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Case Study

The Other Dimension Of DUB
Dr S Praveen Kumar
'Puls / Ars-alb

A 16-year-old girl came to the government OPD for her menstrual problems. She had prolonged (for over 9 days), heavy bleeding in every cycle, negligible pain, no clots, but severe weakness with shortness of breath on slightest exertion.

Also has loss of appetite, less thirst and a peculiar desire to eat raw rice and chalk pieces. She was a college student from a low middle class family, mild, polite and submissive.

Based all these symptoms, she was given appropriate Homoeopathic medicine, Pulsatilla but to no avail. Before this, every conceivable indicated drug including Calc, Sep etc were tried without any relief whatsoever.

Case 2: 
A 40-year, female patient of DUB was almost put on the operation table. She had profuse, prolonged, almost continuous flow for 15 days, profound prostration, weakness, desperation, and fear of death; fear that she may have cancer. There was profuse sweating, tremendous anxiety & irritability; she was even unable to rest in bed. Gynecologists in town advised Hysterectomy, but she had fear of operation. I happened to visit her at that time and advised her to take Ars-alb 4 pills X 2 hourly for 6 times. She got no relief. She was then brought to Hyderabad and shown to a famous gynecologist in my absence. To everybody's amazement, the doctor deferred the operation and prescribed her a medicine. The lady recovered in 3 days and is now hale and hearty with her uterus intact and periods regular.

These two cases of DUB were eye openers for me, making me realize that the solution does not always depend solely upon the so called indicated HOMOEOPATHIC remedy. Sometimes we make a simple issue complicated with our complex thinking.

(Editor: Too true! I call it the omnipotent H-complex)
If we analyze case 1, all that she desperately needed was Iron and when it was rightly supplemented she became completely all right. Though simple, this primary approach is most times not thought of by many a physician esp. a Homoeopath.

In the second case the lady was prescribed Iron capsules and she recovered completely. In these two cases, the selected remedy could not help the patient, as the cases needed something other than medicine. Just as the best analgesic can't relieve hunger pangs, so here too remedies alone cannot substitute supplementation or making good a deficiency.

Iron deficiency can be caused either due to poor intake [usually in the poor], poor absorption [some GIT problem], or poor assimilation [general illness affecting any important system.] Once the deficiency progresses to a grave extent, the remedial measures should necessarily include supplementation. For the milder form, dietary supplement would suffice, with occasional H-remedy.

Menstruating females generally need 30 mg of iron a day and also sufficient quantities of folic acid, vitamin K, vitamin C and other nutrients. Most females now days usually impose a strict diet in order to reduce weight and remain slim. This practice continues even during menstruation and in addition to that some of them suffer with Dysmenorrhoea, which forces them to avoid food during that period. All these factors contribute heavily to deficiency leading to anaemia. Here it becomes necessary for the physician to advise patients to take more of green leafy vegetables, fruits especially citrus, meat, liver, eggs and milk. These would go a long way to cure them faster.