Post Stress Exhaustion.

Mrs. S.   37 yrs.  female     hindu  vegetarian.

Diagnosis – Post Stress Exhaustion.

The patient complains of constrictive pain and weakness in legs after urination so much so that she needed support to get up and reach to bed where she lay still for about 45 minute. This is aggravated from motion, touch or rub. The problem is persisting for last four years after she nursed her husband who had  paralyzed after meningitis and has not fully recovered. Continuous stress – night watching, long standing, worries and financial difficulties she faced precipitated it. She had suffered similar symptoms during her pregnancies (stress on the system) also. Normally she passes urine 5 – 6 times a day and never at night.

Pimples on face from 22 years age. Painless pustules, black heads aggravates from eating ground nuts, green pepper.  She feels weakness and breathlessness on walking and exertion.

Menses are regular but profuse for 3 – 4 days. Dark, big clots. Weakness, apathy, discontent and irritability during menses. Constrictive lumber back pain begins 3 hours before menses, better after flow begins.

She has anxiety future, carrier, husband’s health and recovery. Irritable. She craves sweets and tea. Chilly in feet and chest. Sunburn cheeks. Nausea and vomits in bus or car journey. Wakes at 2 – 3 am without cause for last one month.

Father had diabetes, tuberculosis, piles and died of heart problem. Mother has diabetes and hypertension, paternal uncle suffered tuberculosis, paternal grandmother had asthma.

02/01/2010 Rx 1. Lycopodium  200 two doses at 10 minute interval

                            2. P. L.                  30 Twice a day

26/02/10  No episode of urinary frequency.

                     Rx 1. Lycopodium  200 two doses at 10 minute interval

                          2. P. L.                  30 Twice a day

18/03/10  3 – 4 episodes occurred in last two weeks.

                     Rx 1. Nihilium        200 Two doses at 10 minute interval

                          2. P. L.                  30 Twice a day

10/04/10 Flatulence and weakness.

                     Rx 1. China        200 Two doses at 10 minute interval weekly

                          2. P. L.             30 Twice a day

05/06/10 Trouble free but menses and face symptoms persisting.

                     Rx 1. Lycopodium  1M Two doses at 10 minute interval

                          2. P. L.                  30  Twice a day

The Lycopodium 1M repeated monthly thrice, then once in two months. Last dose was given on 13/11/10. The patient improved in all respect. Menses are normal, weakness has gone, sleep was good, coldness of feet and chest was less this year and no more sun burn.

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

POST MENOPAUSAL ANXIETY

Anxiety disorder is characterized by excessive, uncontrollable and often irrational worry about everyday things that is disproportionate to the actual source of worry. This excessive worry often interferes with daily functioning, as individuals disturbs own as well as family and friends peace. They often exhibit a variety of physical symptoms, including fatigue, fidgeting, headaches, nausea, numbness in hands and feet, muscle tension, muscle aches, difficulty swallowing, bouts of difficulty breathing, difficulty in concentrating, trembling, twitching, irritability, agitation, sweating, restlessness insomnia, hot flashes and rashes and inability to fully control the anxiety.

There is an order of hierarchy in our living system scientifically proved but has been said long back in GITA that emotional plane(man) is superior to body and intellect (buddhy-mental plane) is superior to emotion(man) . If something is suppressed at one level of hierarchy the next  level suffers the effect of suppression. Though not very prominent but it is evident in this case as an effort to suppress anxiety (at emotional plane) led to forgetfulness (at mental plane which is higher level) but it was just beginning when patient stopped the suppressive treatment and resorted  to homoeopathic treatment at right time which reverted the process.   

Mrs. R    46 yrs.  female,  married,  house wife,    hindu,  vegetarian. 

Diagnosis – Anxiety Disorder.

Patient fears something may happen (to son/ husband’s health, accident), of accident refuses to rid on scooter with husband. Anxiety when alone, when swings, about work, future and home expenses. Talking anxious, excited and hurried about son’s studies, what to do, about her daily engagements. Hasty at work, in talking.  Very irritable. Quarrelsome after anger. The patient is suffering since last 6 years when her menses stopped abruptly. She has been taking medicines from psychiatrist for about five years after which she became forgetful.

Patient complaints of sleeplessness since 6 years (after menopause at the age of 40 yrs.), sleepless from anxiety , better after disprin (?). Restless in bed, changes position often. Head pain after loss of sleep, pain in legs from loss of sleep. She is chilly and must wear scarf on head and socks on feet. She gets nausea and vomit on riding in a bus. Sweats on face while cooking. Had normal appetite.

Hypertension, controlled with Allopathic medicines.

Weight – 58 kg.  Height – 5’ 3’’.   B. P. – 130/90.

06/10/10  

   R_x 1. Hyoscymus       200     2 doses at interval of 10 minutes                                                                            

        2. Calcarea carb.    30     2 pills thrice a day.

        3. Kali phos.          6x      4 tablets thrice a day

        4. Rauwolfia           Q     10 drops once a day in ½ cup of water.

25/10/10  Sleep restless with drowsiness and activity of mind resulting in heaviness in head. Fears decreased. Could control anxious thoughts.  Capability for physical work is increased.

    R_x 1. Phytum           200      2 doses at 10 minutes interval.

         2. Calcarea carb.  30      2 pills thrice a day.

         3. Kali phos.         6x      4 tablets thrice a day.

19/11/10 Sleeplessness same in spite of allopathic medicine. Mentally better, now less forgetful.

 B.P. – 120/80.

    R_x 1. Natrum mur        200    2 doses at 10 minutes interval.

         2. Calcarea carb.      30    2 pills thrice a day.

         3. Phytum               200    2 pills once a day.

11/01/11 Mentally very much improved (Husband stated that he found her peaceful after many years). Sleep very good.

    R_x 1. Nihilinum            200     2 doses at 10 minutes interval.

         2. Calcarea carb.     30     2 pills thrice a day.

         3. Phytum               200    2 pills once a day.

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

Infertility

Infertility is the inability of a couple to become pregnant (regardless of cause) after 1 year of unprotected sexual intercourse (using no birth control methods).

Infertility affects men and women equally.

Causes

The normal reproduction process requires interaction between the female and male reproductive tracts. The woman ovulates and releases an egg from her ovaries to travel through the fallopian tube to her uterus (womb).The male produces sperm. Both egg and sperm normally meet in the woman's fallopian tube, where fertilization occurs. The embryo then implants in the uterus for further development.

Pelvic inflammatory disease (PID)

Sexually transmitted diseases, namely, gonorrhea and chlamydia, may be associated with pelvic inflammatory disease (PID) and damage a woman's fallopian tubes

Endometriosis

Endometriosis affects women during their reproductive years. It can cause pelvic pain and infertility.

Environmental and occupational factors

Certain environmental factors may cause men to produce a less concentrated sperm. Exposure to lead, other heavy metals and pesticides has also been associated with male infertility. Many other factors, such as excessive heat exposure, microwave radiation, ultrasound, and other health hazards, are more controversial as to whether they induce infertility.
 
Toxic effects related to tobacco, marijuana, and other drugs

Smoking may cause infertility in both men and women. Nicotine has been shown to block the production of sperm and decrease the size of a man's testicles. In women, tobacco changes the cervical mucus, thus affecting the way sperm reach the egg.

In women, the effects of alcohol are related more too severe consequences for the fetus. Nevertheless, chronic alcoholism is related to disorders in ovulation and, therefore, interferes with fertility. Alcohol use by men interferes with the synthesis of testosterone and has an impact on sperm concentration. Alcoholism may delay a man's sexual response and may cause impotence.

Exercise
Over exercise may result in disruption of the ovulation cycle, cause no menstrual periods, or result in miscarriages (loss of pregnancy).In men, over exercise may cause a low sperm count.
Obesity has an impact on infertility only when a woman's weight reaches extremes.

Weight loss with anorexia or bulimia can create problems with menstrual periods (no periods) and thyroid levels, thus disrupting normal ovulation.

Infertility in men is most often caused by:

A problem called varicocele

Movements of the sperm

A man's sperm can be changed by his overall health and lifestyle. Some things that may reduce the health or number of sperm

 Heavy alcohol use

Drugs

Environmental toxins, including pesticides and lead

Smoking cigarettes

Health problems such as mumps, serious conditions like kidney disease, or hormone problems

Medicines

Radiation treatment and chemotherapy for cancer

Age

Most cases of female infertility are caused by

Problems with ovulation

Without ovulation, there are no eggs to be fertilized. Some signs that a woman is not ovulating normally include irregular or absent menstrual periods.

Ovulation problems are often caused by polycystic ovarian syndrome (PCOS).

Less common causes of fertility problems in women

Blocked Fallopian tubes due to pelvic inflammatory disease, endometriosis, or surgery for an ectopic pregnancy

Physical problems with the uterus

Uterine fibroids which are non-cancerous clumps of tissue and muscle on the walls of the uterus

Diagnosis

Medical history

Physical examination

Further testing for men

The male partner will be asked to submit a semen sample for a complete semen analysis.

Further testing for women

Several conditions may affect a woman's ability to get pregnant.

The cervix 

Cervical mucus production, amount, and characteristics change according to the estrogen concentration depending on the menstrual cycle.

The uterus  

 Problems affect the development and function of the uterus (specifically the endometrium or inner layer of the uterus).

Ovaries may not release eggs. Fallopian tubes may be blocked.

Hysterosalpingogram

Ultrasound: Pelvic ultrasound has become an important tool in the evaluation and monitoring of infertile women. It is a way to detect uterine fibroids, endometrial polyps, ovarian cysts, and other abnormalities in the pelvis from the outside with sound waves.

Magnetic resonance imaging (MRI):

Hysteroscopy: This is a method of directly seeing the uterus with an instrument.

Case

This is the case of a woman [Mrs. R. Devi] aged 35 years. She came to see me for INFERTILITY. Her complaint was leucorrhea which thick and profuse since last 15 years. She also had itching and burning in vagina. Her menstrual cycle was irregular. She had no thirst. She was highly emotional and weeps easily. USG report was pelvic inflammatory disease. Semen analysis was normal.

On 22/08/10 she was prescribed KREOSOTOM, PYROGENUM, BOREX, OVA TOSTA, R-1 for fifteen days. She came on 09/09/10 with improvement in itching and burning vagina. She was repeated same medicines for fifteen days.

On 01/10/10 she reported with no leucorrhea, no itching, and no burning. She was prescribed PULSATILLA , NATRUM MUR, AGNUS CAST along with above medicines for fifteen days.

She came after four months on 6/2/2011 with amenorrhea last three months and she was advised for pregnancy test and USG for BWF

Pregnancy test was positive.USG report was 3 months pregnancy.   

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  

Nystagmus

Nystagmus is a form of involuntary eye movement. It is characterized by alternating smooth puruit in one direction and saccadic movement in the other direction.

Nystagmus is the result of damage to one or more components of the vestibular system, including the semicircular canals, otolith organs, and the vestibulocerebellum.

Pathological nystagmus generally causes a degree of vision impairment, although the severity of such impairment varies widely. Also, many blind people have nystagmus, which is one reason that some wear dark glasses

Variations

• Peripheral nystagmus
• Positional nystagmus
• Gaze Induced nystagmus
• Post rotational nystagmus
• Spontaneous nystagmus
• Central nystagmus.

Causes

The cause for pathological nystagmus may be congenital, idiopathic, or secondary to a pre-existing neurological disorder.

Congenital

Congenital nystagmus occurs more frequently than acquired nystagmus. It can be insular or accompany other disorders (such as micro-ophthalmic anomalies or Down's Syndrome). Congenital nystagmus itself is usually mild and non-progressive. The affected persons are not normally aware of their spontaneous eye movements, but vision can be impaired depending on the severity of the movements.

Types of congenital nystagmus include the following:

• Infantile:

·         Idiopathic

·         Albinism

·         Aniridia

·         Leber's congenital amaurosis

·         Bilateral congenital cataracts

·         Rod monochromatism

·         Optic nerve or macular disease

·         Persistent tunica vasculosa lentis

·         Visuo-motor syndrome

Congenital nystagmus is also associated with two X-linked eye diseases known as complete congenital stationary night blindness

Acquire Diseases

Some of the diseases that present nystagmus as a pathological sign:

• Benign Paroxysmal Positional Vertigo
• Head trauma
• Stroke
• Ménière's disease and other balance disorders
• Multiple sclerosis
• Brain tumors (tumors in the posterior fossa.)
• Wernicke-Korsakoff syndrome
• Encephalopathy
• Lateral medullary syndrome
• Optic nerve hypoplasia
• Albinism
• Pelizaeus-Merzbacher disease
• Superior canal dehiscence syndrome
• Tullio phenomenon

Toxic/metabolic

Nystagmus from toxic or metabolic reasons could be the result of the following:

• Alcohol intoxication
• Lithium
• Barbiturates
• SSRIs
• Salicylates
• Benzodiazepines
• Lysergic acid diethylamide
• Phencyclidine
• Ketamine

Central nervous system disorders

• Thalamic hemorrhage
• Tumor
• Stroke
• Trauma
• Multiple sclerosis
• Cerebellar ataxia

Homoeopathic medicines

Agaricus,Calcarea carb, bufo rana, causticum, cicuta v, physo, plut nit, stramonium, zinc  met.

Case

This is the case of a man [Mr. S.J.] aged 24 years. He came to see me for nystagmus and albinism. He was under treatment of other system of medicines. He had no relief with that treatment. He came with the severe pain in eyes on reading. He could not open eyes in light and day light. He had   involuntary movement of eyes.

On 01/04/2010 he was prescribed following medicines. ARGENTUM NIT, AGARICUS, PHYSOSTIGMA, R-78. For one month.

On 27/04/2010 he was prescribed PHOSPHORUS along with above medicines for four months.

He came on 13/08/2010 with some improvement in pain, photophobia but no improvement in involuntary movements of eyes. He was prescribed PULSATILA with above medicines for four months.

He came on 23/ 12/2010 with improvement in all symptoms. He was repeated same medicines.

On 06/01/2011 patient reported 75% improvement.

On 30/01/2011 patient improved up to 90%. He can read easily without pain in eyes, no photophobia, involuntary movements of eyes also improved. He is enjoying his life. Medicines are continuing for one month.

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