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CASES MATERIA MEDICA GENERAL ARTICLES ABSTRACT MISCELLANEOUS Q & A

Case 104: Husband's Brain Tumor depresses me

Abstract: The following case surmises the Cause of the Ailment, here the Depression due to the Brain tumor of the Husband, and the consequent perfect cure of the same came only when her menopausal hot flushes surfaced in 2006. Till then we bungled along with many changes of remedy from Puls to Lyc to thuj.

Mrs RRA, 43 yrs old, Married, Graduate, Egg eating Vegetarian, Punjabi, Jewelry Designer, came on 30/07/04 with the following complaints.

CHIEF COMPLAINT

LOCATION SENSATION MODALITIES CONCOMITANTS
THYROID
Since 1994
P/H →

2006 →

Hypothyroid

Exhausted
Oedema 3+
Water retention
↑ Value




↓ Salt, Water
Rx Eltroxin 50mg



Thyrox 125mg OD
ABDOMEN
Above navel
All around abd.
L4
Since 2week OD
July 2004
2006 →
Stomach
Pain
Dull aching
Nausea
Unsatisfactory stools3+
Flatulence offensive, Noisy
Acidity3+ - Hunger
< Maida3+
< 5pm - 6.30pm
< Chana
< Fried, Samosa
> Isabgol
> Curds
> Yoga
Diagnosis: IBS
Rx PanzynormN
Sompraz 20
Mebaspa
Motinorm DT
HEAD
Rt or Lt Forehead
Since 15yrs
2/wk X 1hr
Throbbing pain
"As if Hitting"
< Sun3+
< Evening, Night
< Light3+
< Noise3+
> Pressure
> Combiflam
> Holding head
< Movement
BP 130/80mmHg
SKIN
Back, Arms, Leg
and Neck
Since 5 - 6yrs
Allergy
Bloatches 3+
Redness 3+
< Food
> Liquids
CNS
Since 20 yrs
Depression
Lack of confidence
A/F Husband's
brain tumor
Rx Dapsonil 75mg
Lametec 100
High dose Shelcal
NECK, cervical
spine
Spondylosis
Stiffness3+
< Movement  
RECTUM
Since 2004
Piles
Bleeding, Burning
and Pain
< Sitting  

PATIENT AS A PERSON
WEIGHT: 61 kg
BUILT: Lean
APPETITE: Good
DESIRES: Chocolate3+, Salty, Sweets3+, Potatoes3+, Coffee, Ice-cream 3+
AVERSION: Spicy
THIRST: ↓ 4gl/day
STOOL: 1/day. Unsatisfactory, Discomfort
URINE: 2/HS
SKIN: Fair Allergic to Lipstick
HAIR: Loss
PERSPIRATION: Profuse since a year esp on neck and face. ?Menopausal which worsened in 2006. Then remedy given
MENSES: FMP: 1974 at 14yrs of age. LMP 21/07/04. Regular, in 21 days. Dark-red clots
Before menses: Moods N. Perspiration3+, Hot feeling > Fan, Hot vapors coming out of face > Cold drink
BATH: Tepid water
THERMAL: Sun < Headache. Likes warm and summer, Hates winter, Likes open air, C3H2
SLEEP: Deep, lies on sides
DREAMS: Absurd
MIND: Brooding3+, Anger3+, Irritable3+, Weepy when depressed, Attached to child, Screams at H and fights, Changeable, Perfectionist, Company and Consolation >

LIFE SPACE INVESTIGATION
Pt was born on 10th Nov 1960 in Mumbai. She completed her SSC in a Convent School with 63% marks. She got admission in B.Com in NM College of Commerce but somehow she could not pursue her final year of the Graduation. She had an arranged marriage in 1980 and in the same year got pregnant and gave birth to a beautiful Da in 1981. In 1986 she started business in Jewellery Designing. She lived in a joint family but in the year 1987 MIL asked her to leave the house so she got a new house of her own. I am unable to handle any situation, it scares me easily. I cannot take criticism. Talking gives me immense relief whenever I have some problem. I share a good relation with my H and Da. My responsibility in life is to be always there for my friends, my family and my beloved Da. I dread her leaving me after her marriage though I know it is inevitable. I love and adore my parents and my two sisters. I can forgive their any mistakes. My H has a brain tumor and that is one of the reasons for my depression. My Fa is short tempered and is a Cloth merchant. Mo too is short tempered and is obsessive about the pt. I was very bold and tomboyish in school, though the boldness decreased in the in-laws house as I was scared of them.

ACUTE TOTALITY

  • Headache, Rt Sided
  • Nausea with headache
  • Headache > Sleep
  • Headache < Noise
  • Headache < light
  • Headache < Constipation

REPERTORIAL TOTALITY

  • Anger
  • Irritable
  • Brooding
  • Weepy
  • Depression
  • Dominating
  • Loquacious
  • Careless
  • Egoistic
  • Pain in abdomen
  • Throbbing headache
  • Neck stiffness

TREATMENT & FOLLOW-UP

DATE SYMPTOM REMEDY
30/07/04 A/F Anger3+ 1st week
Nux-v 200 1st dose
NIH Pills 200 3-3/7days
2nd week
Nux-v 200 3P; 1P=3
NIH Pills 200 3-3/7days
03/08/04 Pt. Telephoned C/O watery stools and vomiting 10pm-12am ? < of Nux-vom Ars-alb 200 2P; 1P=3
11/08/04 Diarrhoea > 3+. Constipation discomfort. Burning in throat A/F Thepla (Oily roti). Gas L6. Headache on 8/8/4 for an hour. Neck pain slightly, App. N, Thirstless Thuj 200 1st dose
NIH 3P
NIH Pills 200 3-3/7days
17/08/04 Migraine < Evening 2/week > Combiflam. Gas 70% >. Puls 200 4P; 1P=4
Mag-p 6X 1-1/7days
24/08/04 >. Pain around umbilicus, dull continuous pain. Stools constipation. Thirst ↓, Weakness3+, Throat irritation, Headache 0/wk 1st week
Puls 200 4P; 1P=4
Mag-p 6X 1-1/2days
2nd week
Thuj 200 1st dose
NIH Pills 200 3-3/7days
06/09/04 Acidity L0, Headache0/2wk, Depression L3, Anxiety +, Hair loss L0. Puls 200 4P; 1P=3
Cebo Pills 200 3-3/7days
13/09/04 Depression SQ, Insecure feeling, Thirst ↓, low feeling, Wt. 61 kg, App N, Don't feel like doing things Lyc 200 1st dose
NIH 6P
NIH Pills 200 3-3/7days
20/09/04 Low feeling, depressed > 10% on 14/09/04. On 19/9 catch in neck, stiffness3+ < morning Lyc 200 1st dose
NIH 6P
Mag-p 6X 1-1/7days
29/09/04 26/09 Loose motions 6times/day. Gas++. Depression +, Catch>3+, Constipation L0, Headache 1/wk, Depression L9, Anxiety +, Hair loss SQ. Acidity 1/wk Phos 200 1st dose stat
NIH 6P
NIH Pills 200 3-3/7days
05/10/04 Loose motions >3+. Yoga started Phos 200 2nd dose
NIH 6P
NIH Pills 200 3-3/7days
14/10/04 Pain, anus > cold since 2days. Mild burning, no bleeding. Headache L0/2wk, Neck stiffness L0/2wk, Acidity, Flatulence L0. Thirst↑, App N. Aloe 200 3P; 1P=2
Phos 200 3rd dose
NIH 6P
NIH Pills 200 3-3/7days
18/10/04 No relief. Pain mass near the anus, Bleeding PR < Sitting on 17/10. A/F Spicy Mur-ac 1M 2P; 1P=2
25/10/04 >. Mass SQ. Bowels not passed, Gas+, No bleeding since 5days. Voice hoarse Thuj 200 1st dose
NIH 6P
NIH Pills 200 3-3/7days
Mur-ac 1M 2P; 1P=2 SOS
05/11/04 Mass > 10%. Bowels clear, thirst in sips, Hoarseness and dryness of mouth, mood good. 1st week
Thuj 200 2nd dose
NIH Pills 200 3-3/7days
2nd week
NIH 6P
NIH Pills 200 3-3/7days
22/11/04 Constipated since 1week, Pain in abdomen near navel, Gas+, Acidity >Cold. Thirst N 1st week
Puls 200 3P; 1P=3
Pla pills 200 3-3/7days
2nd week
Thuj 200 3rd dose
NIH Pills 200 3-3/7days
01/12/06 Anxiety ↑, Desire company, Restless, Aversion to be alone, Ars-alb 200 1st dose
NIH 6P
Pla pills 200 3-3/7days
18/12/06 >3+++. Depression. < after fermented food, headache. IBS +, Hot flush Lach 200 1st dose
NIH 6P
Pla pills 200 3-3/7days
27/12/06 >3+++. Restless, Anxious, thirst less, hair fall, no dandruff. Ars-alb 200 1P
NIH 6P
Pla pills 200 3-3/7days
05/01/07 >. No headache, restless, Depression. Lach 200 2nd dose
NIH 6P
Pla pills 200 3-3/7days
17/01/07 Fever with headache, Chilly, Thirst↓, Weakness3+ Ars-alb 200 3P; 1P=3 SOS
Lach 200 3rd dose
Pla pills 200 3-3/7days
09/02/07 >100%. But pain ↑ on 1/2-6/2. Concentration L8. Can cook and can read. Thuj 200 3rd dose
NIH 6P
NIH Pills 200 3-3/7days
SOS Ars-alb 200 3P
06/04/07 Constipation. Perspiration 3+. Wt 63kg. Headache L0, Depression L0, Anxiety L0, Hair loss+, Tension L0, Acidity L0. 1st week
Alum 200 3P
Mag-p 6X 1-1/7days
2nd week
Lach 4th dose
Pla pills 200 3-3/7days
3rd week
NIH 6P
NIH Pills 200 3-3/7days
27/04/07 Back>50%. Itching, Rash L5 >A/C, Uncovering. Constipation stool hard. Perspiration face > direct air, Craves cold drinks Puls 200 3P; 1P=2
Lach 1M 1st dose in AM
Carb-veg 200 3P
02/05/07 Constipation L0, Headache L0/6wk, Depression L0/3wk, Anxiety L0/3weeks, Acidity L0/6weeks. IBS L0. Thuj 1M 1st dose
NIH 6P
NIH Pills 200 3-3/7days

Dr Vishpala Parthasarathy

Case 103: What if my Husband Throws me out?

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