Case 7: Fever Eclipsed his Ulcerative Colitis
NATIONAL JOURNAL OF HOMOEOPATHY 2005
Dr Vishpala Parthasarathy
'Ars-a / Tub-b

Editor: This case is under our care for just 7 weeks, but has shown such a response with single dose that we wanted to share it with you. He is still under treatment and we will ct to give you monthly FU. But there is no doubt about the response, so we have put the case up, to take you through the cure with us.

Introduction: In early December 05, a morning walk allopathic friend asked if I cold help with a very ill ulcerative colitis suffering from 3 yrs and very acutely since 3 months. He had to be seen at home. She has known the patient and his family for 30 years. He was suffering since many years; he had seen every gastroenterologist in the city, with no relief. He was very weak, had lost 20 kg of weight and not in a position to come to the clinic. So along with my assistant I visited the patient at his residence on 5/12/05.

How we took the History:
His brother greeted us at the door, then his sister, then his mother, took us to the drawing room. As we sat, the 35 years old: Mr SS, walked slowly. Tall, fair, thin and haggard, as if suffering from a long standing illness.

This was a Muslim family: Mother, 2 Brothers, 1 sister. Father had expired long back. Patient was the youngest. We sat surrounded by the whole family each of who gave the history in detail. If he answered a query they would fit in the data to its precision. Definitely a close knit family but too unusually overanxious and concerned for each other.

I took the chief complaint and all the necessary data, which also took 1.5 hours and left my assistant to complete the case, since the regular clinic too had to be attended too!. No trace of her for 2 hrs.

Here is her experience: each question was answered by all of them. (She justified her coming late by saying that she took five cases!!) This practice had made them all perfectionist. They all knew how many motions he passed each day and with how much quantity of blood!!! They seemed to her like a five headed snake with there fangs open to answer any question. They would counter question each question of hers. We wondered how we are going to treat this diseased family!!

Chief Complaint 1) Ulcerative colitis since Aug 2003 
Present Complaints
Tenesmus, Gurgling Abdomen, > Stool after
Stools: Consistency mucus, sticky with bubbles, fresh blood clots.
Interestingly the day he fell sick, he was to go to see a girl for marriage proposal. Incidentally, none of the elder brother or sister are married. A whole family of spinsters. So was it the idea of marriage terrifying?

Investigations
2003 May: Giddiness. Diagnosed: Hypertension.
2003 July: Dysentery.
2003 August: Colonoscopy: Ulcerative colitis. Biopsy confirmed.
2003 December: Blood Sugar 380. ESR 88. Hairfall³. Baldness.
2004 DM and hypertension in control with lifestyle changes. Some relief with Unani medicine.

2) FEVER SINCE 2005 OD
He had been having fever since 2005 but very acutely since a few days. Headache (Fever before)  Temperature 100^o F-101^o F  Bodyache, > eating after, > Bathing after, < After walking on sea face.

On 04/12/05: Fainted twice with eyes had rolled up. Temperature went upto 1010F in the afternoon, followed by profound weakness3, could not move, needed assistance, passed involuntary stool, perspiration3, was unconscious. He was pale and the lower extremities felt as if had no strength. Nausea with no taste in the mouth, Lips, mouth, throat was dry3. Blood Sugar Fasting was 96. Temperature came down with a paracetamol. And he felt better after was given water with sugar.
On 05/12/05: Temperature was 99.80F < 4pm. Similar episode.

3) Back
Pain lower back, HS3, gets up with a backache. Has to sleep lying straight on the back.

Patient As A Person
Height: 5'11". WEIGHT: 74 Kgs.
Skin: Itching³, dryness< stomach troubles from. Moles.
Hair: Loss3, graying, baldness on vertex. 1-2 gray hair on the chest.
Nails: Bites³
Eyes: Specs
Perspiration: Profuse³, Acrid³  holes in the under garments.
Flatulence: Cannot Pass
Appetite: Reduced. Could hardly eat meals.
Thirst: 10-15 glasses/day
Craving: Pan parag³, spicy³, potatoes³.
Stool: 5-6 or 7-8/d. Consistency: 1st Motion watery, blood+, Blood clotted. Burping³ < stool before, < stool during. Constipation alternates with diarrhoea.
Urine: Normal

Mother's Obstetric History: Normal.
Developmental History: Normal. Birth weight: 9 Lbs
Sleep: Light sleeper. Sleeps late in night and gets up late. Refreshing, though wakes up from sleep because of pain.
Dreams: Unremembered.
Thermal: Face flushes in Sun. AC < 3. > Direct draft. P/H Hot  Now chilly.

Family History: Father died of liver cirrhosis.
Past History
1970: 7 months of age, he had fallen from bed. Brain hemorrhage right frontal side. Blood clot was operated. No troubles related to it after that.
1998: USG fatty liver.
2003: Sinusitis.

Life Situation and Mental State
1970: Born and brought up in Mumbai. Not very good in studies.

Emotional State
Now Irritable³ with the complaints.
Talks excessive³, loud³.
Pampered child; and very protected, since suffered brain hemorrhage and was operated, Doctors had advised not to force him or emphasis on him anything. Also being the youngest was Pampered³. Used to hate going to school. Always had an excuse ready to avoid school. Once flunked in the exams got only 16%! Father was called by the principal, and patient was laughing when scolded.
Over caring³. Affectionate³. Fear of dogs, of noise.
Very Anxious about his health. He continuously asked: How long will it take for me to recover? I will be alright? In how many days will I be alright?
(Rubric: Carried, wants to be).
Perfectionist³. Particular, cleanliness for. Washes hands³ all the time. > Company³.

Thinking And Analysis: : We took the ulcerative colitis, sever anxiety, tremendous weakness and nature ofsdisease and give him 1 dose of Ars-alb 200

Plan
Acute: Nat-phos
Constitutional: Ars-alb
Intercurrent: Tub-b

Follow Up