Monthly Newsletter December 2007
Age : 60/M
Chief Complaints: A Patient aged 60/M having pain in right hypochondrium extending to scapular region, back. Recurrent acidity. Burning pain in epigastrium. Acidic Dyspepsia. Nausea & vomiting from rich food. Distention in the abdomen better by eructations. Sour eructations. Flatulence. Patient is sensitive to pressure of clothing.
Pain in left lumbar region extending to lower abdomen.
Joint pain right sided.
Past History: Rheumatism since 3 years.
Family History: NAD
Patient is thirst less.
Desires for Sweets.
Appetite: Normal. Hungry at night.
Sleep: Sleep on right side
Thermal Relationship: Hot patient.
During Examination there is tenderness in right hypochondrium and right subcostal region.
Bp: 130/80 mm hg
Investigation: Before Treatment: USG Report dated 17/10/06
Evidence of single large echogenic structure of size about 18.0 X 13.1 mm having posterior acoustic shadowing GB lumen suggestive of Gall Bladder Calculus.
Evidence of grade I dilatation of left sided pelvi-calyceal system with sgnificantly dilated left ureter secondary to single ER calculus of size 5.5 X 4.2 mm in left lower ureter about 5 cmc proximal to left VUJ favors suggestive of Left Lower Ureteric Calculus.
Abdominal USG reveals evidence of
1) Left sided pelvi-calctasis with left V-U-J edema.
2) Secondary to left lower ureteric calculus.
3) Gall bladder Calculus noted, no associated cholecystitis.
USG of The Patient Before Treatment
Rubrics considered from Synthesis Repertory during repertorisation are
- STOMACH -
ERUCTATIONS - gallstones, with
- ABDOMEN - GALLSTONE colic
- ABDOMEN - PAIN - Liver - colic, gallstone
- ABDOMEN - PAIN - Liver - eating - satiety; to
- ABDOMEN - PAIN - Liver - extending to - back
- ABDOMEN - PAIN -
Liver - touched, when
- KIDNEYS - PAIN - ureters - left side
Lycopodium 200 single dose
Placebo x 2weeks
Cardus Marians Q. 10 drops 2-3 times a day as per severity of gall-stone colic.
Improvement in acidity, flatulence. Pain in right hypochondrium decreased. Pain lumbar region i.e. Ureteric colic decreased.
Lycopodium 1 M single dose
Nux Vomica 200 prescribed during acute attacks of ureteric colic & also in gall stone colic.
Cardus Marians Q. continued 10 drops 2-3 times a day.
Placebo for 15 days
Improvement in Gall stone colic & ureteric colic. No acidity.
Improvement in all complaints. USG repeated
After Treatment USG dated 12/12/06
No Gall bladder calculus.
No Cholecystitis. No hydronephrosis. No ER Renal Calculus. No VUJ calculus.
USG of The Patient After Treatment
Case Cured by
Dr. Pawan S. Chandak
‘Shradha’ Vishnu nagar,
Basmat Road, Parbhani