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Attn: Dr.Kulkarni..Barret's esophagus confirmed as Carci-noma later.

Dear Dr.K.

One of my friends ( male, 57 years) had severe dysphagia since 15 days, and is unable to take any solid food except in paste form. Liquids are ok.

Endoscopy was done and an easophageal growth was the diagnosis. Biopsy was done. We got the report yesterday.

Finding.

Low grade intestinal type dysplasia in Barret Easophagus.

I have put him on condurago 30 c..twice a day and punarnava (
Boerhavia diffusa) mother tincture, also twice a day, since a week.

Though, he has some relief, he is still having problems with solid food. The main problem is frequent sticky saliva, which is to be spit out while eating too. Any solid food like rice regurgitates. Feels very distressed.

He is loosing weight, because of insufficient food. Allopathy has no solution, except PPI inhibitors or surgery. I don't want to risk surgery.

Can you suggest treatment to ease his discomfort and make him to eat normally?

He is reluctant to let go of condurango and punarnava as he feels they are helping. But, I am unhappy that he is not improving fast enough.

Any ideas will be highly appreciated.

Regards

Murthy
[message edited by gavinimurthy on Tue, 08 Nov 2016 15:25:28 UTC]
[message edited by gavinimurthy on Tue, 08 Nov 2016 15:26:26 UTC]
[message edited by gavinimurthy on Thu, 17 Nov 2016 19:28:10 UTC]
[message edited by gavinimurthy on Sun, 01 Jan 2017 16:47:23 UTC]
 
  gavinimurthy on 2016-11-08
This is just a forum. Assume posts are not from medical professionals.
I assume by surgery you are talking about rfa ? There is really good results with that as after 3 treatments ,30 days later 90 percent of people have new tissue growing and are well.
 
simone717 7 years ago
RFA seems to be a good alternative. Thanks for the suggestion. What I meant by surgery is physical removal of the affected area, which is a highly complicated procedure.

RFA seems simpler. I will study it.

Thanks a lot.

Murthy
 
gavinimurthy 7 years ago
Rfa was covered a lot in the news here around 2007, due to one of the Smothers brothers(they are retired comedians,) did that treatment .
 
simone717 7 years ago
Thank you Mr. Murthy for your confidence in me.
RFA is a relatively simpler procedure and a quick help as suggested by Mrs. Simone. Please study it and take a call on which option you prefer.
I would be glad to do my best if homeopathic assistance is sought.
 
DrKulkarni 7 years ago
Simone and Dr.k

I studied about RFA meanwhile, and it seems to be a simple procedure without much complication and risk.

I will get the RFA done, and revert to homeopathy afterwards. That looks to be the optimal solution.

Thank you very much.

Murthy
 
gavinimurthy 7 years ago
Hi,
Would like to hear how this goes.
Will help others. Prayers that your friend gets relief soon.

Best,
Simone
 
simone717 7 years ago
Definitely. I will update.
 
gavinimurthy 7 years ago
Sure.
My best wishes.
 
DrKulkarni 7 years ago
We went to Asian institute of gastroenterology of Dr.Nageswara reddy, a very famous gastroenterologist for a second opinion. He is a Padmabhushan awardee and a well respected gastroenterologist of world repute.

He got a narrow band imaging endoscopy with magnification done, which allows precise problematic areas visualised and biopsy taken from the affected area.

Unfortunately, the diagnosis was adeno--c--arcinoma in situ. Then we got the CT scan done, which confirmed the diagnosis and some dysplastic changes too were observed in the lymph nodes.

Aspiration needle biopsy of lymph nodes of the neck was done, and it is confirmed that metastasis has occurred. Very grave, unfortunate situation.

Now they are suggesting PET scan, as a diagnostic test to see the extant of metastasis. They are planning immediate chemotherapy and stenting of the affected area.

I am reluctant to persue chemo as I know the futility of it. Even stenting is a temporary measure.

The patient's condition is stable after Bryonia LM 0/1, for 10 days, followed by condurango 200c along with punarnava mother tincture. He no longer vomits food, is able to eat 2 to 3 idly at a time, tolerates liquid well. He is able to eat rice made to paste in a grinder with curd..but only very little.

His main problem now is frothy copious saliva, about ten times in a day..gas which comes out frequently with a peculiar whistling sound, a little at a time.

He is loosing weight, because of inadequate intake of food. He is willing to pursue alternative treatments, after understanding the futility of chemo. He is bold and willing to fight it out.

I need suggestions about any highly nutritious liquid diet, to stabilise his weight, and also suggestions to reduce his saliva and gas problem.

He was earlier vomiting after food, but after Bryonia he is able to retain the little food he eats. We stopped Bryonia after 10 days and put him on condurango and punarnava for 5 days.

We stopped everything since Sunday, as he was hospitalised on Monday. Even now, there is no deterioration in his condition, despite stopping every thing. He was not prescribed any allopathic medication so far, not even antacids.

I strongly believe he will be better off with alternative treatments. He is willing to give it a try.

I solicit comments from Dr.k and Simone.

Regards

Murthy
 
gavinimurthy 7 years ago
So sorry to hear this.

There is a product here that I think you may have there? Called Ensure.
A milkshake with enough calories and vitamins to keep weight on and get
Balanced nutrition.

Have you looked at the banerji protocols for lymph and esophagus?
Condurango 30c 2 drops 4x a day?
I think it would be worth it to call them and see if they suggest some combo
Due to the stage of this?

I was looking at two types of laser treatment for this- which seems like
Maybe one of them could really benefit. I can research outcomes if you want. Perhaps dr Kulkarni has
Information on this area.
 
simone717 7 years ago
Simone

I procured the Banerji protocols book. I may even plan to visit them.

Ensure is available in India too. We will try that. Any information on laser treatment etc..is welcome.

Thanks

Murthy
 
gavinimurthy 7 years ago
There is a site called cncerconnect.com. They have a social media group for people and caregivers of this particular disease,
With 50,ooo members.

You may want to join, as you get
Really good info from those who have walked the walk.

I read more on the laser therapies and they seem to be palliative. Bottom line each person is different in what is best for them per the allopaths.
[message edited by simone717 on Fri, 18 Nov 2016 16:31:41 UTC]
 
simone717 7 years ago
I feel really very sorry for you and your friend. It's really so unfortunate of him.

Cundurango can be continued. It has shown curative effects in few cases. It is one of the best remedies for esophagus but not for other parts. Almost the same case with the Laser therapy. Considering that there are already metastasis to distant parts of the body a remedy with a comprehensive sphere of action is required.

Chemo is one option that covers entire body therapy but you already know the other aspects of it. If you choose alternative therapies I know of 2 options. Obviously, Homeopathy and Ayurved. But in both streams the major problem is of finding a competent physician.

However, Being a homeopath I feel for his condition a truly constitutional remedy should be sought for which would help him immensely; even curative probabilities can't be ruled out.
 
DrKulkarni 7 years ago
Dr.k.

We went to a homeopath (84 years age), who is an out and out constitutional prescriber, initially, when the patient was unable to take solid food, which used to be regugarated. He is basically a qualifiedENT doctor, who practices homeopathy.

He chose Bryonia after a complete case taking, as the constitutional medicine. It did help in controlling the regurgitation and made the patient to take little solid food slowly.

Later on I have put him on condurango and punarnava, and stopped bry, for about 5 days. When the Barrett easophagus diagnosis was made we again met him.

He suggested bry for 5 days alternated with condurango for 5 days. However we stopped everything when we came for allopathic opinion.

Even today, his condition is stable. It is status quo with no further deterioration.

Can we confidently try alternation of bry and condurango for 5 days each, without resorting to chemo now?

Is there a possibility of his internal condition (metastatis) worsening, if we continue homeopathy as long his physical condition is not deteriorating further?

Can we keep chemo as an option, when and if our remedies fail to improve further?

I am unable to decide whether to go for chemo now or not and it is more worrying because he will blindly follow whatever I suggest.

My gut feeling says, we can rely on homeopathy without resorting to chemo now, and consider that option only when homeopathy fails to relieve further.

Will that be too late? These are the questions bothering me.

Please do give your advice.

Regards

Murthy
 
gavinimurthy 7 years ago
He says he wants to live at least a few years, till his children get married and settle down. He says he needs time to tie the loose ends.

He is bold to face the situation, and says he will fight it out.

The old doctor told me, that his talking about business clinched the selection of bry as his constitutional remedy. ( I was in UK, when the patient first met him.)

I am sure Bryonia helped a lot. The patient is prone to allergic rhinitis in winters, doesn't tolerate cold weather well, had lot of tensions related to his daughter's divorce for five years continuously. All this has obviously taken a toll on him.

Do you suggest any other constitutional medicine, that may replace Bryonia, if and when it fails to relieve further.

Murthy
 
gavinimurthy 7 years ago
Mr. Murthy.

It is good to learn that he is feeling better. Bryonia can be symptomatically indicated in such cases and when it is, it does it's job well. But as far as my knowledge goes Bryonia is not as deep acting as it is required to have curative capabilities albeit, I don't under-estimate any homeopathic remedy. It may or may not be possible (for any case) but my tendency is to work for cure. So, my thoughts run in this direction.
Bryonia might have immensely relieved him but I doubt if it deserves to be relied upon for cure!

CHEMO: for his situation (as it's a question of L & D) this is one of the best options as far as only present pathology(PP) is concerned but as you know it comes with some unsolicited free packages. He could be free of his PP but his future life will not be smooth. That's what I often see in similar cases in my practice. You have to weigh the risks Vs benefits before taking decision. Well, he would get around five years of grace period for his life after chemo.

In case, it is possible to find the accurate constitutional remedy for him it would have high chances of steering him to Cure! Unlike with chemo he will have a healthier future and unbound longevity period.

Well, for me, it is difficult to suggest anything with confidence without understanding him thoroughly as he has one of the ultimate pathologies.

However, on the basis of present info provided by you I would suggest Ignatia and Staphisagria to be considered; only one of them after ruling out the other other. They both cover his diathesis and are capable of eradicating it, if suitable.
I case, you find Bryonia (and Cudurango) insufficient you may consider these two first.
 
DrKulkarni 7 years ago
Dr.k

Thanks for the inputs. We are planning a PET scan on Monday. I will post the results.

Shall I present his full case, as per the format I use? Alternatively, you can post any questionnaire to answer.

Coincidentally, your suggestion of staphysagria tallies with one of the suggestions of Banerji protocols for easophageal can-cer

I will definitely keep your suggestions in mind and study them further.

Regards

Murthy
 
gavinimurthy 7 years ago
Ok. Please do post the reports of PET scan.
I would be really glad if I could be of any help to you. But off late you might have observed that I am not taking any new cases (unless they are directly requested to me). The reason is - being more busy again theses days I doubt if I could be able to follow up cases till completion. I am just squeezing through my time to attend cases I have already taken up.

In your friend's case follow up is very important even a correct remedy might fail due to improper follow up.
This is the only hesitation I have at this moment.

Still, I would be glad to do my level best as long as I am visiting here. But you have to decide if it's ok for you.
 
DrKulkarni 7 years ago
Dear dr.k

I understand your compulsions. If need be I will be in touch with you through email.

We started Bryonia LM 0/3 today, 4 poppy sized seeds dissolved in a glass of water, and a teaspoonful given as one dose once per day in the morning. We plan to continue for 5 days.

Symptomatically he is better. Tried some rice as it is ( without making it a paste) with curry, and he is able to hold it without any regurgitation. I feel it is a positive sign. He is being given 2 threptin biscuits, three times a day, Glucerna SR powder twice a day, mixed in a little water ( nutritional supplement), idli for breakfast and dinner.

His weight is now stable at 80 Kgs. after we started the supplements. Before that he lost 6 Kgs in about four weeks. Again a positive sign. Mentally he is strong and having a positive outlook.

PET report will come tomorrow. I will post the findings. I want to delay chemo as long as he is improving/ stable.

Presently, I am thinking of putting him on bry LM 0/3 for 5 days. Stop bry and give condurango 30+punarnava mother tincture for 5 days. Then repeat bry. A few cycles like this and want to observe.

All his organs are functioning well as per reports. All the vital parameters are within limits.

I shall be grateful,if you let me know, what are the possible signs of deterioration , and at what stage we have to go for chemo. Can we delay chemo, as long as he is stable and his vitals are normal?

I was going through literature about chemo, and the studies suggest that delaying chemo till the last minute has in fact made the patients live longer. Any inputs from your side?

Do you advise to repeat LFT, kidney function, general blood tests every month, to see if they remain stable?

I am very thankful for your time for this case, despite your pressing engagements.

Your inputs are helping me to treat this case with confidence.

Regards

Murthy
 
gavinimurthy 7 years ago
I would like to suggest Giloya(amrita).

It is the best herb in ayurveda and safe for all doshas.Its tridoshic .I strongly believe it would help,to what extent I dont know.But its pretty safe choice and worth a try.
 
Teupne 7 years ago
Mr. Murthy,

It's really delighting to learn that your friend is doing well and I wish the present treatment protocol itself salvage him to cure.

Assessment: clinical signs / vital parameters may not be relied completely upon in such cases as these diseases are silent creepers. In many cases, it could be late to wait for clinical signs of deterioration. However, hindrance or reversal of present signs of improvement could be the earliest indication to be alert. Else, as you mentioned, periodical tests is the way to assess. Blood test may fluctuate and confuse at times but scans can be of much help. They should be compared with previous ones and the best early sign of improvement would be stoppage of further metastasis, reduction in existing ones; though there are many more aspects to assess.

Chemo: yes, what you learnt is true in my opinion. It should be sought only as a last resort just to postpone the inevitable.

It would be my previlege to be of some help to your friend. I would try to do my best.
 
DrKulkarni 7 years ago
OK.

Suppose we get a CT scan done once in a month initially along with ultrasound of abdomen,will that be OK, for the sake of comparison?

Do you suggest any other scans?
What is the ideal periodicity for these scans?

Is it OK, if we do it once in a month/ on any perceptible deterioration?
 
gavinimurthy 7 years ago
Scans every 3-4 weeks should be ok. Or when there is suspicion of deterioration.
Actually, this is only initially to know whether the remedy is right. Once this is confirmed the requirement of scans will gradually reduce because the improvement will be obvious.
Initially, scans should be focused mainly on metastatic areas.
 
DrKulkarni 7 years ago
Dr.k

I sent the reports by mail. Kindly acknowledge receipt.

We met a famous Oncologist, Dr. Chandra Sekhar Rao, who is
a family friend of the patient. He is suggesting chemo and radiation to start immediately, at the rate of one cycle per three weeks.

When I told him about the improvement in the patient's condition, since the last 15 days, he said it may be a false improvement, and the patient may start going downhill very fast, any time.

He being a family friend, I told him about Homeo treatment and our view that it helped. He didn't comment, but said I will leave it to the patient what to do.

We decided on the following action plan.

We will continue Homeo for another month. On the first signs of even small deterioration, we will opt for chemo. However, if there is no deterioration and improvement continues, we will go for ct scan and abdomen ultrasound, to observe the progress of metastasis.

Whether to go for chemo or not is to be decided based on the reports.

Please tell your opinion.

Regards

Murthy
[message edited by gavinimurthy on Tue, 22 Nov 2016 01:24:42 UTC]
 
gavinimurthy 7 years ago
I have already replied to your email.

I have come across these situations in my practice as well as with relatives. It's very testing time for family ad friends of patients. This being question of one's life, all related people of the patient will be in dilemma.
As far as allopath's, more especially, Oncologist's opinion is concerned his reaction is expected; it's very natural to him. But there is difference is a homeopath's opinion and an allopath's. Allopaths know nothing other than their own science while Homeopaths often know both though biased at times.

"he said it may be a false improvement"
I partly agree with him because I am bit doubtful about Bryonia';s competency in this case. However, next reports would be helpful on this.

I know many patients after chemo / radiation remain patients forever though they are granted some grace longevity. I also have seen patients 'cured' by homeopathy and enjoying life just as normal healthy people. Yes, there is some catch here - it is possible only when an accurate remedy could be found which is sure not everyone's cup of tea!

However, your decision is fair enough. Why not give the remedies their fair chance as long as they are working well?
 
DrKulkarni 7 years ago

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