A 26 yr old female , Housewife, married since 2yrs came to Predictive Homoeopathic clinic on 28/4/09 with chief complaint of irregular menses since menarche and difficulty in concieving. C/C:
1) Irregular menses since menarche.
2) weak feeling since 1 1/2 month , feels giddy, My surrounding is moving as my lifestyle has completely changed , so much physical and mental exertion is troubling me. End of the day I feel weak and exhausted. And then i don't want anyone near me.
3) leucorrhoea since 2 -3 weeks. transparent, watery, scanty discharge.
P/H: Jaundice: 5th std.
F/H: Mother- Breathlessness. Father- DM,HTN. Menstrual history:
FMP: 13yrs ;
LMP: 25/2/09 irregular cycle [45 to 60 days] flow: profuse with clots, dark in colour. non staining. before menses: pain in the lower abdomen.
Sensitivity: Loud noise: sudden loud noise gets scared.
Fear: Thunderstorm. smell: headaches < sweet smell.
Physical generals:
Appetite: decreased since marriage because I'm always stressed out. likes: sweets Thirstless now, I only think about work. I don't feel anything. Likes: Fruit juices, lemonade, curd, butter milk, Perspiration: scanty. sleep: 6-7 hrs refreshing. Sleeps on right side. Dreams: unremembered.
Thermals: CHILLY.
MENTALS: Childhood: 3 sisters and 1 brother.If I haven't done something and if someone puts the blame on me, then i would get angry and start crying. Will go out of the way to do everything for everyone at my place. No one should get hurt by me. From childhood, I have suppressed my emotions. I don't go and confront. I will never say that I've Felt bad.since i was the 2nd Child, I would feel I'm not the favourite of my dad. I used to feel very bad and I used to cry and I would be share it with my sister and mother.My uncle would always criticise me only and I would feel bad, but now it makes no difference. I always felt left out.Need in childhood: love+ care, But I always felt elder sister got more love.Was confident while giving stage performances.studies: Not so much interested in studies but I would study well.Interests: now not fond of anything much, I like to sit alone and listen to music.before I would like to dance.When my husband shouts at me, I start crying. But doesnt like consolation from anyone except husband.Whenever I go to mother's house, I sleep in my mother's lap- Likes magnetism.
Anger+ irritation only with my husband.Fastidious- wants everything at place.before marriage: life was relaxed.But now I feel these are my liabilities and hence I have to do it as i'm the daughter in law.Positive and strong- does not need support. Can take her own decisions,Very confident. Everybody used to rely on me.Can also stand up for others.Memory: good.will: strong. secondary extrovert. likes to give tuition free of charge as charity.
USG Transabdominal/endovaginal : 28/4/09: Both ovaries show few small sized peripherally arranged anechoic cysts, Suggestive of pcos.
Analysis of the case:
In CHILDHOOD, There was throughout feeling of not been loved, patient would feel her sibling was given more love and importance. initially she would feel bad, later became indifferent.
Studies not interested but would still study---Non conscientious.
was confident while performing in stage- calc ruled out- no anticipation.
after Marriage- says all my complaints after marriage, would work without liking it---metals and conscientious remedies ruled out[INCLUDING ARS,PH-AC, STAPH,IGN ,nat carb- diligent,etc]
FASTIDOUS.
When angry, would most of the time,patient would suppress it---since childhood---HENCE nux vom ruled out.
Rubrics taken:
1) Indifferent towards loved ones.
2) Positiveness.
3) consolation agg.
REMEDY GIVEN: sepia 200-1 dose.
ollow up:
11/5/09:
LMP: 6/5/09. after 2 months.
flow lasted for 2 days. profuse flow. wandering pains.
face: pimples.
feels much better not getting affected by things in the house.
8/6/09:
Weight gain.
appetite: decreased.
prickly heat eruptions all over the back since 6 days.
H/O similar complaint in the past.
Rx: SL.
16/6/09:
No Menses yet. LMP: 6/5/09
Tired feeling. Leucorrhoea.
adv: UPT.
UPT +VE.
Rx : SL.
6/7/09:
Morning sickness.
slight white discharge.
app: increased.
vertigo >>
Rx : SL.
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