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A CASE OF URINARY TRACT INFECTION
By : Dr. R. D. Pavalan, MD (Hom.), M. Sc. (Psy.)
Asst. Prof., RVS Homoeopathic Medical College,

Reference:
…a chronic patient, for instance, may be suffering from acute disease and the physician on being called may think that it is necessary to take the totality of the symptoms; but if he should do that in an acute disease, mixing both chronic and acute symptom together, he will become confused and will not find the right remedy. The two things must be separated. The group of symptoms that constitutes the image and appearance of the acute Miasm must now be prescribed for.
- Lecturers on Homoeopathic Philosophy, page 174 – under “The Examination of the patient” –
Dr. JT. Kent
Aphorism 221,222 (mental disease)

PRELIMINARY DATA
Name of the patient : Mr. R
Age : 75 years
Sex : Male
Religion : Hindu
Ocupation : Retired accountant
Address : CBE
Date : 01 – 11 – 06

PRESENT COMPLAINTS
• Burning urination at the conclusion of urination x 8 months
• Frequent urination esp. at night (every 2 hours)

HISTORY
Patient developed burning urination after a long deprivation water. Patient avoided taking water while traveling since he thought water might be contaminated. That day night he developed severe UTI and hematuria. Took allopathic treatment. Many Antibiotics were given with out much improvement in the symptoms. Diagnosed as having Chronic UTI.

PAST HISTORY :
H/O recurrent abscess over the Lt. Knee joint for 8 years. Took lot of allopathic medicine including antibiotics.
Known case of Hypertension x 10 years
Old alcoholic. Diagnosed as having Fatty liver. Biopsy proved NAD.
FAMILY HISTORY :
Mother – died of Bronchiectasis ?
Father - died due to Hydroneprosis
brother – opium addict – died
PHYSICAL GENERALS:
Appetite – Nl , <>

Thirst – less (recent)

Stool – NAD, Urine – strong smelling, burning at the conclusion. Stitching pain in urethra during stool. S

Sleep – 10.30 – 2 Am. 2-6 – sleepless, and again sleeps after 6. Position – left side (state) Dreams – dead bodies, ghost (recent)

LIFE SPACE INVESTIGATION:
Patient hailing from middle class family. Was alcoholic and smoker up to 60 years. Then stopped. Well behaving, highly intelligent. Practical type. Will not involve emotionally (detached).Want to be alone. Much conscious about health. Many times underwent lot of investigations. (see the reports) meticulously maintaining the health records.

DIAGNOSIS : Chronic Urinary tract Infection – with Acute exacerbation.

FIRST PRESCRIPTION

01 – 11 – 06 : Since the acute exacerbation, the acute symptoms were only considered for prescription, (see the reference)

BASIS OF PRESCRIPTION URETHRA -

PAIN - burning - urination - after

STOMACH - THIRSTLESS

URINE - ODOR - strong

DREAMS - DEAD BODIES

DREAMS - GHOSTS

GENERALS - FOOD and DRINKS - cabbage - agg.

URETHRA - PAIN - stitching - stool, during (Done Under SYNTHESIS 7.1)

Rx, 1. Nat. carb. 30/7 doses / 1 HS 2. SL Powder / 14 pack / 1 BD

8 – 11- 06 : Burning at the conclusion of urination reduced much. Patient says he is ok. The frequency also came down.

Consider the constitutional Rx Sulphur was the drug of choice for the constitutional prescription Rx, Sulphur 0/1 , 0/2, 0/3, 0/5, 0/7 – were given continuously. The patient improved and became asymptomatic. Advised for Investigation. Surprisingly his renal function also came to normal along with negative urine culture. (see reports)

Before treatment – urine culture Before treatment – urea & Creatinine




After treatment – urea & creatinine, Culture report



06 – 04 – 07 Patient developed sever fungal infection in the inguinoscrotal area which he had in the past. Rx, Sulphur 0/10 Patient is coming for regular follow ups with no improvement in the skin symptoms.

CONCLUSION:
This case proved the reference as per the kent philosophy (given above) Acute remedy followed by constitutional remedy. This patient spent almost 8 months in conventional treatment was given up to latest antibiotics, and spent nearly Rs 80,000 for the treatment with out any special improvement. If we do our job meticulously, in each and every case some or other points told in our literature shall be proved. I wish every one of us should enjoy the scientificity of the homoeopathy.

Views: 2294

Comment by Pavalan R D on January 3, 2010 at 3:53am

Thank you sir,
Initially I tried with some local remedies like Staphy, Silica ... which did not give much improvement. I thought it is the externalization of the internal malady. so I did not want to disturb that. As you told, now we can think of a "Local simillimum" as per the Boger's method, considering the local modalities. I'll give a sincere try sir. Thank you.

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