Dec 2011|Vol 8|Iss 12

   
 
Case
 
   
A Case of Urolithiasis with Hydronephrosis
 

 

Dr.Smita Brahmachari is a post graduate in Repertory from National Institute of Homoeopathy Kolkata, selected through UPSC and working as a Medical Officer in Dept. of ISM & Homoeopathy.,Govt of NCT New Delhi. She had authored many scientific articles which were published in leading Journals. Here she presents a case of Tinea Corporis. She can be contacted at WZ-52, Plot No. 45, Ravi Nagar, Near Buddbazar, Chaukhandi, Tilak Nagar, New Delhi – 110018, smita.brahmachari@rediffmail.com

 
 
 

       A twenty three years old male presented the following symptoms

Presenting complaints

Pain in right lumbar region, sudden onset, violent agonizing pain especially felt when he passes urine since 5 days
Concomitants: Dysuria, strangury; severe backache in LS region and generalised weakness.

Past History

Had been Jaundice in 2005; recurrent episodes – onset after jaundice
History of Urinary Tract Infection and gastroenteritis.

Family History

Father and Mother are Hypertensive
Younger brother and sister – Tuberculosis

Physical Generals

• Appetite: decreased (esp. after jaundice with recurrent gastro enteritis).
• Desire: Salt, cold drinks.
• Bowel habits: Unsatisfactory, unfinished sensation, 2 – 3 times in a day, soft stool.
• Perspiration: from back, non – offensive, cold palms (Rt. > Lt.).
• Sleep – Normal
• Dream: NS.

Mental Generals

Introvert, Disappointed love 4 years back – broken relationship

Appearance:

Patient is tall 5 ft 6”, well built, good looking with long eyelashes, dark complexioned, glossy and thick nails.

Laboratory investigations:

1. Routine haemogram was found to be within normal range and urine microscopic examination showed presence of RBC casts.
2. USG findings: Grade II hydronephrosis in right kidney with dilated right ureter. A calculus of 8.2 mm seen in rt. Upper ureter.(Refer Plate Before)

SELECTION OF MEDICINE AND DISCUSSION:

The case is multimiasmatic with tubercular dominance. The remedy should be of tubercular diathesis. With right sided complaints predominance, History of f jaundice, characteristic desire for salt, Right palm was colder than left and tubercular base, the medicine selected was Lycopodium
Along with Lycopodium. HYDRANGEA Q was prescribed for speedy removal of calculi to alleviate the pain .BOERICKE mentions in his Materia Medica remedy for gravel, renal colic – acts on the ureter – pain in lumbar region