Sebaceous gland carcinoma

Sebaceous glands are appendages in epidermis. Tumors of the sebaceous glands may be benign, such as sebaceous hyperplasia or sebaceous gland adenomas. The malignant sebaceous gland carcinoma generally arises from the glands within the eyelids, caruncle or eyebrow. They are more commonly occurred on the upper eyelid and in middle-aged patients. Meibomian gland carcinoma is the most common type. Sebaceous cell carcinoma is a lethal eyelid malignancy with metastasis (spreading of the disease to other parts of the body) but misinterpreted as benign conditions therefore error or delay in diagnosis is common thus tumor carries a significant mortality rate, 22%. The sebaceous cell carcinoma occurs 3.2% among malignant tumors and 0.8% of all eyelid tumors.

Sebaceous cell carcinomas are typically found in women, more often in old people, and they usually occur on the upper eyelid margin. It tends to invade locally, as well as spreading to regional lymph nodes.

Symptoms – There is an insidious onset of a painless firm eyelid mass. Tumors at the upper eyelid have a yellowish appearance. Classically, lesion is a firm, painless, indurate mass or ulceration associated with the loss of cilia, in an area that has been treated for recurrent stye. Sebaceous carcinomas are rare eye cancers and appear like a stye. But any eye tumor with persistent conjunctivitis, blepharo-conjunctivitis or chronic/recurrent stye and is not getting better after 3 months of observation must be suspected as sebaceous carcinoma and biopsied

Sebaceous cell carcinoma tends to invade locally, as well as spreading to regional lymph nodes.

Treatments – When the diagnosis is confirmed through biopsy, a survey for metastasis is done. Sebaceous carcinoma can spread to regional lymph nodes (pre-auricular and cervical) as well as to lungs, brain, liver and bone. The occurrence of metastatic disease is dependent on the size and location of the primary tumor and occurred in up to 27% of patients. Local tumor invasion of the lymph nodes, orbit or metastatic sites were associated with a poor prognosis for survival.

Surgical – COMPLETE resection is suggested. Procedure of permanent section control or Frozen section control is applied to provide negative margins. Larger surgeries, cryo-destruction and radiation may be required if resection is not possible. Exenteration (complete removal of the orbital contents) is sometimes required for extensive or recurrent disease.

Medical Treatment – Carcinoma tumors are generally removed with the help of surgery. More serious carcinoma tumors require advanced medical treatment like Chemotherapy and Radiation. Sebaceous Gland Carcinoma tumors cause death of many patients due to spreading of the disease to other parts of the body (metastasis). Hence it is important to treat Sebaceous Gland cancer at the earliest.

Homoeopathic treatment – Though there are many homoeopathic medicines for tumors and glands, there is no specific medicine for sebaceous carcinoma of eyelid, mentioned in homoeopathic literature.  Homoeopaths treat all types of disease with medicines selected on homoeopathic principles from that angle any of the homoeopathic medicine may be indicated covering the totality of symptoms.

The commonly used antitumor medicines are – Abrotanum, arsenicum alb., baryta carb., bromium, calcarea carb., calcarea flour., carbo animalis, conium, formic acid, hecla lava, lapis albus, lycopodium, nitric acid, phosphorus, phytolacca, scirrhinum, silicea, thuja etc.

Case – Smt. R. D.      55 yrs.           Female           Married                Hindu             Vegetarian              

C T Scan (14/08/2010) – Small 17x11x11 cm size tissue density lesion seen along supra- lateral quadrant of right orbit – involving right eyelid. No underlying bone erosion. Lesion abutting (touching) the eye ball.

Biopsy (15/11/2010) – Sebaceous carcinoma of right upper eyelid.

Patient reported on 09/05/11 with a bluish red hard swelling with multiple nodules on upper eye lid. Some sites were softened to bleed freely after punch biopsy. Bleeding from two ulcerated sites of biopsy aggravated after walking or exertion. Stitching and pulsating pain and lachrymation aggravated from sun and after exertion. Pain on right side of the head during talking.  The swelling was noticed in July – August 2010. It increased gradually but aggravated after November 2010. The patient observed that the swelling has increased after biopsy.

She had excessive thirst. Craving for cold, aversion to milk. Burning esophagus from spices.  Perspire on face while walking.

Obese. Hight 5’3”. Weight 78 kg. Blood  pressure 180/120 mm of hg.

Right upper Eyelid – A bluish red hard mass with multiple nodules covering whole eyelid. Some sites are softened and bleeding freely.   No peri-auricular and cervical lymph node palpable.

09/05/11 Rx 1. Pulsatilla         30    two pills thrice daily.

                       2. Phosphorus   200  two doses at 10 minutes interval weekly

                       3. Rauwolfia        Q   15 drops in ½ cup of water twice a day.

25/05/11 No change in bleeding and pain. there was burning along right eye brow extending to whole growth. Perspiration face increased. Blood pressure 150/110.

                  Rx 1. Pulsatilla         30    two pills thrice daily for one month.

                       2. Sulphur            30    two doses at 10 minutes interval weekly

                       3. Silicea               6x    four tablets thrice a day for one month.

                       4. Hekla lava        4x     thrice a day for one month.

                       5. Ointment Calendula to apply on the wound.

25/06/11 Discharge decreased but burning in inner canthus.

                   Rx 1. Zincum met    30    two pills thrice daily for one month.

                        2. Sulphur          200    two doses at 10 minutes interval weekly

                        3. Silicea               30    two pills thrice a day for one month.

                        4. Hekla lava        4x     thrice a day for one month.

                        5. Ointment Calendula to apply on the wound.

13/07/11 As there was no change the patient reported before time.

                 Rx 1. Silicea              1M    two doses at 10 minutes interval

                      2. Thuja                200   two doses at 10 minutes interval on 8^th day after silicea.

                      3. Calcarea carb. 200 two pills once a day for 15 days.

                      4. Calendula          30 two pills thrice a day for 15 days.

                      5. Ointment Calendula.

29/07/11 All the previous prescriptions failed to bring any satisfactory result.

                Rx 1. Conium          30    two pills thrice a day for 30 days.

                      2. Silicea            6x     four tablets thrice a day for 30 days.

                      3. Ointment Calendula

05/09/11 Had viral fever about ten days back, took allopathic medicines. Now, weakness and sometimes vertigo are felt.

Tumor size decreased. Discharge and pain decreased. (May be due to antibiotics?). Picture taken.

Weight – 75 kg.

                 Rx 1. Conium          30    two pills thrice a day for 30 days.

                      2. Silicea            6x     four tablets thrice a day for 30 days.

                      3. Ointment Calendula

Photo on 05/09/11

15/10/11 The right upper eye lid tumor size decreased more than 80% (See photo taken on 15/10/11).  Now patient could open eye and had clear vision.

Since after viral fever she has right sided head pain off and on, vertigo while walking with sensation of falling forward. Not recovered from weakness.

Appetite, thirst, bowel and sleep normal. B. P. 140/100 mmHg.

                 Rx 1. Conium          30    two doses at 10 minutes interval every week.

                       2. Silicea             6x     four tablets thrice a day for 30 days.

                       3. S. L.                 30    two pills thrice a day.

                       4. Rauwolfia      Q      10 drops once a day.

Photo on date 15/10/11

28/11/11 Vision was though clear and could open the eye but following symptoms persisted. The eyelid itch and burn after rubbing and from heat of stove. Redness of the eye and lachrymation from air draft, light and rubbing. Agglutination in morning with yellow discharge.

Vertigo on walking. Blood Pressure 130/100 mm Hg.

                  Rx 1. Conium          1M    two doses at 10 minutes interval.

                       2. Silicea              6x     four tablets thrice a day for 30 days.

                       3. S. L.                  30     two pills thrice a day.

                       4. Rauwolfia        Q      15 drops twice a day.

 Though the patient said that she was ok and has clear vision but the case cannot be declared as cured as the symptoms redness of the eye, lachrymation and photophobia are still persisting. Personally, I call a case cured only when the patient remain free from all the concerned symptoms and pathology at least for two years. So the patient is advised to continue the treatment.

Dr. M. K. Tyagi
D.H.M.S., Dip. N.I.H., Research Officer

Mobile" 09829157926

Email: manju_mkt2003@yahoo.co.in
Sewa Mandir
Email: sewamandir@usa.net

HYPOTHYROIDISM AND PREGNANCY

Hypothyroidism is a disorder of thyroid gland where the thyroid secrets less than the required thyroid hormones.

A woman with too low thyroid hormones levels may not ovulate normally, which makes conception difficult. Right dose of thyroxine (T₄) can get ovulation back on track and restore fertility of the female.  In some ladies menstrual cycle does not cause any concern still it is necessary to get thyroid levels checked, if thyroid levels are too low then it is recommended to correct the level of thyroxine before one try to conceive. 

There is an increase in serum free T4 (thyroxine) and a decrease in serum TSH (Thyroid Stimulating Hormone) levels in early pregnancy. An increased level of free T4 and a reduced level of TSH in early normal pregnancy are not indications of hyperthyroid but in a hypothyroid pregnant woman a fresh estimation of thyroid hormones is a must as a well managed hypothyroid does not have a significant effect on pregnancy. Thyroxine is needed for the development of baby's brain in womb. It easily crosses the placenta, the organ which provides nutrients for the fetus and takes away waste during pregnancy.

During pregnancy need for thyroxine is increased by 50 to 100% which is manageable. Beside the baby needs it for brain development it helps mother’s body to adapt to the changes of pregnancy, especially in the first twelve weeks. Maternal hypothyroidism or underactive thyroid increases the risk of pregnancy complications, such as miscarriage, premature birth, gestational hypertension and pre-eclampsia, as well as deficits of intellectual development in the children as lower IQs and learning problems, such as attention-deficit hyperactivity disorder (ADHD). Therefore thyroid levels in blood should be monitored throughout the pregnancy to maintain the correct level of thyroxine.

The increased free T4 and hCG (human chorionic gonadotropin) and decreased TSH are correlated with the severity of morning sickness. If morning sickness is severe changing the time of taking thyroxine tablets is recommended, for this consult the treating physician.

The thyroid functions of all babies should be checked when they are about nine days old. Depending on the cause of underactive thyroid the baby may need to have some additional tests of thyroid function after birth. 

The most frequent cause of the inability of the maternal thyroid to produce enough thyroxine is an inadequate supply of iodine. This micronutrient is a necessary component of thyroid hormone. Its need with the onset of pregnancy is almost doubled than needed by children and non-pregnant adults. "Intellectual impairments of many children could be easily prevented by promoting the use of iodine supplements taken before, throughout pregnancy and lactation," 

Homoeopathy though has no specific medicine to maintain the levels of thyroid hormones but homoeopathic treatment could be continued during pregnancy with time to time evaluation of thyroid function and regulation of the hormone supplements added with the iodine.

However, well regulated homoeopathic treatment can resolve hypothyroidism permanently. Some of indicated medicines are as follow –

Alumina, argentum-nit., bacillus-7, calcarea carb., calcarea-iod., conium, cortisonum, gelsemium, graphite, histaminum, hypothalamus, Iodium,. kali-carb, kali-iod., lycopodium, merc. sol., natrum-m., nux-vom., penicillinum, ribonucleic-ac., sepia, thalamus, thyroidinum.

Dr. M. K. Tyagi
D.H.M.S., Dip. N.I.H.Research Officer 
Sewa Mandir
Mobile" 09829157926
Email: 1.sewamandir@usa.net, 2.manju_mkt2003@yahoo.co.in

SLEEP WELL............

Sleeping every night, but is it quality sleep? Sleep disorder is a result of over indulgence of mind in some matter. Most insomniacs are people who think a lot and the individuals who do not know how to ‘sleep on the problems’. Sleep is one thing which cannot be forced, instead the more someone tries to force sleep, the more alert he become.  A solution to sleep difficulties and daytime fatigue can often be found in person’s daily routine. Sleep schedule, bed time habits, and day–to–day lifestyle choices make an enormous difference in the quality of sleep. The following sleep tips will help to optimize nightly rest, minimize insomnia and lay the foundation for all–day energy and peak performance.

Good sleep strategies help to deep, restorative sleep nights after night. By learning to avoid common enemies of sleep and trying out a variety of healthy sleep-promoting techniques, one can discover an effective way for himself to a good night’s rest.

How much sleep is required – Requirement of sleep for each person vary according to his life style.  To know how much sleep is required, one should experiment nights before holidays to go to bed at a fixed routine time and sleep until woke without alarm. After repeated experiments one can count the necessary hours of refreshing sleep.

Keep a regular sleep schedule – Biological clock is important operator of body functions. By keeping a regular sleep schedule, going to bed and getting up at the same time each day not only activate biological clock but one also feels  much more refreshed and energized than after sleeping for the same number of hours at different time even if one alter sleep schedule by only an hour or two. Beyond the costly investments in the coir beddings and mushy pillows, one needs to be committed to a schedule of sleep.

To keep schedule after dinner drowsiness could be overcome by chatting or calling to a friend, involving in a TV serial etc.

Day nap – To make up the lost hours of sleep at night it is better to take a day nap rather than getting up late. This afternoon nap should not exceed more than thirty minutes. Otherwise never take a day nap.  

Keep a bedtime Routine – Make a routine of ‘activities before going to bed’. May it be taking bath, reading spiritual, philosophical or some light entertaining book, listening light music which takes a man away from the burdened day life. This signals to conscious that now it time to sleep.

Drinking Milk – Take a glass of milk before going to bed. It increases serotonin level in brain and slows down the active mode of the brain thus helps good sleep.

Don’t smoke cigarettes or drink alcohol or coffee as these drive away sleep.  

Cut down the Sensory inputs – Off a T V, computer, laptop and other electronic instruments. People are found restless in bed after favorite TV show or completing office job on laptop; then put off the lights and on some soothing, soft music. It helps to relax and get sleep.

Don’t allow any electrical item except AC or fan in bedroom. Even a very low intensity night lamp has been proved to alter sleep pattern. Presence of any work item also has a negative effect on the sleeping environment.

Yoga and Meditation – Why sleepless? Analyzing the cause of worry or stress and solution to the problem may help to sleep sometime but deep breathing and meditation relieve stress of body and mind and bring peace to mind which is precondition to a peaceful good sleep. Remember all positive things of the day. Breathe in and out deeply for a few minutes. Concentrate on the movements of chest that is expansion and contraction. Shavasan that is Corpse Pose in yoga helps to relax the whole body muscles and makes mind tension free. Lie down in bed and let body limp then focus on toes and relax them, then move to feet and upward gradually and let every muscle relax and feel it was relaxing from toe to head. Thus, be prepared for a restful night.

Other measures – Avoid any and all types of sleeping pills and drugs as they are addictive, habit forming and people become dependent on them. Instead try some other methods to induce natural and relaxed sleep. Too much eating or empty stomach also causes sleeplessness. Taking some light snacks or milk before bed time helps to get deep sleep. Body massage relaxes tense muscles and brings a good sleep. Soft music induces meditation, peace and slumber. Just be consistent with these.

Melatonin is a naturally occurring hormone that regulates sleep-wake cycle. Melatonin production is controlled by light exposure. Our brain secretes more melatonin in the evening, when it is dark, makes us sleepy and less during the day light when we want to stay awake and alert. Being exposed to bright lights in the evening or too little light during the day can disrupt the body's normal melatonin cycles. For example Jet lag results from rapid long-distance trans-meridian (east–west or west–east) travel, as on a jet plane), shift work and poor vision can disrupt melatonin cycles. To maintain proper sleep wake cycle that is melatonin secretion, ensure exposure to day light at the same time avoid working in bright lights in evenings and night time. 

Get back to sleep – It is normal to wake briefly during the night. In fact, a good sleeper won’t even remember it. But some people after waking up have trouble in falling back asleep then –

Try not to stress over the fact that you are awake and unable to fall asleep again, because that very stress and anxiety will keep you awake. Or storm mind with some nagging thought or problem, rather focus on the feelings and sensations in your body. Make relaxation a goal and apply the relaxation techniques suggested above, as there is no replacement for sleep. Meditate on breathing. Stay in bed and if necessary engage in some quiet, non-stimulating activity as reading book in low light. Avoid bright screens as cell phone, TV, computer, I – pad etc. Sometimes green herbal tea can help but don’t put on big lamps.

Visit to Doctor – After trying as suggested above if one still struggles with following symptoms, he requires professional treatment.

Difficulty in falling asleep or staying asleep, persistent day time sleepiness or fatigue, snoring sleep, unrefreshing sleep and morning headaches, crawling or tingling in arms or legs at night. Inability to move on falling asleep. Getting sleep at inappropriate time.

Homoeopathic medicine – Many Homoeopathic medicines help in insomnia. As discussed above insomnia has different causes and symptoms so are the medicines. A few are indicated here –

Sleeplessness –

           After Anger – Aconite nap., Colocynthes, Nux vomica

           From anticipation – Carcinocin, Cuprum met., Gelsemium.

           From anxiety and worry – Arsenicum alb., Cocculus ind., Hyocymus,

                           Of business – Ambra, Calcarea carb., Hyocymus, Ignatia, Nux vom.

           From dreams – Adonis, Ambra, Belladona, Carbo animalis, Natrum mur., Rhus tox., Sepia.

           From excitement – Coffea, Hyocymus, Nux vom., Phosphorus.

           After exertion and exhaustion – Arsenicum alb., Cocculus ind., Coffea, Nux vom., Silicea.

           From grief – Gelsemium, Ignatia, Kali bromatum, Lachesis, Natrum mur., Sulphur.  

           After mental exertion – Arsenicum alb., Coffea, Hyocymus, Kali phos., Lycopodium, Nux vom., Phosphoric acid, Picric acid, Silicea. 

           From numbness – Cimicifuga, Cina.

           In old people – Aconite nap., Arsenic alb., Baryta carb., Carcinocin, Opium. Passiflora, Phosphorus, Sulphur, Syphilinum.      

Dr. M. K. Tyagi
D.H.M.S., Dip. N.I.H.Research Officer
Sewa Mandir
Mobile" 09829157926
Email: 1.sewamandir@usa.net, 2.manju_mkt2003@yahoo.co.in

Cervical Spondylosis

Spondylosis is a term referring to degenerative osteoarthritis of the joints between the centra of the spinal vertebrae and/or neural foraminae. In this condition the facet joints are not involved. If severe, it may cause pressure on nerve roots with subsequent sensory and/or motor disturbances, such as pain, paresthesia, or muscle weakness in the limbs.

Cervical spondylosis is a disorder in which there is abnormal wear on the cartilage and bones of the neck (cervical vertebrae).

Causes, incidence, and risk factors

Cervical spondylosis is caused by chronic wearing away (degeneration) of the cervical spine, including the cushions between the neck vertebrae (cervical disks) and the joints between the bones of the cervical spine. There may be abnormal growths or "spurs" on the bones of the spine (vertebrae).

These changes can, over time, press down on (compress) one or more of the nerve roots. In advanced cases, the spinal cord becomes involved. This can affect not just the arms, but the legs as well.

The major risk factor is aging. By age 60, most women and men show signs of cervical spondylosis on x-ray. Other factors that can make a person more likely to develop spondylosis are:

·         Past neck injury (often several years before)

·         Severe arthritis

·         Past spine surgery Repetitive strain injury_Caused due to lifestyle without ergonomic care, e.g., while working in front of computers, driving, traveling etc. Simple reasons like "using a blunt knife for everyday chopping of vegetables", could cause RSI.

Symptoms

Symptoms often develop slowly over time, but may start suddenly.

More common symptoms are:

·    Neck pain (may radiate to the arms or shoulder)

·    Neck stiffness that gets worse over time

·    Loss of sensation or abnormal sensations in the shoulders, arms, or (rarely) legs

·    Weakness of the arms or (rarely) legs

·    Headaches, particularly in the back of the head Less common symptoms are:

·         Loss of balance

·         Loss of control over the bladder or bowels (if spinal cord is compressed)

Signs and tests

Examination often shows limited ability to bend the head toward the shoulder and rotate the head.

Weakness or loss of sensation can be signs of damage to specific nerve roots or to the spinal cord. Reflexes are often reduced.

The following tests may be done:

·    CT scan or spine MRI

·    Spine or neck x-ray

·    EMG

x-ray or ct scan after dye is injected into the spinal column(myelogram)

Diagnosis

·     Spurling's test

·     Pain while coughing with neck in hyperextended position

CASE:

Mr. B.S. 55 Yr old man He came to see me on 04/03/11 with severe pain in RT shoulder and neck. He had vertigo and stiffness in shoulder< on rising arm. He could not raise the arm due to pain He was advised for X ray cervical AP, lat.

X ray report was space decreased between C3, C4 & C6 and C7 cervical spondylosis.

On 04/03/11 following medicines was prescribed.

A.     R 11

B.     Rhus Tox

C.     Ferum met

D.     Mag Mur

E.      Calc Flor  6x

Follow up on 22/03/11 with improvement in pain and movement of shoulder.

Same medicines repeated as above for one month.

He came on 25/05/11 with no pain neck, shoulder and movement of shoulder was normal.                                                                                       

Cured

 Dr. G. S. Bhatnagar

D.H.M.S. B.H.M.S.

Research officer

Sewa Mandir

Mobile: 9829978284

E-Mail: sewamandir@usa.net, drgsbhatnagar@gmail.com

Benign prostatic hyperplasia

The Prostate Gland

The prostate is a walnut-sized gland that forms part of the male reproductive system. The gland is made of two lobes, or regions, enclosed by an outer layer of tissue., the prostate is located in front of the rectum and just below the bladder, where urine is stored. The prostate also surrounds the urethra, the canal through which urine passes out of the body.                                

Benign prostatic hyperplasia

Benign prostatic hyperplasia (BPH) also known as benign prostatic hypertrophy (technically a misnomer), benign enlargement of the prostate (BEP), and adenofibromyomatous hyperplasia, refers to the increase in size of the prostate.

Signs and symptoms

Benign prostatic hyperplasia symptoms are classified as storage or voiding.

Storage symptoms include urinary frequency, urgency incontinence, and voiding at night (nocturia).

Voiding symptoms include urinary stream, hesitancy (needing to wait for the stream to begin), intermittency (when the stream starts and stops intermittently), straining to void, and dribbling. Pain and dysuria are usually not present. These storage and voiding symptoms are evaluated

BPH can be a progressive disease, especially if left untreated. Incomplete voiding results in stasis of bacteria in the bladder residue and an increased risk of urinary tract infection. Urinary bladder stones are formed from the crystallization of salts in the residual urine. Urinary retention, termed acute or chronic, is another form of progression. Acute urinary retention is the inability to void, while in chronic urinary retention the residual urinary volume gradually increases, and the bladder distends. Some patients that suffer from chronic urinary retention may eventually progress to renal failure, a condition termed obstructive uropathy.

Cause

The cause of BPH is not well understood. No definite information on risk factors exists. For centuries, it has been known that BPH occurs mainly in older men and that it doesn't develop in men whose testes were removed before puberty. For this reason, some researchers believe that factors related to aging and the testes may spur the development of BPH.

Another theory focuses on dihydrotestosterone (DHT), a substance derived from testosterone in the prostate, which may help control its growth. Most animals lose their ability to produce DHT as they age. However, some research has indicated that even with a drop in the blood's testosterone level, older men continue to produce and accumulate high levels of DHT in the prostate. This accumulation of DHT may encourage the growth of cells. Scientists have also noted that men who do not produce DHT do not develop BPH.

A newly discovered venous route by which free (active) testosterone reaches the prostate in extremely high concentrations, promoting the accelerated proliferation of prostate cells, leading to the gland's enlargement. The study suggests that BPH is caused by malfunction of the valves in the internal spermatic veins manifesting as varicocele, a phenomenon which has been shown to increase rapidly with age, roughly equal to 10-15% each decade of life.

Most experts consider androgens (testosterone and related hormones) to play a permissive role. This means that androgens have to be present for BPH to occur, but do not necessarily directly cause the condition. This is supported by the fact that castrated boys do not develop BPH when they age.

Diagnosis

Urinary bladder and hyperplastic prostate (BPH) visualized by Medical ultrasonography technique

Micrograph showing nodular hyperplasia (left off center) of the prostate from a transurethral resection of the prostate (TURP). H&E stain.

Microscopic examination of different types of prostate tissues (stained with immunohistochemical techniques): A. Normal (non-neoplastic) prostatic tissue (NNT). B. Benign prostatic hyperplasia. C. High-grade prostatic intraepithelial neoplasia (PIN). D. Prostatic adenocarcinoma (PCA).

Rectal examination (palpation of the prostate through the rectum) may reveal a markedly enlarged prostate, usually affecting the middle lobe.

Often, blood tests are performed to rule out prostatic malignancy: Elevated prostate specific antigen (PSA) levels needs further investigations such as reinterpretation of PSA results, in terms of PSA density and PSA free percentage, rectal examination and transrectal ultrasonography. These combined measures can provide early detection.

Ultrasound examination of the testicles, prostate, and kidneys is often performed, again to rule out malignancy and hydronephrosis.

Screening and diagnostic procedures for BPH are similar to those used for prostate cancer. Some signs to look for include:
      ·         Weak urinary stream

      ·         Prolonged emptying of the bladder
·         Abdominal straining
·         Hesitancy
·         Irregular need to urinate
·         Incomplete bladder emptying
·         Post-urination dribble
·         Irritation during urination
·         Frequent urination
·         Nocturia (need to urinate during the night)
·         Urgency
·         Incontinence (involuntary leakage of urine)
·         Bladder pain
·         Dysuria (painful urination)
·         Problems in ejaculation

CASE

This is a case of a man who was 40yr old. He came to me with complaints of difficult, frequent urination < night. Incontinence of urine, urgency of urine, he advised for USG: KUB prostate.  

On 29/04/10 prescribed following medicines.

A] PAREIRA BRAVA  Q

B] CICUTA V 30

On02/05/10 came with USG report was enlarged prostate and its wt was 32 gm.

A] PROSTONUM

B] DIGITALIS 30

C] SELENIUM 200

On 17/05/10 prescribed two doses of SYPHILLINUM 1M

ON 02/06/10 Repeated same remedy as 02/05/10 for one month.

On 05/07/10 He came with improvement in frequent urination.

Repeated remedy for one month. Advised USG on 03/08/10

He came on 02/09/10 with no symptoms. USG [ normal study of KUB and prostate, wt 20 gm]

                                                                    CURED

 Dr. G. S. Bhatnagar

D.H.M.S. B.H.M.S.

Research officer

Sewa Mandir

Mobile: 9829978284

E-Mail: sewamandir@usa.net, drgsbhatnagar@gmail.com