Involuntary passage of stool with offensiveness, noisy flatus and green mucous like flakes of stool
>belching, warm drinks
<anticipatory anxiety
Colic severe as if tight bandage tied on abdomen
ASSOCIATED COMPLAINTS: Not any
Phx: Fracture of right lower leg 2 years ago
Fhx: Mother has hypertension since 20 years, Father died of cancer 25 years ago
APPETITE:
Altered
Dispositional
#Hunger
Increased
------
#Craving:
Sweet++, cheese
Sweet+
#Aversion
Cold drinks
------
#</>
<sweet, >belching
------
THIRST:
Altered
Dispositional
#Thirstless
------
-------
#Thirsty
12-14g/day
6-7g/day
THERMALS:
Altered
Dispositional
#General Tolerance
------
Hot
#Summer/Winter/Monsoon
------
Winter
#Bath: Cold/Hot/Seasonal
------
Cold
#Fan/AC
------
Fan
#Closed spaces/Open air
Open air++, closed spaces cannot bear
Open air
#Sun exposure
------
Don’t prefer
#Covering need
------
+
#Perspiration: Character, Location
Profuse, night
Low
VERBATIM INTERVIEW:
I am very anxious about my health problem. I am tired. I fear while eating that I need to go for the painful stool. Do I have any fatal disease? I have started doing yoga, exercise and walking regularly. I want everything in perfection. I am the manager of the alloy company in Rajkot. I am mostly serious in doing my work. I have a responsibility and there are 50 persons working under me. So I seek perfection from my employees
So I always have anxiety about my delegation, my communication, my work. I have to “pull” myself i.e. I have to focus my whole energy into my work. My body gets tight. I put my 100% energy in that work. I feel my body tight because internally I am stress, anxious+++. I do have a short tempered nature.
Life incidence: I am living in boarding since 8th std, and not lived with my family much. My father died of cancer. I got less marks in 12th std, after which all these feelings aroused. I get myself isolated, tried to constraint myself. Because I could not reach my expectations, family expectations. I had hurted myself and my family. So I should not repeat it again at any circumstances of my life. So iam alwaus anxious about my work. I do fear about my exams and my marks. Also, heights are unbearable for me. I lose my balance and feel something terrible on my stomach. in childhood, I fear in going to the lift of my apartment. Once there was sudden power cut when I was inside the lift and I have seen the hell of my lie at that moment.
Work: I need perfection in my work. If I am not good at it then I will feel inferior. I take things too seriously so no body can put fingers towards me. So I become nervous before presenting or conquering any of my work.
Disposition : MILD, QUIET, RESERVED.
CASE ANALYSIS:
A/F- anticipation, anxiety
Physical generals: thirsty, sweet desire++, cold drinks aversion, hot patient
Mental generals: anticipatory anxiety, perfectionist, nervousness work about, fear of heights, dark, failure.
Physical particular: diarrhea and dysentery with greenish mucous flakes of tool with tenesmus. Involuntary passage of stool with colic as if tight bandage around the abdomen. < eating after, sugar, night. >warm water, belching.
TOTALITY OF SYMPTOMS:
ALTERED STATE
Hunger increased, sweet desire++, sweet<, belching>, thirst increased, open air desire, perspiration profuse.
Anxiety+++, Anticipation++, perfection, nervousness work about, fear failure, heights, closed room++
PAST HISTORY
Fracture of right lower leg 2 years ago.
FAMILY HISTORY
Mother has hypertension since 20 years, Father died of cancer 25 years ago
DISPOSITIONAL FEATURES
Sweet desire+, thirsty, hot patient, perspiration low.
SELECTION OF REMEDY: Argentum Nitricum 200 SD + sac lac 4 pills TDS for 7 days
FOLLOW UP:
After 7 days following treatment: Anticipation decreased, nervousness decreased.
Involuntary stools still passing. Frequency decreased
Rx: argentum nitricum 200 SD repeated with sac lac 4 pills for 15 days
After 15 days of the previous follow up: involuntary stool passes with tenesmus< eating after, night, early morning.
Anticipation about work persist but much lower.
Rx: Sulphur 200 SD stat with Argentum nitricum 200 SD after one day + sac lac 4 pills TDS for 7 days.
After 7 days of the previous follow up : Voluntary control over stool. Frequency of stool decreased. Anticipatory anxiety reduced++