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Obesity, Insulin Resistance , Asthma

Age – 38 yrs
2. Sex - Female
3. country - Indian presently in USA
4. climate – Hot (40 deg Celsius in summers, 5 deg Celsius in winters, dry all year)
5. current complain – Obesity
Insulin resistance- Diagnosed by test.
Asthma- in Spring and Summer season- Mar-July
Swelling in legs- edema since last 2 years
6. current medicine you are taking –None
Asthma- Inhalers, steroid when required ...not now

7. sign & Symptom of disease – Lot of fat around tummy, hips and thighs. Extreme tiredness and exhaustion
Muscle cramps- calf and shoulder muscles

8. Slight back history – Weight cgain since last 5-6 years. 2 kids Caesarian Section
Backache-7-8 yrs
Asthma-2 years
Swelling in leg-2 years.
Insulin Resistance - diagnosed 5 yrs back.
Ovarian Cyst diagnosed on Ultrasound- appears and disappears...

T
Hypertension during pregnancy...

c.Thyroid test – Normal TSH within normal limits but has been increasing in last few years from 1.6 to 3.4 now.Still within normal range
d.Diabetes – Normal
f.LIPID – Total Cholesterol – 205, LDL – 165, HDL – 50

Others – Excessive daytime sleepiness, Exhaustion more in Afternoon. Difficulty to get up from bed in morning. Backpain, Excess gas
Weight –205 pounds, Height – 5’ 1’’.

9. family back ground – Father – 68 yrs of age. Bypass surgery when 48since 1 year.
Mother – 63 yrs. Asthma, arthritis
Sister – 38 Yrs - Obesity, Alopecia
10. qualification of patient – Teacher
11. Nature of working – Standing
12. desire and aversion of food –controlled diet, pure vegetarian, avoid fried/ fast food…no allergies specific to any food…Love to eat sweet/chocolates
13. Mind-Anxious , worried about everyone., very patient, I easily mix with people
14. Aggravation & Amelioration – Difficult to wake up in morning, tiredness more in afternoon.
Please suggest me the treatment and let me know if you need more information.
Regards,
Shwet
Report post to moderator
 
 
  shwet on 2007-11-29
This is just a forum. Assume posts are not from medical professionals.
Dr.Rishimba,
Can you please suggest any remedies?
 
shwet last decade
Patient ID: Sex: Age: Nature of work: Habits:


Please answer the following questions in a descriptive manner after careful analysis and recollection of previous experiences and happenings.

1. Describe your main suffering?

2. What other physical sufferings do you have in your body?

3. What mental sufferings / feelings do you have associated with your physical sufferings?

4. What exactly do you feel when you are at your worst? Describe the sensation in your own words.

5. When did it all start? Can you connect it to any past event or disease?

6. Which time of the day you are worst?

7. What are the things which aggravate your suffering and which are those which ameliorate the same? Example- time, temperature, pressure, rubbing, washing, eating, tight clothing etc.


8. Do your think your sufferings have relation to any external stimuli (like, change of place) or any internal biological changes in the body, like, menses (in females)?

9. When do you feel better, during hot weather or cold weather, humid or dry weather?

10. Describe your general mental set up? Are you Moody, Arrogant, Mild, Agreeable Changeable, Nervous, Suspicious, Easily offended, Quiet, Arguing, Irritating, Lazy etc.

- How do you feel before or during a thunderstorm?

- Do you like being consoled during your tough times?
- Are you sensitive to external stimuli like smell, noise, light etc?

- Do you have any typical habit or gesture like nail biting, causeless
Weeping, talking to one self etc?

- How do you feel about your friends, family, your children and especially your husband / wife?

11. What are your fears and do you dream of any situation repeatedly?


12. What do you crave for in food items and what are your aversions?

13. How is your thirst: Less, Normal or Excessive?

14. How is your hunger: Less, Normal or Excessive?

15. Is there any kind of food which your body can’t stand?

16. Is your sweat normal or less or more? Where does it sweat more: Head, Trunk or Limbs?

17. How is your bowel movement and stool type?

18. How well do you sleep? Do you have a particular posture of sleeping?

19. Do you think you are able to satisfy your sexual desires in general?

20. Do you have any strange, peculiar or unusual symptom or feelings? How are you different from others?

21. What medications have been taken earlier by you to treat the diseases and do you have any particular symptom surfacing after the medication?

22. What major diseases are running in your family?

23. Describe, how do you look like? Describe your overall appearance.
(For Females)
24. If your menstrual cycles are not normal, please describe the irregularities, like pains, moods, flow type, clots etc.

25. What major diseases have you had in your life and when. Please write them in a chronological manner.
 
rishimba last decade
stop taking steroid.
 
faisal qureshi last decade
Patient ID: Sex:Female Age: 38 Nature of work: Sedentary, Standing too. Habits: Very difficult to get myself to Exercise. However, when I do so I feel fresh..


Please answer the following questions in a descriptive manner after careful analysis and recollection of previous experiences and happenings.

1. Describe your main suffering? Obesity, Back pain and swelling in legs.

2. What other physical sufferings do you have in your body?
-Insulin Resistance diagnosed 6 years back.
-Asthma since 3 years only during spring season
-Ovarian cyst 1.5 years back which appears and disappears on its own.

3. What mental sufferings / feelings do you have associated with your physical sufferings?
I feel exhausted and tired all the time. I am constantly worried about my whole family...
4. What exactly do you feel when you are at your worst? Describe the sensation in your own words.
I feel it very difficult to continue working and just lie down. It is difficult for me to get up in the morning from bed..I feel tired in mornings also.


5. When did it all start? Can you connect it to any past event or disease? Obesity- I have been constantly gainig weight since first pregnancy 9 years back.
Backache has been since pregnancy - 9 years. I have 2 kids. Both were delivered by Caesarian Section.
Swelling in legs-last 2 years.
Excessive tiredness-last 2 years. Its mainly because of my weight.

6. Which time of the day you are worst?
Mornings and afternoon just afer meal.Leg cramps in afternoon and evening

7. What are the things which aggravate your suffering and which are those which ameliorate the same? Example- time, temperature, pressure, rubbing, washing, eating, tight clothing etc.
I feel tired in the afternoon after eating food..

8. Do your think your sufferings have relation to any external stimuli (like, change of place) or any internal biological changes in the body, like, menses (in females)?
During menses back pain increases a lot.

9. When do you feel better, during hot weather or cold weather, humid or dry weather?
Dry and hot.

10. Describe your general mental set up? Are you Moody, Arrogant, Mild, Agreeable Changeable, Nervous, Suspicious, Easily offended, Quiet, Arguing, Irritating, Lazy etc.

I am mild, nervous, anxious and very adjusting type of person.

- How do you feel before or during a thunderstorm? I don't like thunderstorm and feel depressed. I feel happy when sun is around..

- Do you like being consoled during your tough times?
Yes

- Are you sensitive to external stimuli like smell, noise, light etc?
No

- Do you have any typical habit or gesture like nail biting, causeless
Weeping, talking to one self etc?
No

- How do you feel about your friends, family, your children and especially your husband / wife?
I feel very anxious about my family and am always worried about them.

11. What are your fears and do you dream of any situation repeatedly?
My fears are mainly of being left alone...I do not have any kind of situation as that but still I feel scared..

12. What do you crave for in food items and what are your aversions?
I crave for sweet and chocolate

13. How is your thirst: Less, Normal or Excessive?
Normal

14. How is your hunger: Less, Normal or Excessive?
Normal

15. Is there any kind of food which your body can’t stand?
Too spicy

16. Is your sweat normal or less or more? Where does it sweat more: Head, Trunk or Limbs?
Normal, Trunk

17. How is your bowel movement and stool type? Constipation mostly. Stool type is normal- not too hard not too soft.

18. How well do you sleep? Do you have a particular posture of sleeping?
I think that I have deep sleep, but still I am not that fresh in morning.

19. Do you think you are able to satisfy your sexual desires in general?
Yes

20. Do you have any strange, peculiar or unusual symptom or feelings? How are you different from others?
No. I feel I care a lot for others...

21. What medications have been taken earlier by you to treat the diseases and do you have any particular symptom surfacing after the medication?
For asthma, I took bronchodilator and steroid inhalers only during the mths March to July when I get allergic rhinitis and asthma.

22. What major diseases are running in your family?
Father- Atherosclerosis, Had bypass surgery at 48 years.
Mother- Asthma and Arthritis.

23. Describe, how do you look like? Describe your overall appearance.
I am 5ft 1 inches tall and weigh 205 pounds now. I have a lot of fat accumulation around my tummy, hips and thighs and have flabs hanging around tummy.
(For Females)
24. If your menstrual cycles are not normal, please describe the irregularities, like pains, moods, flow type, clots etc.
Normal except for leg cramps during cycle. Earlier I had pain abdomen during 1-2 days of menses, but I took oral contraceptive pills for ovarian cyst and am fine now.

25. What major diseases have you had in your life and when. Please write them in a chronological manner.
Obesity since 9 years
Low back pain 9 years off and on
Insulin Resistance-diagnosed 6 years back
Asthma 3 years only during spring season.
Hypertension only during pregnancy
 
shwet last decade
Thank you Faisal,
I am not taking steroid anymore...just took it for 2-3 weeks when asthma was very difficult to control..
 
shwet last decade
Rishimba,
What medication do you suggest for me?
 
shwet last decade
Hi doctors,
I am eagerly waiting for your reply.
 
shwet last decade
please take 6 doses of SEPIA OFFICINALIS 30C taking 3 doses a day.

take them in empty stomach and clean mouth. do not take any food or water one hour before or after the dose.

come back after 5 to 6 days of taking the remedy. if you mentally feel relaxed and energetic in the next 4 to 5 days, continue one dose of sepia 200c once every week.

take it for some weeks till all your physical ailments ameliorate.
 
rishimba last decade
Does Sepia also have action on Insulin Resistance?
 
shwet last decade
particularly not.

but its going to re-align your vital forces and thus you would have an indirect benifit in this area from sepia.
 
rishimba last decade
Hi,
Today is the second day of Sepia 30. I think according to your instructions I just have to take 6 doses for 2 days and then stop. Right?
 
shwet last decade
your understanding is correct.
 
rishimba last decade
Hi Rishimba,
I wanted to find out about what medicines are effective against adrenal fatigue..I was told by my acupuncturist that its quite possible I have that...I read about it and most symptoms match except thta I think I get good sleep 6-7 hrs. but still tired.
Also, I got premature graying of hair starting from age 27 years and has been constantly increasing. Do you suggest any other medication too?
Sepia 200 has been ordered and will arrive in 2-3 days..
 
shwet last decade
sepia will cover all these.

if you feel good after taking sepia 200c, it means that sooner or later, all of your problems will get cured.
 
rishimba last decade
Hi Rishimba,
I just received my Sepia 200 yeaterday and had one dose yesterday. However, in my recent check-up I was also detected to have sleep apnea. My husband also has the same disease. Should I continue taking Sepia or there would be any other medication you advise??
 
shwet last decade
how do u feel after taking sepia...any changes ?
 
rishimba last decade
I took the first dose of Sepia 200 day before...Still have to observe for any changes/betterment in feeling...I was diagnosed Sleep Apnea yesterday in doctor's visit...Will let you know about feelings in a day or two..
 
shwet last decade
Hi ,
I think I am slightly better.I am not that anxious as before.However, morning tiredness is there.
-I still need something for weight reduction and tummy fat.There is a lot of fat deposition on my tummy.I feel that weight loss is the main solution for every problem I have.
-Also does Sepia act on Sleep Apnea too?
 
shwet last decade
Also I have swelling in both legs always? What does that indicate? All kidney function tests are normal...
 
shwet last decade
Hi Rishimba,
Still waiting for your reply...Please let me know the answers to questions asked above...
 
shwet last decade
Hi Dr. Rishimba,
Still waiting for your reply. In the meantime,I'm taking Sepia 200 once a week.I do notice that I am less anxious these days...But for my Sleep Apnea what do you suggest?
 
shwet last decade
Also can you suggest something for weight loss for me?
 
shwet last decade
Can anyone please respond to my queries?
 
shwet last decade
shwet,

i need to know all your symptoms together.

remedy shall be suggested on totality.

please list down all your mental and physical sufferings in the order of decreasing intensity. this means, the first will be the problem which is worst or most tormenting for you.
 
rishimba last decade
My main symptom was -tiredness mainly early morning and also afternoon
-Excessive Tummy fat-constant weight gain since 2-3 years
-breathlessness on walking too..due to asthma/allergies.
-Lower Backache
- Pain abdomen during periods-cramps-This is seen only since last year.
-swelling on both legs.
 
shwet last decade

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