Dr Ojasvi Singla
ABSTRACT-
Nocturnal Enuresis refers to the involuntary loss of urine during sleep that occurs at least twice a week in children older than 5 years of age (or the developmental equivalent) for at least 3 months. It is one of the most common complaints in children. It is commonly known as bed-wetting.
This article shows usefulness of individualized homoeopathic medicine in a male patient of 14 years of age with Primary Nocturnal Enuresis. The medicine was selected on the basis of symptom totality.
KEYWORDS- Homoeopathy, Nocturnal Enuresis, Individualized Homoeopathic Medicine
INTRODUCTION-
Nocturnal Enuresis refers to the involuntary loss of urine during sleep that occurs at least twice a week in children older than 5 years of age (or the developmental equivalent) for at least 3 months.[1] It is one of the most common complaints in children. It is commonly known as bed-wetting.
It is of two types- Primary & Secondary. Primary enuresis occurs in a child who has not been dry for a period of at least 6 months. In contrast, secondary enuresis occurs after a period of nocturnal dryness of at least 6 months.
It may or may not be accompanied with daytime incontinence. If it is, then it is known as diurnal enuresis.
CASE REPORT-
A 14 years old male child presented with a complaint of involuntary urination at night. It was present since childhood.
- Patient gets no episode for a few weeks once in a while but then the problem returns.
- <cold room, Direct air drafts from AC
- He also complained of cold and coryza on/off since childhood.
- Episodes of bouts of sneezing
- <dust, change of weather
- blockage of nose at night
Physical appearance-
- – Face dull, not smiling
- – Average built, tall
- (flabby in childhood)
Family history-
Mother- Hypothyroidism
Past History- None
Personal History-
- Elder son
- All developmental landmarks on time.
Physical Generals-
- Appetite- normal, can’t tolerate hunger
- Thirst- 1-2 L in winters, 2-3L in sunmers (per day)
- Desire- bhindi, spicy food
- Aversion- kofte
- Stool- 5-6 days normal then 2-3 times/day then normal again
- Sleep- deep sleep, difficult to wake him up, bedwetting, increased when has to go to school
- Dreams- doesn’t remember
- Thermals- hot (1+)
Mental Generals-
- Very reserved and silent in front of me
- Mother answers all questions, he just looked at her after every question
- Good at maths, likes to study maths only
- Doesn’t like history at all
- Earlier- mother had to force him to study (except maths)
- Unable to adjust to new environment
- Fear of darkness, someone is there (never goes in darkness alone)
- Timid, doesn’t express his anger, keeps to himself
PRESCRIPTION-
Calcarea carbonicum 200/ 1 dose was prescribed, followed by Sac Lac for a month.
No relief even after 1 month.
Case was taken again. And the mentals were considered again.
The following rubrics were selected from synthesis repertory-
- MIND – FEAR – dark; of
- MIND – CLINGING – children; in
PRESCRIPTION –
Strammonium 200/1 dose was prescribed, followed by Sac Lac for a month.
- Patient didn’t return for follow-up.
- He came after 4-5 months with complaint of seasonal cold and cough.
- I asked him about his past complaints. He said that he had no episode of bedwetting since the last medication.
- His fear of darkness was better. He could go to a dark room alone.
At first, I prescribed Sac Lac for his present complaints, but the patient had no relief.
A dose of Strammonium 200 was given.
Patient was better after 3 days.
No complaints since past 6 months.
DISCUSSION-
The rubrics chosen for repertorisation were the individualised symptoms of the patient. The clinging from mother is portrayed by the patient’s need of his mother’s company. Despite his age, he was looking towards his mother for every question. The failure of first prescription shows that medicine selected just on the basis of shyness or other mentals, without Repertorization of important rubrics, can lead to no response. But after proper Repertorization, the medicine acted and treated the malady, with no recurrence. Though selected on the basis of mentals, in retrospection, stramonium covers the particulars of the patient as well. It is further confirmed, when the same medicine also treats the recurrent respiratory ailments of the patient.
CONCLUSION-
This case report shows usefulness of individualized homoeopathic medicine in cases of Primary Nocturnal Enuresis. With thorough case taking and proper Repertorization, one can arrive at the similimum and help the patient. The most important part is understanding the individuality of each patient and the peculiar reaction of every patient.
CONFLICT OF INTEREST- None
FINANCIAL SUPPORT- Nil
DECLARATION OF PATIENT CONSENT- Informed Consent was Taken.
REFERENCE
https://www.ncbi.nlm.nih.gov/books/NBK545181/
Dr.Ojasvi Singla
PG Scholar
Bakson Homoeopathic Medical College & Hospital
ojasvisingla98@gmail.com
