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7/27/2019 A Case of Renal Stone with Moderate Hepatospleenomegaly and ?Cystitis
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A Case of Renal Stone with Moderate Hepatospleenomegaly and
?Cystitis
Dr. Abishes Saha MD (Hom)Senior Medical Officer (H), I/c DGHD Sangam Vihar,
Directorate of ISM&H, Govt. of NCT Delhi .
AbstractA 36 years old male patient having renal colic presented with USG reportrevealing 5 mm of right renal stone, hepatospleenomegaly and ?cystitis.
Homoeopathic treatment provided symptomatic relief within few days whereroutine analgesics could not and repeat investigation reports suggest that
renal stone was expelled within 3 months of homoeopathic treatment.
Keywords: Renal stone, homoeopathy, hepatospleenomegaly, cystitis,lycopodium
Introduction
Also called urinary stone (nephrolithiasis, ureterolithiasis or cystolithiasis) ;these are formed normally and passes through urine. Only when they areabout 3 mm and above, may cause symptoms called renal colic). Renal coliccan be associated with nausea, vomiting, fever, blood in the urine, pus in
the urine, andpainful urination.
It is important to keep watch on prognosis because, if it is not responding to
treatment and pathology is progressing, it may lead to decrease or loss offunction in the affected kidney, kidney damage,scarring, obstruction of the
ureter (acute unilateral obstructive uropathy),-urinary tract infection etc.
Cases of renal colic are quite common in Homoeopathic OPD specially whenasked for lithotripsy. Many a time, they are also referred by our allopathic
colleagues. Careful homoeopathic treatment, many a times has successfullymanaged those cases.
Case studyA 36 year old male complained of bilateral upper abdominal pain along with
recurrent dull colicky pain in right renal angle for the last 3-4 months. He
also felt mild burning in urethra since two months. He was underconventional medical care and gone for Ultrasonography whole abdomen,
which revealed renal calculi, with moderate Hepatospleenomegaly andcystitis.
http://en.wikipedia.org/wiki/Renal_colichttp://en.wikipedia.org/wiki/Nauseahttp://en.wikipedia.org/wiki/Vomitinghttp://en.wikipedia.org/wiki/Feverhttp://en.wikipedia.org/wiki/Hematuriahttp://en.wikipedia.org/wiki/Pyuriahttp://en.wikipedia.org/wiki/Dysuriahttp://www.nlm.nih.gov/medlineplus/ency/article/001065.htmhttp://www.nlm.nih.gov/medlineplus/ency/article/000521.htmhttp://www.nlm.nih.gov/medlineplus/ency/article/000521.htmhttp://www.nlm.nih.gov/medlineplus/ency/article/001065.htmhttp://en.wikipedia.org/wiki/Dysuriahttp://en.wikipedia.org/wiki/Pyuriahttp://en.wikipedia.org/wiki/Hematuriahttp://en.wikipedia.org/wiki/Feverhttp://en.wikipedia.org/wiki/Vomitinghttp://en.wikipedia.org/wiki/Nauseahttp://en.wikipedia.org/wiki/Renal_colic7/27/2019 A Case of Renal Stone with Moderate Hepatospleenomegaly and ?Cystitis
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He was referred to an urologist who suggested lithotripsy. He reported atDGHD Sangam Vihar for homoeopathic treatment.
Physical generals:
Complexion- Dark, Appetite-normal,
7/27/2019 A Case of Renal Stone with Moderate Hepatospleenomegaly and ?Cystitis
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Thirst -normal, Bowel movements -regular, Urine 6-8 times/day; sometimes burning in urethra . Hot patient Desire for sweet
General & Systemic examination
P/A : tenderness in the upper abdomen ( RH, Epigastrium & LH ) Tenderness at right renal angle
Case analysisIt was decided to repertorise the case using radar software and the following
totality of symptoms was considered:1. Hot patient.2. Desires Sweet3. Right Sidedness4. Renal Stone
The rubrics selected were as under:
KIDNEYS - STONES
GENERALS - SIDE - rightGENERALS - FOOD and DRINKS - sweets - desire
GENERALS - HEAT - sensation of
Prescription& follow up:
Patient was advised to take plenty of water.2-5-13
Rx
Lycopodium1M / 4 doses/ BD,
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Berberis vulgarisQ 10 Drops B.D./ 1 week.
15/05/13 :
No changeRxContinue same treatment (CST)05/06/13 :
Recurrence of pain is less. There was severe colic for a while.Rx
CST
24/07/13:Recurence of pain in back, upper abdomen and burning much better.
RxCST
31.07.13 : Much better in all respect.Rx
CSTAdvised to Repeat USG whole abdomen.
21.08.13
Slight burning in urethra present. No other complaint.He also showed the repeat USG report..
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Rx
CSTTo report only if any symptoms left or reappear.
The patient is still being followed up to note any resurgence of complaints.
Discussion and conclusion:Lycopodium was selected on the basis of repertorisation and Berberis
vulgarismother tincture was prescribed in the pathological sphere.
A synopsis of changes pre-post homoeopathic treatment is as below:
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PRE-TREATMENT POST-TREATMENT
Moderate Hepatospleenomegaly Mild spleenomegaly
Right renal Calculus No renal calculus
? Cystitis NORMAL BLADDER WALL
Within 2 months of homoeopathic treatment the patient got rid of his
complaints. If given properly, homoeopathic medicine works speedily andgently in cases of renal calculi with cystitis.
References:
o Davidsons Principles and practice of medicine - SeventeenthEdition Senior Editors CRW Edwards et al
o Repertory software - Radar