain is better.

Thirst increased

Sleep; good 

Generalised feeling of wellness 

1)Placebo/TID for 7 days

2)Berberis Q

10-0-10

10/12/19

14/12/19

Patient feels better 

Slight pain 

Increased frequency of micturition

Patient feels better after medication

Frequency and pain reduced more than 50%

All the generals are good

1)Placebo/TID for 7 days

2)Berberis Q

10-0-10

1)Placebo/TID for 15 days

 

pastedGraphic_1.png

After treatment as on 14/12/2019

USG-ABDOMINO PELVIC

IMPRESSION- No signs of renal/ureteric calculus.

CONCLUSION

This case shows the effectiveness of homoeopathic medicines in the treatment of urolithiasis.

DECLARATION OF PATIENT CONSENT: Patient consent was taken for images and clinical information to be reported for this article. 

REFERENCES

 1) A multicentre observational study to ascertain the role of homoeopathic therapy in Urolithiasis. Indian Journal of Research in Homoeopathy. 2011 Apr 1; 5(2):30-39

2) Non surgical expulsion of renal stones (calculi)with homoeopathic remedies: A dependable alternative option.IJCAR;2018;7(2)February,9908-9918

3) Boericke’s New manual of homoeopathic material medica with repertory

4) Radar software: Frederik Schroyens Synthesis Repertory, Version 9.1 

Dr. Devika M
PG scholar, Department of Organon of medicine and homoeopathic philosophy
Government Homoepathic Medical College & Hospital, Bangalore

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