NAME: ABC

AGE: 46yrs/M

DOC: Dr Mohit Nanani

Date: 10th march,2022

 

Key Words: A Case of Crohn’s disease:

 

• Perfection
• Do things seriously
• Anticipation
• Control 
• Rigidness 
• Nervous
•  

 

• CHIEF COMPLAINTS:

 

Complaint/sensation	Modalities	Concomitant/Associated s/s	Location
Frequency of stool increased with tenesmus	<night, cold drinks, sugar, eating after,	Belching++	Rectum O: gradual D: since 1 year   P: moderate
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++ 

A CASE PRESENTATION BY: 

Dr. Mohit Nanani

PG Scholar in Department of Practice of Medicine 

Rajkot Homeopathic Medical College

Parul University

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