Case History; of the patient whom I have treated (reports enclosed)
Patient name –Mr. Antony Age—39 years Date-03-05-2010
A male aged 39 years , business man , consulted for renal calculi, He presented the following symptoms pain in left loin , radiating to genitals , frequent urination with yellowish colored urine , left renal calculus with recurrent episodes of pain along the urinary tract . Indigestion with nausea < after meals , fatty food , sour eructation and regurgitation . He loved spices , salt and fried things , constipation , patient is very fat and weight 90 kgs height 5 feet –8 inches
History of presenting illness :
The patient had sudden pain in the left loin and rushed to casualty . the pain was actually managed with some pain killers and intra muscular injection , An ultra sonogram of abdomen was advised which is elicited with the impression of a left renal calculus with a distal uretric calculus just above the vesico uretric junction
USG REPORT; IMPRESSION
Fatty liver , left hydronephrosis is secondary to distal ureteric calculus mild prostetogamy
History of dyspeptic symptom with fullness of abdomen . Abdominal distension with few mouthfuls and regurgitation . He also had frequent and burning micturition , sudden pain in abdomen and left lion which radiated to left testes , since 2 years , he also had painful micturation , nausea and vomiting . I advised him to undergo a imaging study which revealed , mild nephrosis on the left side with a calculus measuring left ureter is dilated and shows calculus in the distal part , it measures 9×6 mm in size and normal texture , it measures 4.1 x 3,3 cms , volume 25 CC . he had treatment for dyspepsia and also reported recurrent urinary tract infections , his appetite , bowel habits were normal . sweat profusely , all over , sleep was good and dreams were on a day to day happenings , he has craving for hot food . The patient is keen , intellectual , sensitive , hurry and perfect in his duties , when urinary tract is set on fire , tenesmus , intolerance before , during , after urine passes drop by drop with raw scalding burning paroxysms .
Physical generals ;
Back ache , localized only in the lumbar region ineffectual desire for urine , he craved muttons , chicken , non vegetarian food , burning sensation dyspepsia for more than 4 years
Pain in left renal angle radiating to the left testicle , left ureteric calculus with pain in hypogastrium of flatulent dyspepsia , hot patient
Food type ;-non vegetarian , too much liking , food meat , chicken , fish ++
Intolerance ; potatoes + , fatty food + meat
Sweat –more over axial ++ sleep disturbed , thirst too much
Urine – frequent and burning urination , severe burning , but passes little at a time , flatulence , worsened , pain , burning palms , when asked to drink plenty of water
First prescription ;
1] sarasaparilla 1M – 3 dose , only one day M/A/N
2] berberis vulgaris Q –daily 3 times for 1 month
3] cantharis 30 — TDS , daily 3 times for 1 month
4] colocynthis for acute of colic
pain in back reduced , frequent urination pain reduced , urine burning , relief urination regular
2ND prescription ;;
1] lycopodium 1 M – 3 dose daily night at bed time for 3 days only
2] berberis vulgaris Q –30 ml for 1 month
3] sabal saralatha Q —30 ml
4] colocynthis 200 – for acute colic
5] sarsaparilla 200—30 ML pills tds for 1 month
MEDICINES
1] cantharis vesicatoria – cantharis is a valuable remedy in the passage of renal calculi , kidney region is sensitive ; colic cutting , smarting or burning , biting or as if raw , causing mental excitement , constant and intolerable , urging to urinate before , during and after urination , when urinary tract is set on fire , tenesmus , intolerable before , during , after urine passes drop by drop with raw , scalding – burning paroxysms , fury of mind , frenzy of sexual excitement match with turmoil of water of life .
2] lycopodium clavatum- kidney colic from left ureter to right bladder , pain in black before micturating ; ceases after flow ; slow in coming , must strain , retention of urine , grasy pellicle in urine , red sand in the urinr and uric acid diathesis ; mental and physical ; make the essential totality
3] berberis vulgaris —berberis is on excellent remedy whwn the stone is in the pelvis of kidney or in the ureter burning , sore sore sensation in kidneys , renal colic of left side , most characteristic in berberis is pain only in hips and loins
4] sabal sarrulatha Q – sabal sarrulatha Q is homoeopathic to irritability of the genito – urinary organs , general and sexual debility , promotes nutrition and tissue building , constant desire to pass water at night enuresis , paresis of sphincter vesicae , chronic gonorrhea , difficult urination , cystitis with prostatic hypertrophy . urine regular , pain left side , left shoulder occasionally , no any pain and no burning and pinching pain
3RD prescription ;
1] lycopodium 1M –3 dose
2] sabal sarrulatha –30ml
3] berberis vulagaris Q —30ml
4] cantharis 30 –tds for 1 month
5] conium 200—weekly one dose for 3 weeks only
after 4 months or so , one fine morning , the patient rang me up to convey his congradulations . To fill the details ; the patient started having severe colic a night before , medicines plus plenty of water to drink brought a big piece of stone out at the end of urination , with relief after . After an hour or so of short lived relief , he again had spasmodic colic , again the same schedule of medicines and plenty of water , again with a jet of urine , another piece of stone was expelled .
feels better , urination regular , no pain , other generals good , better no complaints , UGS report NORMAL
BOTH THE REPORTS ARE ENCLOSED (BEFORE AND AFTER)
POOJA HEALTH CARE CENTRE +
patient—Mr.Antony age-39 yrs male
ref—Dr.B.S.Suvarna visit date —03/05/2010
ULTRA SOUND OF ABDOMEN
Liver shows fatty infiltration , no focal lecions or diffuse pathology
Intra and extra hepatic billiary passages are not dilated
Intra hepatic IVC & hepatic veins are normal
Gall bladder is distended with clear contents & normal wall thickness
No calculi or debris seen
Pancreas is normal to the extent seen . no calculi or ductal cilatation seen
Spleen is normal in size and texture , no focal lesion
No free fluid noted in peritoneal or pleural space
Para-aortic & aorto –caval regions are normal . diaphragmatic movements
Satisfactory . no evidence of sub diaphragmatic pathology seen
Both the kidneys are normal in size & texture with normal cartico medullary
Differentiation . left kidney shows moderate hydronephrosis
No evidence of calculi or hydronephrosis seen on right side
Right kidney measures 10.1×1.7 . left kidney measures 10.2 x1.8 cms
Left ureter is dilated and shows calculus in the distal part , it measures 9×6 mm in size
Urinary bladder is distended and appears normal . no vesical calculus seen
Prostrate shows mildly enlarged in size and normal texture
It measures 4.1×3.6×3.3 CMS . volume –25 CC
Impression : FATTY LIVER
LEFT HYDRONEPHROSIS IS SECONDARY TO DISTAL
URETERIC CALCULUS
MILD PROSTETOMEGALLY
Thanks for referral
Dr. Shashidhar—radiologist
Anjaneye temple street , near pooja theatre , vijayapura extension ,
chikmagalur –577101
Phone : 08262/856888 , 232486
POOJA HEALTH CARE +
Patient name –Mr. Antony age —40 years –male
Ref-Dr.B.S.suvarna visit date —–25-01-2011
ULTRA SOUND SCANNING
Liver shows fatty infiltration . no focal lesions
Intra & extra hepatic biliary passages are not dilated
Intra hepatic IVC & hepatic veins are normal
Gall bladder is distended with clear contents & normal wall thickness . no calculi
Or debris seen
Pancreas is normal to the extent seen , no calculi or ductal dilatation seen
Spleen is normal in size & texture . no focal lesion seen
No free fluid noted in peritoneal or pleural space
Para aortic & aorto-caval regions are normal , diaphragmatic movements satisfactory . no evidence of subdiaphragmatic pathology seen
Both the kidneys are normal in size & texture with normal cortico medullary differentiation . no evidence of calculi or hydronephrosis seen bilaterally
Right kidney measures 11.8×1.9 cms
Urinary bladder is distended with clear contents and normal wall thickness
No vesical calculus seen
Prostate appears normal in size and texture .
It measures 3.6×23.8×2.5 cms—-volume 22 cc
IMPRESSION ——–FATTY LIVER
Thanks for referral
Dr.SHASHIDHAR RADIOLOGIST
anjaneya temple street , near pooja theatre , vijayapura extension,
chikmagalur-577102
phone 08262-656888, 232486
