HOMOEOPATHIC APPROACH TO GIT DISORDERS

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HOMOEOPATHIC APPROACH TO GIT DISORDERS
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CASE 1
1 ½ YEAR OLD FEMALE CHILD CAME WITH COMPLAINTS OF
FEVER WITH LOOSE MOTIONS SINCE 1 DAY. HAS PASSED
20 STOOLS TILL NOW
NOT PASSED URINE SINCE 12 HRS.
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EVOLUTION
STARTED WITH HIGH GRADE FEVER SINCE 2 DAYS ALONG
WITH ITCHING ALL OVER THE BODY SINCE 1 DAY
STARTED WITH LOOSE MOTIONS 20 STOOL PER
DAY STOOLS WATERY, GREENISH MODERATE QTY. NOT
PASSED URINE SINCE 12 HRS THIRST INCREASED FOR
SIPS FREQUENTLY APP DECREASED
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MENTAL STATE SINCE ILLNESS
Child has become extremely restless and irritable
since fever. Continuously tossing and turning
and not allowing mother to sleep
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MOTHERS OBSERVATION
IRRITABILITY AND RESTLESSNESS INCREASES AS A
FEVER RISES
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ON EXAMINATION
CHILD IRRITABLE TEMP 101.2OF Pulse
160/min Resp. Rate 28/min P. Abdomen Liver
1cm Palpable Spleen Not palpable Facial
puffiness with pedal oedema
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INVESTIGATION
CBC Hb 9.1 Total Count 14,200 N 74 L
18 E 7 M 1 MP Not detected
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S. Creat 0.65 Bun 64.4 (N
7-21) Sodium 137.7 Potassium 4.8 Chloride
100
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DIAGNOSIS
ACUTE ENTERITIS WITH PRE RENAL FAILURE
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TOTALITY

• Irritability fever during
• Restlessness fever during
• Thirst increased sips frequently
• Abdomen pain lt before stool
• Stool greenish watery

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SUSCEPTIBILITY ASSESSMENT
Pace Rapid Pathology Dehydration with pre
renal shutdown Characteristic Good
Sensitivity High Mental concomitant
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REMEDY GIVEN

• ARS ALB 200 PILLS 2 HOURLY

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FOLLOW UP AFTER 4 HOURS
CHILD SLEPT FOR 2 HOURS IRRITABILITY
BETTER STOOL 2 -3 TIMES IN 4 HOURS URINE NOT
PASSED
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FOLLOW UP EVALUATION

• Subjective distress better
• Generals better
• Particulars Same

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ACTION
Ars. Alb 1M single dose
Follow up Sleeping peacefully No irritability
allowing to examine Facial puffiness
better Passed urine within ½ hr.
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CONCEPTS

• Clinico Pathological Co-relation and its impact
  in management
• Susceptibility assessment and its reflection in
  posology
• Remedy response evaluation

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8 year old female came with c/o. decreased
appetite and nausea since 4 -5 days
CASE 2
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CHIEF COMPLAINTS
Child had come to her uncles place 5 days back
for a vacation and since then had complained of
nausea. Nausea persisted since then lt3 smell of
food lt2 slight of food App decreased2 Thirst
decreased2 Urine dark yellow
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EXAMINATION FINDINGS
Temp 97OF Pulse 90/min Sclera
Icterus P/A Liver 1cm palpable Spleen not
palpable Other systemic examination Normal
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INVESTIGATION ON 10-4-05
SGOT 1403.7 SGPT 969 S. BIL 4.4
DIRECT 3.6 URINE Routine Bile
Salts POSITIVE Bile Pigment POSITIVE
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DIAGNOSIS

• ACUTE VIRAL HEPATITIS

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TOTALITY

• THIRSTLESSNESS
• NAUSEA lt SMELL OF FOOD
• NAUSEA lt SIGHT OF FOOD

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COLCHICUM 200 MULTIPLE DOSE
REMEDY
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INVESTIGATION REPEAT ON 12-4-05
SGOT 194.6 SGPT 272 S. BIL 2.9
DIRECT 1.8
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CONCEPT
KEY NOTE PRESCRIPTION
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CASE 3
13 year old female came with C/O Vomiting since
3-4 days with in 10 min after eating /drinking
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Not better with allopathic treatment. Used to
vomit even the medicine. Hence stopped treatment
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HISTORY
History revealed by Bilateral infraauricular
swelling with fever and chills 10 days
back. Taken treatment from a GP
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Examination Temp 98 F P 58/min BP 100/70 mm of
hg No icterus
Epigastric tenderness
P/A
AG 52.5 cm RS Clear CVS S1 S2 Normal
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INVESTIGATION
Hb 9.4 TC 6,800 N59 L 35, E 5
M1 SGOT 21.4 SGPT 28.2 S. Creat 0.98 S.
Na 137.5 S.K 3.8 S. Cl 99
T. Bil 1.13 Dir 0.6 Indir 0.53
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S. Amylase 564.5 S. Alk. Phos 346.5 Lipase
56.3 S. Ca 8.1
USG NAD
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DIAGNOSIS
POST MUMPS PANCREATITIS
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HOMOEOPATHIC CHARACTERISTICS
Appetite Decreased2, Thirst
Decreased2 Sleepiness since complaint Weakness2
Nausea Stool Very small quantity 3 days
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TOTALITY

• A/F mumps
• Sleepiness
• Thirstlessness
• Vomiting lt Eating after
• Vomiting lt drinking after
• Inflammation of pancreas

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ANCILLARY MEASURES

• Nil by mouth
• TPR/BP 2 hrly
• AG 4 hrly
• IV fluids Dextrose 6 hrly

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Treatment given Pulsatilla 200 4 hrly.
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FOLLOW UP
Weakness and sleepiness gt2 with in 12
hr Tolerated liquid with in 24 hr Tolerated
solids with in 48 hrs
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Repeat investigation in 48 hrs
S. Amylase 95.4 S. Ca 9.2 S.Alk. Phos 121.8
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CONCEPTS

• Evolutionary history taking
• Comprehensive diagnosis and its implication in
  management
• Knowledge of ancillary measures

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CASE 4
1 ½ year old male child brought in casualty with
C/O excessive crying day and might since 3 days
Stools not passed since 3 days with severe
distension of abdomen. Not better with
allopathic treatment
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O.D.P OF COMPLAINTS
H/O URTI 7 days back better with allopathic
treatment. Since 3 days not passed stool with
abdomen distension and excessive crying. Child
has not slept since 3 days Had to be continuously
carried on shoulder moved about Urine freq
decreased since 3 days App decreased2
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H/O similar episode 6 month back gt with
allopathic medicine.
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EXAMINATION FINDINGS Wt 6 kg Large
head Anterior Fontanelles open Cranky3, while
examination T 100.4 F P 130/min RS bilateral
Crepitations P/A Distended and tense, umbilicus
everted, tenderness, bowel sound2
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INVESTIGATIONS
Hb 8 TC 12200 N 58 L 36 E 4 M2 ESR 4 S.
CA 9.2 S. Creat 0.52 Urine R Normal
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X-Ray Abd distended bowel loops USG Abd
Distended bowel
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DIAGNOSIS
Chronic intestinal pseudo-obstruction
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Clinical features of chronic intestinal pseudo
obstruction

• Group of disorder characterized by signs and
  symptoms of intestinal obstruction in absence of
  anatomic lesion
• Most congenital forms of pseudo obstruction occur
  sporadically
• Symptoms wax and wane
• Poor nutrition and intercurrent illness tends to
  exacerbate symptoms

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ANCILLARY MEASURES
Abdominal Girth 4 hrly. Nil by mouth TPR 2
hrly Pass flatus tube 4 hrly
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Treatment given Cina 200 4 hrly.
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FOLLOW UP

• Within ½ hr child slept peacefully after 3 days
• Within 1 hr passed stool moderate qty.
• No crankiness
• Fever settled within 12hrs
• Abdominal distention better1

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By 24 hrs no further improvement in abdominal
distention Stool not passed again Cina 1 M
single dose given
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• With 1 hr passed stool moderate qty.
• Later on passed 2 -3 stools in 6 hrs
• Abdominal distention nil

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CONCEPTS

• Important of diagnosis to know the scope
• Clinico pathological corelation
• Assessment of remedy response short
  amelioration