Acute Homeopathic Treatment

Question: Discuss about theAcute Homeopathic Treatment. Answer: Case Summary A 62 year old male patient Mr. A reported of experiencing pain localized in the epigastrium that often radiated towards the right scapular tip accompanied by symptoms related to nausea and vomiting. He also complained of indigestion, bloating and flatulence often. Pain ranging from dull to acute type is found to persist for 1-2 hours in postprandial condition and gradually subsided. Recurrent acidity and burning pain in the epigastrium were other perceived complaints of the patient. Working Diagnosis The diagnosis of the clinical condition referring to the associated symptoms as complained by the patient was conducted by virtue of performing laboratory based tests consisting of the complete blood test, differential blood count, liver function panel and lipase as well as amylase activities. The laboratory findings were insignificant except the liver function analysis and abdominal radiography did not reveal any conclusive diagnostic outcomes. Differential diagnosis by means of endoscopic diagnosis detected small stones in the gallbladder that confirmed the presence of the clinical condition termed as cholelithiasis. CT, MRI and oral cholecystography further provided evidence for the presence of gallstones in the patient (Lammert et al., 2015). Pathophysiology and Allopathic Treatment The precursor to gallstones formation consist of biliary sludge composed of calcium bilirubinate, cholesterol microcrystals and mucin. This sludge in due course of time evolve into gallstones that may be further divided into two types, one consisting of the calcium bilirubinate and inorganic Ca salts termed as black pigment stones. Old age, chronic hemolysis and alcoholic liver disease seem to accelerate stone development. Contrarily, brown pigment stones having a soft and greasy texture and composed of calcium bilirubinate and fatty acids appeared due to infection, inflammation and parasitic infestation. Biliary colic pain is the most common symptom along with the non specific GI symptoms of nausea, vomiting and bloating. Allopathic treatment for gallstones generally consists of oral bile salt therapy (ursodeoxycholic acid), contact dissolution and extracorporeal shockwave lithotripsy. Bile salt therapy is another option for the disease mitigation. The hard deposits of cholesterol, bile salts and bilirubin in gall bladder can thus be resolved through this treatment modality (Alok et al., 2013). Rubric Selection and Differentiation Pain in upper right abdomen radiating to the back and between the shoulder blades along with symptoms of nausea, vomiting, flatulence and indigestion High cholesterol in blood and high fat intake in diet Obesity prevalent due to excess body fat and overweight Gallstones in the patient (homeoint.org., 2016). Formal Repertorisation Gallstone: This analysis contains 524 remedies and 15 symptoms. Intensity is considered. Sum of symptoms (sort:deg) 1. MIND-COMPANY-desire for 1 130 2. MIND-MILDNESS 1 106 3. GENERALS-WARM-agg 1 175 4. GENERALS-FOOD and DRINKS-sweets-desire 1 175 5. GENERALS-FOOD and DRINKS-spices-desire 1 74 6. GENERALS-FOOD and DRINKS-meat-aversion 1 149 7. STOMACH-APPETITE-increased-disease: before the onset of a 1 7 8. EXTREMITIES-PAIN-burning-Foot-Sole-night 1 14 9. MOUTH-DRYNESS-tongue-morning-walking on 1 20 10. STOMACH-THIRST-night 1 94 11. DREAMS-GHOSTS 1 43 12. BACK-PAIN-aching-Lumbar region-walking 1 30 13. URETHRA-PAIN-burning-urination-during 1 187 14. ABDOMEN-GALLSTONES 1 33 15. ABDOMEN-PAIN-Hypochondria-right 1 91 Similimum and Remedy Analysis Referring to the Materia Medica by William Boericke it was found that in order to treat the symptoms associated to gallstones Calcarea Carbonica in addition to Lycopodium is recommended to suit the patients condition. Calcarea Carbonica would be effective in condition of overweight individual with gallstones and having high cholesterol and triglycerides similar to the studied case situation while Lycopodium will act on the cholelithiasis by means of alleviating the biliary colic pain (www.homeoint.org., 2016). Assessment of Susceptibility Sensitivity Dietary consumption patterns and exercise are the confounding factors influencing the development of gallstones. The geriatric patient exhibited features of obesity and is accustomed to intake fatty substance. Research indicates that obese or overweight persons undergoing rigorous weight loss programs or subjected to bariatric surgery are more vulnerable to contract gall stones. Empirical findings highlight the presence of cholelithiasis among the geriatric population. The inception of pain is often found to recur in 20-40% of patients per year. In 95% of the cases abdominal ultrasonography is found to be most accurate and sensitive to detect the presence of gallbladder stones. In the given case, the old patient with persisting obesity is therefore at the high risk of developing gallstones (www.drhomeo.com., 2016). Prescribing Recommendations Pertaining to the condition of cholelithiasis in the patient, Calcarea carbonica 200+ having potency 30 to CM is advised as the old man is found to be overweight and have high amount of cholesterol and triglycerides in the blood. Sulphur is recommended prior to taking the Calcarea carbonica followed by Lycopodium 200 single dose to alleviate the bloating after meals. Chelidonium is further suggested to ameliorate the pain in the patient. Dosage of the Calcarea carbonica with 30c every 12 hours for upto 14 days is suggested to treat the condition and dissolve the gall stones. Cardus Marianus Q. 10 drops for twice/thrice a day for two weeks as per severity of the pain may be taken as well (www.homeopathytoday.net., 2016). Prescription Instructions The prescribed homeopathic medicines are advisable to be consumed in clean mouth that is at least 15 minutes before or after taking any sort of meal or drink. Liquid form of the medicines is generally kept in a bottle with pipette or dropper. It is preferable and safe to store the medicines in a cool and dry place away from the sunlight or strong electromagnetic radiation within a temperature range of 10-20?C. After taking the medicine the patient should wait for 15 minutes prior to consuming any food or brushing the teeth. It is also recommended to avoid coffee, alcohol, spicy foods, mints, and tobacco during the course of medication (Barron, 2015). Adjunct Therapies/Non-Homoeopathic Advice In conjunction with the homeopathic recommendation, adjunct therapy consisting of Chinese medicinal herbs may be used safely for reliving the symptoms of gallstones due to the synergistic actions of the therapies so as to prevent future recurrence and ensure reduction of the pain symptoms because of the prevailing clinical condition (Gan et al, 2013). Possible Prescription Reactions On follow up after 14 days of prescription the patient reported of reduced perception of pain and improved bowel movement without any notable complication of nausea or vomiting tendency. No adverse drug reactions were also identified in the patient and an overall improvement of health was observed in him. Lycopodium 200 was only changed into 1 M single dose with all other prescribed medications remaining the same and the next consultation was fixed after another 14 days to evaluate the progress. References Alok, S., Jain, S. K., Verma, A., Kumar, M., Sabharwal, M. (2013). Pathophysiology of kidney, gallbladder and urinary stones treatment with herbal and allopathic medicine: A review.Asian Pacific Journal of Tropical Disease,3(6), 496-504. Barron, J. (2015). U.S. Patent Application No. 14/868,051. Gan, T., Chen, J., Jin, S. J., Wang, Y. (2013). Chinese medicinal herbs for cholelithiasis.The Cochrane Library. Lammert, F., Gurusamy, K., Ko, C. W., Miquel, J. F., Mndez-Snchez, N., Portincasa, P., ... Wang, D. Q. (2015). Gallstones.Nature reviews. Disease primers,2, 16024-16024. www.drhomeo.com., (2016). Retrieved on 2 December 2016, from https://www.drhomeo.com/gall-bladder/homeopathic-remedies-for-gall-stones-and-gall-bladder-pain/ www.homeoint.org., (2016). Retrieved on 2 December 2016, from https://www.homeoint.org/books/boericmm/c/chol.htm www.homeopathytoday.net., (2016). Retrieved on 2 December 2016, from https://homeopathytoday.net/homeopathy/family-homeopathy/item/80-how-to-dissolve-gallstones-with-homeopathy