The Patient Feels Better, but...?

[Dr Muhammed Rafeeque]

Hi friends,

Pain is a discomfort for the patients and the caregivers. The moment pain disappears the patient and his bystanders feel better, also the doctors. But, there are certain situations wherein the pain
disappears but the pathology advances.


Here are some examples wherein the patient feels better but pathology advances:

Peritonitis: In the initial stage of peritonitis, there will be pain, tenderness and rigidity of the abdominal wall. But this stage will be followed by a stage wherein no pain is felt and the patient feels better. But this is followed by a dangerous stage that may be fatal.

Appendicitis: Hyperesthesia and pain in the Sherren's triangle is prominent in gangrenous
appendicitis, and if this sign disappears it indicates bursting of gangrenous appendix, which is a dangerous situation.

Renal stones: Some times the pain disappears, but when we take the sonography, the stone size is doubled with severe hydronephrosis.


Dengue fever: In patients suffering from dengue fever, the temperature and other discomforts dissappear temporarily. And the next stage follows that can go into dengue hemorrhagic fever or dengue shock syndrome.

Ulcers: In a case of foot ulcer, if the patient says that pain is disappeared, suspect nerve involvement in the form of diabetic neuropathy.

Pericarditis and pleurisy: Here when the effusion starts, the pain as a result of rubbing of the two layers disappear. But the effusion can be dangerous if not managed properly.

Malaria: In intermittent fever also patient feels better for a while, which will be followed by a severe paroxysm.

I have also seen amelioration of sufferings in case of bedridden patients, a few days/hours before death.

Hence, do not give over-importance to the words of patient and his bystanders, but always rule out the advanced pathology by clinical examination and necessary investigations.

[Dr. Wequar Ali Khan]

Thank you for making us aware of the condition where the pain goes but pathology worsens;

"--but always rule out the advanced pathology by clinical examination and necessary investigations"

Yes we have to keep these condition in mind and continue treatment according to the demands of the situation.

[Dr Guillermo Zamora]

Thanks for this practical information about of pathology.

I agree with you...The patient has the tendency to be better before death.

[Dr Muhammed Rafeeque]

Thanks for the comments.

[Dr. Satish Kumar Rana]

100% right. We need to be alert. If pathology is stadstill in a given case, it means - no relief. You have elaborated well. Thanks.

[Dr Muhammed Rafeeque]

Thank u doctor

[Dr. Habib Khan.]

Hi Dr. I want to say something here regarding this subject, result you have mention obtain only when our medicine is selected based only on pathological general and physical general and such type of result do not considered as true cure. case where pathology is already developed should be considered as Chronic case and case tacking should be done as per direction of our master Dr. Hahnemann according to section 5 Organon of medicine. here following point is considerable to obtain a cure.

1. Collect mental symptoms of the patient regarding.
a. his moral symptoms.
b. his intellectual symptoms
c his habit and behavior
d. his social and domestic behavior
e his favorite food and drink.
f. his or her position in sleep.
g. his or her type of dream.

it is duty of every true physician (artist of healing art) to find out the basic cause of disease which is always fundamental cause (Existing Miasm) through symptomatic approach. if you are able to hit basic miasm then you are able to obtain real cure.

I want to Illustrate this fact with a example. I have a case of diabetes. when this patient first time consult to me, he complaint only suppuration in inguinal lymph node, his lymph node are enlarged and pus is present. I have prescribed him Calc-carb -200, lymph node ruptured and heal automatically. Now he complain to me Cauliflower like excrescence over glance of penis and covering. now I have given him Nit-acid 30 Three month continue, excrescence is completely disappear, so many little manifestation are also present but all of them disappear under my treatment. but basic pathology (Hyperglycemia) is still present. now my patient according to my intelligence is symptoms less so I have no base to prescribe my medicine except hyperglycemia and Glycosurea. but this is not a strong base for selection of medicine.

In order to proceed toward this case, I Consult Dr. V.D. Kaviraj (Allready present on this community) he ask some question to me regarding patient mental stage only. I have sent the answer of these question, he suggest me Nat-mur. I read and prescribe my patient Nat-mur 1M on single dose only and within 15 days Blood sugar reduce 530 pp to 216 pp.

Conclusion outstanding that if our medicine is true simila then pathology will go back surly and process of retrograde metamorphosis is sure.

Thank for HWC to introduce me with Dr. V.D. Kaviraj

Thank.

[Dr Muhammed Rafeeque]

Thanks for the comments.

[Veeraraghavan A.R.]

If patient feels better after a homoeopathic medicine is administrated, then it will be taken as a positive sign, and we have to wait for some time to allow the medicine to act. We definitely expect pathological condition will improve.