Case of IBS in A Rural setting
NATIONAL JOURNAL OF HOMOEOPATHY 2004 Mar / Apr VOL VI NO 2.
Dr Vishpala Parthasarathy
'Med
Introduction: The Stress and effect of stress is seen in
all populations, be it Rural or urban, be it work - related or family-related.
This case graphically demonstrates this.
Mrs MS, 48, came to me in Palghar Hospital in Oct ’03.
She complained of passing stools 3/day since 8 yrs. Current
attack was for 10 days. Stools were semisolid, reddish and offensive with
occasional mucus. Urgency ++ 
has to rush to
toilet after food. Associated with abdominal pain before stools, with rumbling
and gurgling in stomach. No fever or vomiting. The problem started with the
separation of joint family in 1996. Later already existing loose motions were
much worse after 7 inj following dog bite in 1999. Today no attacks come
anymore. < eating vegetables < change of weather. Appetite is reduced and
weakness ++. She has currently been treated with Homoeopathy with which she is
better. The stools have reduced from 5/d
2-/d.
Since1996 the stools have never been quite normal- in type, quality or quantity.
Patient as a Person:
Lean and short. 15-20 kgs wt loss in 3 months. Confused and
anxious look? fearful
Warts on nose.
Perspiration: Scanty , more on palms, non offensive, non
staining.
Appetite: Normal. Thirst Scanty. Craving: Hot food and
drink2, Sweets2. Aversion: Spicy.
Stools were usually 1/d, satisfactory. Urine: no complaints.
Sleep: normal.
Thermal: C4H
Menstrual History: Menopausal since 2 yrs. Past cycle:
regular 4-5/30, dark red flow, moderate quantity, non offensive, non staining.
O/H: has 3 living children; h/o 1 abortion
Life situation and mental state:
Pt comes from a poor family and even till today cannot spend
money freely.
After marriage stayed in joint family for 18 years. Patient
did all the work in the house while SIL did not do anything. Her husband worked
for 20 years. Shared everything in house but was not appreciated.
1996: they separated with compromise and left brother with
the money in mother’s name so no insecure feeling for the brother. (This
history too was told with much promting and with few details given. Neither the
Husband nor the patient complained on not getting their share).
Now husband does farming separately. There are little ups and
downs, some times there are savings and sometimes not.
Pt worries much but husband says just enjoy the life as it
comes.
Patient is very anxious by nature and superstitious. She is
quiet and suppressed while husband is dominating and irritable.
Brooding3, never spends money due to
worry about future and insecurity. Anticipatory anxiety. Talks very less.
Everything was explained by her husband. Her case, mostly, was given by her
husband.
Treatment and Follow - Up :
| Date | Symptoms | Treatment |
| 29/10/03 | Since already with Homoeopathy therefore just give IC | Med 200 1st dose |
| 4/11/03 | Was given bed rest. >3. stool 1/d. weakness + App > | SL |
| 12/11/03 | Stool N, weakness >. H says does not work. Wt: 37 kgs | SL |
| 19/11/03 | >3. Stool 1/D. weakness L5. wt: 37 kgs | SL |
| 3/12/03 | No gain in wt - H anxious. Wt: 37kgs | Med 200 1/wk |
| 17/12/03 | Weakness +. Adv: nutritious food. Wt 37 kgs | SL |
| 31/12/03 | Weakness >.Wt 36 kgs | Med 200 1/wk |
| 14/1/04 | >3. No c/o since 2 wks. wt 37 kgs | SL |
| 28/1/04 | No complaints. Wt 37.5 kgs | SL |
| 11/2/04 | No complaints. wt 40 kgs | SL |
| 25/2/04 | No complaints. wt 40.5 kgs | SL |
| 10/3/04 | No compalints. wt 40.5 kgs | Med 200 6th dose in 6mths |
| 24/3/04 | >3. Mental irritability > as reported by H. Wt 41 kgs | SL |
| 7/4/04 | >. Mentally >. Looks happy.Even smiles occaisionally. The constant tension on her face has gone. Wt: 43 kgs. has gained 2 kgs in 1 month | SL |
