a case of renal stone with moderate hepatospleenomegaly and ?cystitis

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_colic


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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,


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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

a case of renal stone with moderate hepatospleenomegaly and ?cystitis

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