Expert Opinion Requested.

An interesting case for mental exercise. Inviting all the members to comment, discuss or suggest remedy.

A case of chronic constipation with headache.

Age 38 years, married Father of three children, medium height and built, healthy looking.

Past History:
For three years use to masturbate while living away from home.
Headache started in 1990 when in UAE after a meal containing flatulent food causing flatulent distention, vomiting
Constipation since childhood. Use to eat clay and charcoal when a child and the stool used to be of black color. Have at least passed worms once. Stool used to be knotty, small ball shaped, without urging for days. Takes allopathic medicine on regular basis for constipation.

Parent’s history:
Father dead had tuberculosis.
Mother still alive and well.

Present symptoms:
Headache comes on almost on weekly basis that is after every seven days often appears a day earlier than a week. Knows headache will be coming on such and such day.
Headache begins after flatulency starting from nape of neck extending forwards to the forehead and centering on the left eyebrow.
Before headache:
Starts taking tablets to remove constipation
Heaviness of the abdomen
Dullness of mind.
Pain, aching whole body.
Flatulency.
Vomiting of food and mucous. Not ameliorating.
Frequent urging for stools. No ameliorating.
During headache:
Sour eructations.
Forceful retching.
Strong aversion to drink anything
Desire strong for coitus. (probably full rectum irritating prostates to cause erections. )
Strong desire for salted things.
Desires to sleep yet can not, though better after sleep.

One year ago, had an accident in a car, head injury, lost a lot of blood, left upper limb multiple compound fractures, broken bones were repaired through surgery. Has developed cicatrices on the wounded spots, elevated, hard, nodulated and painful to pressure.

Mind.
Except irritability nothing special.
Mild temperament.

Had been under treatment with different homeopaths. Will collect the list of remedies taken by the patient.


Curiosity begets rewards.

__________________
Curiosity begets reward. <br />Dr. Saboor<br /><br />Homeopathic Physician & Consultant.<br /><a href="mailto:drsaboor51@hotmail.com">drsaboor51@ho tmail.com</a><br />All mails containing attachments on Yahoo mail address.<br /><a href="mailto:drsaboor51@yahoo.com">drsaboor51@yaho o.com</a><br />Phone calls are welcome: <br />Clinic: 092-433-521206, Res: 092-433-511933

For all of us,
I pray to Allah [The Almighty]

A very Happy and A very Prosperous New Year.

Aameen.

__________________
Curiosity begets reward. <br />Dr. Saboor<br /><br />Homeopathic Physician & Consultant.<br /><a href="mailto:drsaboor51@hotmail.com">drsaboor51@ho tmail.com</a><br />All mails containing attachments on Yahoo mail address.<br /><a href="mailto:drsaboor51@yahoo.com">drsaboor51@yaho o.com</a><br />Phone calls are welcome: <br />Clinic: 092-433-521206, Res: 092-433-511933

TRY TO FIND FROM THE FOLLOWING LIST


GELS
PHOS
SIL

__________________
<b>Lady Dr. Meena</b>

Dear Dr. Meena,


Thank you very much for the suggestions of finding the remedy from the list GELS., PHOS., SIL.
A very good choice of remedies. But I would like you to discuss the grounds of you selection for the remedies.
There is always room for improvement, I agree.


Curiosity begets rewards.

__________________
Curiosity begets reward. <br />Dr. Saboor<br /><br />Homeopathic Physician & Consultant.<br /><a href="mailto:drsaboor51@hotmail.com">drsaboor51@ho tmail.com</a><br />All mails containing attachments on Yahoo mail address.<br /><a href="mailto:drsaboor51@yahoo.com">drsaboor51@yaho o.com</a><br />Phone calls are welcome: <br />Clinic: 092-433-521206, Res: 092-433-511933

My Dear Dr. Saboor,

<blockquote>quote:</font><hr>Your posted case

An interesting case for mental exercise. Inviting all the members to comment, discuss or suggest remedy.

A case of chronic constipation with headache.
Age 38 years, married Father of three children, medium height and built, healthy looking.

Past History:
For three years use to masturbate while living away from home.

Headache started in 1990 when in UAE after a meal containing flatulent food causing flatulent distention, vomiting Constipation since childhood. Use to eat clay and charcoal when a child and the stool used to be of black color. Have at least passed worms once. Stool used to be knotty, small ball shaped, without urging for days. Takes allopathic medicine on regular basis for constipation.

Parent’s history:
Father dead had tuberculosis.
Mother still alive and well.

Present symptoms:
Headache comes on almost on weekly basis that is after every seven days often appears a day earlier than a week. Knows headache will be coming on such and such day.

Headache begins after flatulency starting from nape of neck extending forwards to the forehead and centering on the left eyebrow.

Before headache:
Starts taking tablets to remove constipation
Heaviness of the abdomen
Dullness of mind.
Pain, aching whole body.
Flatulency.
Vomiting of food and mucous. Not ameliorating.
Frequent urging for stools. No ameliorating.

During headache:
Sour eructations.
Forceful retching.
Strong aversion to drink anything
Desire strong for coitus. (probably full rectum irritating prostates to cause erections. )
Strong desire for salted things.
Desires to sleep yet can not, though better after sleep.

One year ago, had an accident in a car, head injury, lost a lot of blood, left upper limb multiple compound fractures, broken bones were repaired through surgery. Has developed cicatrices on the wounded spots, elevated, hard, nodulated and painful to pressure.

Mind.
Except irritability nothing special.
Mild temperament.
Had been under treatment with different homeopaths. Will collect the list of remedies taken by the patient.
<hr></blockquote>

Dear Saboor,

If you include all symptoms which you have mentioned in your case. (Totality is a wrong concept ) You will never conclude your case and will not reach to that target remedy which the patient is demanding for.

Sulph, Nat-m, Phos, Nux, Calc, Caust, Calc-Phos and Nit-ac are the top most remedies according to totality of symptoms. But these are not the remedies of that particular patient. You always need only one single symptom to prescribe remedy but for finding that PRESCRIBING SYMPTOM which is also called key note symptom you have to take the case thoroughly.

In my opinion that key note symptom is Headache comes on almost on weekly basis . Now this symptom has the following remedies.

Iris, Lac-d, Phos, Sang, Sil, Sulph and Tub (Two Grade)
Ars, Calc-ar, Gels, Lyc, Nux-m, Rhus-t and Psor (One Grade)

You have not told us about the patient's thirst, aversion to some things, appetite and result of pressure application during headache. These symptoms are somehow important to reach at target remedy.

Secondly you have first mentioned at start that "Stool used to be knotty, small ball shaped, without urging for days" and then you said at the end "frequent urging for stool". It made me confuse. However I believe that it is frequent urging for stool.

In this case Flatulance is not the cause of problem. But patient's inactivity of rectum is the cause of problem and constipation. It is now become severe due to allopathic medication. This is also a symptom you can include.

You told us about vomiting. It must be due to indigestion as you have mentioned in your case. For stool symptoms you are entirely depending upon patients observation and not pathological report. I hope you have not observed your self.(Big Laugh …. .) for the moment it is not important.

1. Tub may be the remedy. If you want to consider patient's history. But in my opinion it is not needed at this stage.
2. Iris has eructation. But it is no more near to the case in any way.
3. Sang has headache but on right side. So rejected on no eructation, no vomiting food and no urging. Second it has not strong constipation.
4. Phos and Sulph are a strong remedies in this case. I hope the patient has almost used these remedies. As you said he has already taken too much homeo and allopathic medicine. May be thirst or other symptom will differenciate these remedies.
5. Sil it has no frequent urging and vomiting food.
6. Nat-mur all symptoms is calling for this remedy but not key note symptom present. So highly rejected remedy. Don't become confuse with desire for salty items.

LAC-D is the only remedy left from where you can start this case. It has strong symptom of key note symptom of pain (Head) with constipation and frequent urging. It has eructation, indigestion of food, vomiting and flatulance. Except desire for salty things.

Remember these kind of patients having flatulence problem will definitely get averse with milk. (Lac-d)

I always recommend not to take milk to those patients which are suffering with flatulence problem. Secondly Appetite and thirst symptom will confirm lac-d first choice remedy.

Injury problem is now settled down. Desire for coitus is a natural phenomenon specially when stool is collecting in rectum late at night or in the morning. So it is not a symptom which is needed to be count.

You have not mentioned about the type / kind of pain (tearing, drawing, boring or stitching) extending from nape of neck and settling on left eye brow. . Lac-d has pain in general at forehead and also has side pain (like nape of neck.) Lac-d is a great remedy for constipation. We have used it on limited ground.

Dr. Bhardwaj had cured two women suffering from Headache, aching pain all over with flushed face. Other having left side headache and desire for sleep at night. In that patient the pain was in forehead. He has recommend DM potency. Single dose to cure within minutes. But I am going on K. N Mathur opinion repeat in 30c.

All the best.

Dr.MAS
(B.A,B.Sc,B.Ed,BLIS,M.A,M.Ed,Ph.D (Scholar), DHMS, BHMS, DHMCS)
Professor Moulana Zafar Ali Khan Homeopathic Medical College, Wazirabad, Pakistan
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You may consider the following symptoms

PAIN-PERIODIC,EVERY 7th DAY Head
CONSTIPATION-(In General) Rect
INACTIVITY OF RECTUM Rect
URGING-FREQUENT Rect
FLATULENCE-(Rumbling) Abdo
DESIRES-SALT THINGS Stom
ERUCTATIONS-SOUR Stom
INDIGESTION Stom
VOMITING-FOOD,UNDIGESTED Stom
BALLS-LIKE,BLACK Stoo
KNOTTY Stoo

__________________
Hafeez
Forum Pk

I never remained interested in prescribing on discussion forum. Actually You asked opinon from experts.

__________________
Hafeez
Forum Pk

My opion on this case is to give him Tub 1m at the start of treatment and then give gels on the third day in repeated doses.

juanca,

Please read this case. If you are serious in your question

Dr. Mass!
You are wrong in giving the advice to take only one symptom of the disease into consideration for the selection of the remedy.
It is the totality of the symptoms present making the symptom picture of the disease and it is the totality of the disease symptoms which have to be mathed with a remedy, which in its provings brings exactly out these symptoms. What you do here is that you chose one symptom randomly and prescribe for that.
you chose this according your own prejudice, of which a homeopath should stay away from.
what you advice here is Allopathic procedure regardless that you call yourself a homeopath.

hans Weitbrecht
Homeoapth

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