Case 98: A case of Fibroids
Mrs YIK, 38yrs, Non-veg, Married Muslim, Fashion Designer cum Home Maker, came on 02/03/2007 with the following complaints
CHIEF COMPLAINT
| LOCATION | SENSATION | MODALITIES | CONCOMITANTS |
| FEMALE GENITAL TRACT Since 2004 |
Fibroids3+ Menorrhagia X 2days3 3 pads at a time, changes every 2 hrs. Bright red blood, sometimes clots and offensive |
< Morning3+ |
Adv: Sx but pt refused Menorrhagia + Dysmenorrrhoea sine Menarche 1992 Dysmen > for 2yrs 1994 Post delivery- Rec of Menorrhagia Tab. Ovaral G since 2004 |
| GENERALITIES | Body puffiness | A/F Hormonal pills | |
| RESPIRATORY TRACT Since approx. 1996 1/15days X 2-3 days Unilateral either R or L Forehead → Eye |
Sinusitis Pain Sneezing |
> Crocin A/F Cold water < Fan, A/C No < Ice-cream |
Took Hom Rx X 6 months but no >. |
PATIENT AS A PERSON
WEIGHT: 70kg constant
BUILT: Stocky → Obese. Gained 5kg in 3 yrs
APPETITE: N
THIRST: 6-7 gl/day
DESIRES: Hot food and drinks 3+, Sweets
AVERSION: Sweets2+
TONGUE: Coated
STOOL: 1/day
URINE: 5-6/day
SKIN: Fair, Redness < Sun
HAIR: Loss3+. Graying colors every week
EYES: Hypermetropia
OEDEMA: After HRT
PERSPIRATION: Armpits
MENSES: C/C. Before menses →Irritable3+, Mood swings3+, Heavy breast3+. During menses→ all symptoms >.
THERMAL: C2H3 → CH4. Likes winter >3+, Likes fan3+, Likes open air. Love to cover
BATH: Warm water
SLEEP: 7hrs. Lies on back. P/H disturbed sleep and tossing in sleep
DREAMS: Unremembered
MIND: Irritable at trifles, Brooding, Does not make friend easily, Affectionate children hugs children, Fear of dogs and darkness. Perfectionist, things has to be in place. Contradiction <. Weeping > alone
SEXUAL HISTORY
Desire↓, 1/week. Dryness after HRT
OBSTETRIC HISTORY
P2G3A1
1st Pregnancy induced abortion
1st child→ FTND. Male
2nd child → LSCS due to cord strangulation. Female
LIFE SPACE INVESTIGATION: The pt was born in the year 1965 in Assam. She is 4th of 6 siblings. Average student. Was a sports person. Liked Basketball. Initially like a tomboy. Fa expired in 1979. It didn’t affect her much. She was too small and it was a joint family. Initially she was like a tomboy. Closed to youngest Sis. She had an arranged marriage in 1988 and came to Mumbai. In 1999 Mo expired which affected her much. Br expired in 2001 due to MI/CCF.
REPERTORIAL TOTALITY
- Irritable at trifles
- Brooding
- Fastidiousness
- Fear dogs
- Fear dark
- Cries, alone when
- > Alone
- Breast, heavy < Menses before
- Fibroids
- Menorrhagia
- Obesity
- Headache < Sun
TREATMENT & FOLLOW-UP
| DATE | SYMPTOM | REMEDY |
| 02/03/07 | Kali-bi 200 HS 1P=4 Pla pills 1-1/7days Sabina 200 4P; 1P=4 |
|
| 16/03/07 | Bleeding with backache. Sneezing on 15/03, running nose, A/F Cold. Stool N. Allergic Rhinitis 1/3wk. < A/C, Wet+, Headache in Sun L0. Hair fall L2. Dry Vagina L0. Tongue coated, Thirst++. | Kali-c 200 1st dose Pla pills 3-3/7days Bry 200 3P; 1P=3 |
| 20/03/07 | Cold since 19/3. Lachrymation, sneezes, thirst+. Watery discharge, heavy head. | Ars-alb 200 3P; 1P=3 |
| 23/03/07 | > Cold | Tub-b 1M 1st dose NIH 200 6P Pla pills 1-1/7days |
| 30/03/07 | >. Cold L0. PMS +, Allergic rhinitis >. Hair fall L0. Sun headache L0. Swelling L0. Menses expected | Kali-c 200 3P Pla pills 3-3/7days Sabina 200 4P; 1P=4 Mag-p 6X SOS if pain |
| 06/04/07 | Fibroids +, PMS and breast pain L5, SwellingL7. Menses 01/04 4/28days | Tub-b 1M 2nd dose
1st week Kali-c 200 3P Pla pills 3-3/7days 2nd week Kali-c 200 1P Pla pills 3-3/7days |
| 21/04/07 | Fibroids | 1st week Thuj 200 1st dose Pla pills 3-3/7days 2nd week Kali-c 200 1P Pla pills 3-3/7days 3rd week NIH 200 1P Pla pills 3-3/7days 4th week NIH 200 1P Pla pills 3-3/7days 5th week NIH 200 1P Pla pills 3-3/7days |
| 15/06/07 | Fibroid +, Hormone L0, Dysmenorrhoea +, Backache+ | 1st week Kali-c 200 3P Pla pills 3-3/7days 2nd week Thuj 200 2nd dose Kali-c 200 3P Pla pills 3-3/7days |
| 29/06/07 | PMS L5, Fibroid L5, Sinusitis L0/2weeks, Wet and A/C < L0, Hair fall L0/month, Headache L0/month, Graying of hair L5, Vagina dryness L5, Skin red in Sun L5. Dysmenorrhoea L5, PMS and breast pain L0,Backache L8 | 1st week Kali-c 200 1P Pla pills 3-3/7days 2nd week Kali-c 200 1P Pla pills 3-3/7days |
| 13/07/07 | Very bad. 3 pads, Menses on 1/7. | 1st week Tub-b 1M 3rd dose Pla pills 3-3s/7days 2nd week NIH 200 3P Pla pills 1-1/7days |
| 03/08/07 | >. Headache and Sinusitis >3+. Menses 2½/26 days | 1st week Kali-c 200 3P Pla pills 3-3/7days 2nd week Tub-b 1M 4th dose Pla pills 3-3/7days |
| 17/08/07 | >3+. | 1st week NIH 200 1P Pla pills 3-3/7days 2nd week NIH 200 1P Pla pills 3-3/7days |
Dr Satish Kanojia
Diagnosis
Fibroids →F
Menorrhagia → M
Sinusitis → S
Remedies
Kali-bich → K
Sabina → S
Arsenic-album → A
Tub-bov → T
Kali-carb → K
Mag-phos → M
