Homoeopathic Approach to Haematuria

Dr. Ashim Kumar Das¹, Abhijit Dutta²

1.H.O.D, Dept. of Surgery
Mahesh Bhattacharyya Homoeopathic Medical College &Hospital
Doomurjala, Howrah-04, West Bengal

2.Co-Author
B.H.M.S
Email: drabhijitdutta1@gmail.com

ABSTRACT:

Haematuria is a clinical condition where there is presence of frank blood or RBCs in urine. It’s a symptom rather a isolated disease entity. But a symptom of various benign or grave underlying disease conditions. Rationale of this case report is to demonstrate the better improvement by homoeopathic treatment when focused on more general side of the anamnesis.

INTRODUCTION:

Haematuria is a clinical condition where there is presence of frank blood or RBCs in urine. It’s a symptom rather a isolated disease entity. It may be idiopathic and/or benign, or it can be a sign that there is a kidney stone or a tumor in the urinary tract (kidneys, ureters, urinary bladder, prostate, and urethra), ranging from trivial to lethal. If white blood cells are found in addition to red blood cells, then it is a signal of urinary tract infection. And there are also painful or painless haematuria.

More common causes include:

The most common causes of hematuria are:

• Nephrolithiasis: stones in the kidney, bladder or ureter
• Urinary tract infection with bacteria. The vast majority of UTIs are caused by Escherichia coli, with a smaller percentage due to Klebsiella pneumonia and Staphylococcus saprophyticus
• Benign prostatic hyperplasia, in older men, especially those over 50
• Polycystic kidney disease
• Trauma
• Cancer of the kidney, prostate or bladder

Diagnostics includes urinalysis, CT scanning, Ultra sound, Cystoscopy etc. Diagnostic tools should be used according to the relevancy of clinical findings and correlated accordingly.

CASE REPORT

Mr. XYZ, age of 72yrs, a male patient of haldarpara, baltiguri, howrah presented in surgery OPD of M.B.H.M.C &H with bright, red large clots during micturation for 6days while bending forward along with swelling of the right hypochondrium.

He has the past history of prostatectomy and neck femur fracture. But no relevant family history was found. Along with this his domestic environment is damp, addiction of tobacco smoking, and having a completed h/o vaccination.

Generalities:

                   Physical:  

• Appearance: Pale face, sunken cheeks, emaciated, dry and parched lips.
• Thermal relation: chilly patient, hot palm
• General tendency: easily catches cold
• Appetite: good, can’t tolerate hunger, burning sensation in hypogastrium
• Desire: Meat, Sour
• Aversion: Milk
• Thirst: less, 1.5-2lit/day, small quantity at long interval
• Sweat: Profuse over the chest and back
• Stool: Constipated, twice daily, Mucous present, has to give much strain to defecate.
• Urine: clear, but offensive
• Sleep: Disturbed, 4-6hrs
• Dream: of past events, of dead people
• Tongue: Flabby, moist, dirty coating on tongue, imprint of teeth, and multiple cracks are present

Mind:

• Indifferent, desire to be alone, easily angered, avoids the society, zealous, memory is poor, though the patient is passing large clots in urine but he is very cheerful and not debilitated.

CHARACTERISTICS:

1. Indifferent, desire to be alone, easily angered, avoids the society, zealous,
2. Memory is poor, though the patient is passing large clots in urine but he is very cheerful and not debilitated.
3. Pale face, sunken cheeks, and emaciated, dry and parched lips.
4. Chilly patient, hot palm
5. Good, can’t tolerate hunger, burning sensation in hypogastrium
6. Thirst: less, 1.5-2lit/day, small quantity at long interval
7. Stool: Constipated, twice daily, Mucous present, has to give much strain to defecate
8. Dream: of past events, of dead people
9. Tongue: Flabby, moist, dirty coating on tongue, imprint of teeth, and multiple cracks are present
10. Bright, red large clots during micturation for 6days while bending forward along with swelling of the right hypochondrium.

TREATMENT AND FOLLOW-UP:

By observing character of the haematuria and debility Arsenicum hydrogenisatum30c /2dose  was selected on 08.02.16  for the first prescription. After prescribing there was mild to moderate symptomatic relief occurred but no general improvement resulted for one week.

Then after that the case was retaken and analysis and evaluation done very precisely and relevant and intensified symptoms are as follows:

• Indifferent, desire to be alone, easily angered, avoids the society, zealous.
• Memory is poor, can’t remember things
• though the patient is passing large clots in urine but he is very cheerful and not debilitated
• Pale face, sunken cheeks, and emaciated, dry and parched lips
• burning sensation in hypogastrium
• Thirstless
• Stool: Constipated, twice daily, Mucous present, has to give much strain to defecate.

On the basis of all this  relevant and intensified generalities Acid phos 200c /2dose was prescribed. Then in subsequent follow-up followed by placebo(from 15.02.16 to 06.05.16) was given for 8 visits and then gradual marked reduction of haematuria with a general improvement was noted.

CONCLUSION:

Medicine selected on the basis of the totality of symptoms and thorough individualization which covers the patients’ miasmatic background has the capability to cure the patient at the deeper level which leads to the permanent restoration of health. Successful treatment of this case of haematuria proves beyond doubt the importance of generalities in mental and physical aspect with other part of the anamnesis.

REFERENCES:

1. Spetie, DN.; Nadasdy, T.; Nadasdy, G.; Agarwal, G.; Mauer, M.; Agarwal, AK.; Khabiri, H.; Nagaraja, HN.; et al. (Mar 2006). “Proposed pathogenesis of idiopathic loin pain-hematuria syndrome”. Am J Kidney Dis 47 (3): 419–27.doi:10.1053/j.ajkd.2005.11.029. PMID 16490620.
2. Hematuria Causes Original Date of Publication: 15 Jun 1998. Reviewed by: Stacy J. Childs, M.D., Stanley J. Swierzewski, III, M.D. Last Reviewed: 10 Jul 2008
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