Friday, February 18, 2011

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  
   Rx 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.
    Rx 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.
    Rx 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.
    Rx 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

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