Aug 2012|Vol 9|Iss 8

   
 
Case
 
   
A Case of Urolithiasis
 

 


Dr.E.Prasanna Babu, BHMS
Venkateshwara Homoeo Clinic
No.18 A/ 1 Pattala Street, Toll gate
Chinna Kanchipuram, Tamil Nadu - 631501
Email:drprasannaa@gmail.com

 
 
 

         A fifty nine years old lady came with pain in left side loin region with left side lower abdomen with nausea since 2 weeks. The pain was constantly in lower back and radiated to groins. She had burning urination and dark red colour urine with offensive smell. Patient initially had allopathic treatment to reduce the pain.

        She also had heaviness of abdomen with hear burn. Complaints < after taking small quantity of food. Eructation and flatulence since 7 months.

Past history

        Known asthmatic patient since 5 to 6 years treated with homoeopathic medicine. Hysterectomy done in 2011 for endometrial thickening with Dysfunctional Uterine bleeding.

Family history

Father known bronchial asthmatic patient.

Physical Generals

Appetite – Decreased
Thirst- Decreased
Bowel habits – Normal
Perspiration-Scanty
Sleep – Good
Desires – Warm drinks
Urine – Burning Dark red colour, offensive < morning.

General physical examination

Pulse: 74beats/min
BP: 130/80 mmHg
Weight -60kgs
Height -158cms

Menstrual history

        Menarche at the age of 13th years , Menses regular, once in every 28 to 30 days , normal menstrual flow 4 days last. Menopause at the age of 48th years.

Mental general

She get anger easily when her words contradicted. Desire company.
Aversion to physical work.

Investigations

        USG abdomen on 09-04-11 shows Left side renal calculi with thick endometrium. Left kidney is normal position and size. No e/o hydronephrosis & no hydroureter. 6mm size one calyceal calculus noted. (Refer Plate I)

First prescription                           10-04- 11

R/x
• Lycopodium 200 BD for 15 days
• Berberis vulgaris Q 10 drops TDS for 30 days

Discussion

The case was prescribed with lycopodium based on the totality of symptoms and Berberis vulgaris Q was administered considering the acute stage and its specificity. She got improvement, her scanning reported normal.