A case of Duodenitis, Gastritits, Reflux Oesophagitis and Hiatus Hernia

© Dr.R.S.Mann & Dr. Vandana Patni 2011

Presented by 

Dr. R S Mann & Dr. Vandana Patni.

Mr G. Singh, 33 yrs, Male patient presented the following complaints

March 25, 2011.

Pain abdomen, cramping, eating after, stool before which ameliorates after stool. Flatulence, distension of abdomen with rumbling. Stool mucous on and off. Flatulence very offensive, alternate constipation and diarrhea. Constipation on eating meat.

All the problem for many years, diagnosed for Reflux Oesophagitis, Hiatus hernia, Gastritis and duodenitis on Endoscopy. Using antacids and many other medicines for years. 

Repertorizations  in Radar 9:-

ABDOMEN - DISTENSION - flatulence - from
ABDOMEN - DISTENSION - painful
ABDOMEN - FLATULENCE
ABDOMEN - PAIN - cramping - eating - after
ABDOMEN - PAIN - cramping - stool - after - amel.
ABDOMEN - PAIN - cramping - stool - before
RECTUM - CONSTIPATION
RECTUM - DIARRHEA - alternating with - constipation
RECTUM - FLATUS - offensive
STOOL - MUCOUS
GENERALS - FOOD and DRINKS - meat - agg.

Prescription :-

Sulph 200 CH  2 dose on 2 hours gap.

China 30 CH  One dose daily.

Pulsatilla 30 CH One dose daily.

For a week.

April 2, 2011.

A little better but have few another complaints not described earlier and was not present on first visit because he was continuously using Antacids, now because antacids are stopped after first prescription, some more symptoms are here.

Stomach burning pain which aggravates after eating. Flatulence offensive, rumbling in abdomen here and there. All the complaints aggravates after eating. Heaviness stomach after eating.

Prescription :-

Lycopodium 30 CH One dose daily.

Robinia 30 CH One dose daily.

For two weeks.

April 19, 2011

Flatulence, Burning in stomach, rumbling improved.

Pain Hypogastrium ameliorate by pressure.

Burning  pain in all over the abdomen, better by drinking water.

Repertorizations  in Radar 9:-

STOMACH - HEAVINESS - eating - after

ABDOMEN - PAIN - burning

ABDOMEN - PAIN - Hypogastrium - pressure - amel.
GENERALS - FOOD and DRINKS - water - amel.

Prescription :-

Iodum 30 CH  Two doses two hourly.

Sang Can 30 CH  One dose daily

Robinia 30 CH One dose daily

For one week.

April 27, 2011

All complaints better with very mild distress.

Prescription –

Lycopodium 30 CH  One dose daily.

Robinia 30 CH One dose daily.

For one week.

May 7, 2011

Burning abdomen.

Rumbling, flatulence.

Mucous stool.

Abdomen pain cramping.

Earlier symptoms returned back.

Prescription:-

Sulhpur 200 CH  Two doses on 2 hours gap.

Nux Vomica 30 CH One dose daily on bed time.

For one week.

May 13, 2011

All complaints relieved again.

Prescription:-

Sac. Lac. Only

For a week.

May 24, 2011

Stool thin, not formed properly.

Mucous with stool only one day.

Pain burning abdomen which aggravates after eating.

Flatulence, distension.

Prescription –

Sac. Lac. Only

For a week.

June 2, 2011

Has good appetite, but easy satiety.

Stool fatty, greasy, stick to pot.

Repertorizations  in Radar 9:-

STOMACH - APPETITE - easy satiety

STOOL - FATTY, greasy

Prescription:-

Platina 200 CH 2 doses with an interval of two hours.

Sac. Lac.

For One week.

June 14, 2011

Get Coryza.

Sneezing.

Raw, sore throat.

Prescription –

Ars. Alb. 30 CH One dose Daily

For 3 days only.

June 30, 2011

Flatulence.

Stool Black.

Pain Epigastrium.

Repertorizations  in Radar 9:-

STOMACH - PAIN - Epigastrium

ABDOMEN – FLATULENCE

STOOL - BLACK

Prescription –

Vertarum Album 30 CH One dose daily.

Cuprum Met 30 CH One dose daily.

For one week.

July 9, 2011

Heaviness in stomach which aggravates on eating.

Burning in stomach ameliorates by drinking plain water.

Burning and acrid eructation.

Sluggishness.

Repertorizations  in Radar 9:-

STOMACH - ERUCTATIONS; TYPE OF - burning

STOMACH - ERUCTATIONS; TYPE OF – acrid

STOMACH - HEAVINESS - eating - after

STOMACH - PAIN - burning

GENERALS - SLUGGISHNESS of the body

GENERALS - FOOD and DRINKS - water - amel

Prescription –

Phosphorus 200 CH  2 doses with gap of two hours.

Lycopodium 30 CH One dose daily.

July 18, 2011

Pain epigastrium.

Pain gnawing.

Pain eating after.

Stool thin, mucous.

Symptoms  on July 9, 2011  are also included in repertorization.

Repertorizations  in Radar 9:-

STOMACH - ERUCTATIONS; TYPE OF - acrid
STOMACH - ERUCTATIONS; TYPE OF - burning
STOMACH - HEAVINESS - eating - after
STOMACH - HERNIA; HIATUS

STOMACH - PAIN - burning
STOMACH - PAIN - eating – after

STOMACH - PAIN - Epigastrium

STOMACH - PAIN - gnawing

ABDOMEN - PAIN - gnawing
STOOL - MUCOUS

STOOL - THIN

GENERALS - FOOD and DRINKS - water - amel.

GENERALS - SLUGGISHNESS of the body

Prescription –

Last prescription was right.

Sac. Lac.

For one week.

July 25, 2011

Stool mucous for 2 days.

Pain and Burning improved.

General weakness, desire to lie down.

Meat causes constipation.

In summers patient feel much aggravations.

Always remain cheerful and happy. (Enters consulting room smiling)

Pain lower limbs.

Appetite with easy satiety.

Repertorizations  in Radar 9:-

MIND - CHEERFUL
STOMACH - APPETITE - easy satiety
STOOL - MUCOUS
EXTREMITIES - PAIN - Lower limbs
GENERALS - LIE DOWN - desire to
GENERALS - SEASONS - summer; in - agg.
GENERALS - WEAKNESS

RECTUM - CONSTIPATION
GENERALS - FOOD and DRINKS - meat - agg.

Prescription –

Lycopodium 200 CH 2 doses with two hours gap.

Sac. Lac

For one week.

August 5, 2011

All symptoms improved.

On August 4, eaten meat but no constipation today.

Prescription –

Sac. Lac.

For one week.

August 25, 2011

On August 11 mucus stool, pain stomach, rumbling, cramping pain and urging for stool eating after, all these complaints subsided next day.

On August 24, waken in morning with uneasiness in stomach, drink some water which vomited out after sometime, very sour, then ameliorated immediately after vomiting.But stil have desire to drink chilled water.

Pain epigastrium as well as he started breakfast.

Feeling lot much appetite but could only eat one chapatti (Bread).

Bloated feeling, eating after.

Weakness, wants to lie down.

Heaviness of head.

Sneezing paroxysmal with post nasal discharge.

Repertorizations  in Radar 9:-

HEAD - HEAVINESS
NOSE - DISCHARGE - Posterior nares
NOSE - SNEEZING - paroxysmal
STOMACH - APPETITE - easy satiety
STOMACH - PAIN - eating - after
STOMACH - VOMITING - drinking - after
STOMACH - VOMITING; TYPE OF - sour
GENERALS - FOOD and DRINKS - cold drink, cold water - amel.
GENERALS - FOOD and DRINKS - cold drink, cold water - desire
GENERALS - LIE DOWN - desire to
GENERALS - WEAKNESS

Prescription –

Phosphorus 200 CH 2 doses with gap pf two hours.

Sac. Lac.

For one week.

September 10, 2011

All complaints better.

Patients says he never felt so much easy and light in his stomach.

No Prescription.

November 1, 2011

No complaints.

Inferences –

1. Earlier, case started with few symptoms, and wrong prescriptions were given.
2. The cases which are under allopathic treatment does not disclose all the symptoms on first visit, because they are hidden, after discontinuing those medicines we get more symptoms on later visits.
3. Phosphorus and Lycopodium cured the case finally.
4. Prescribing more then one medicine at a time, only complicated the case.
5. Earlier prescriptions just push the case towards more clear features.
6. Many similar medicines can give relief to patient but they does not cure. And their effect does not continue for a long time. 
7. Daily prescriptions in chronic cases, like this, only prolong the case unnecessarily.  

Copyright under International Copyright Act

© Dr.R.S.Mann & Dr. Vandana Patni 2011