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Dr. Mahfooz Please Respond

Dr. Mahfooz,

what about in my case where I have ulcerative colitis, severe allergies to dustmite and catdander which has led to acne on chin, lower part of cheeks and forehead (near brow area). More specifically, while the UC is under control, i do believe my allergies attribute to disrupting my digestive system. I took allergy shots for 2 years but had to stop given the UC diagnosis and onset of several flareups. While being on a strict diet for 18 months, my UC is much better but my allergies are killing me. I started sublingual allergy drops a month ago and the docs told me it will take at least 3-4 months for me to see any minor improvement. Meanwhile, I am suffering esp from eye allergy and have been getting frequent allergy conjunctivitis (eyes are heavyset, dry, completely swollen, reddish and itchy with some mucous - even the face swells up with acne breakout and itch - whole face looks very deformed). I wake up exhausted and unable to fall asleep at normal bed hour. Other symptoms include extreme sensitivity to cold, itchy throat and ear and sudden bursts of sneeze attacks. Please advise on what to do and let me know if you need additional information as this is more deep rooted and likely requires constitutional remedy. Many thanks.
 
  nbk1103 on 2009-03-20
This is just a forum. Assume posts are not from medical professionals.
Could you please provide the following information for selection of proper medicine?
Patient ID: Sex: Age: Nature of work: Habits:

Describe your main suffering and from how long?
Exact location of problem?
Any cause which you feel for this ailment?
What other physical sufferings do you have in your body?
What mental sufferings / feelings do you have associated with your physical sufferings?
When did it all start?
What are the things which aggravate or ameliorate your suffering?
When do you feel better, during hot weather or cold weather, humid or dry weather?
What do you crave for in food items and what are your aversions?
How is your thirst: Less, Normal or Excessive?
How if your hunger: Less, Normal or Excessive?
How is your bowel movement and stool type (Constipation etc.)?
How sleep, how are your dreams?
Do you have any strange, peculiar or unusual symptom or feelings?
What medicines have been taken earlier?
How do you look like (Appearance (fat, thin, smart, tall, lean etc)?
If your are female how is your menstrual cycles and from how long (normal, irregular, painful, clotted, colour etc.)
Family history - What major diseases are running in your family?
Any other information?


dr. mahfooz
 
Mahfoozurrehman last decade
Dr. Mahfooz, here's the data.

Patient ID: Sex: F Age: 35 Nature of work: Finance Habits: Introverted, nonchalant, and obsessive if put mind to something, prefer warm weather (68 -80 degrees ), take shower in very hot water, crave sweets and rice but haven’t had in last 2 years given my strict diet.

General appearance: Very thin, lean and petite bone structure (5’3” and my typical weight is 95 lbs). Appearance is smart/mature looking with “no nonsense” demeanor but at the same time have a very innocent and delicate looking face.

Health background: Always had a tendency to be anemic, sleep deprived where my body rhythm has always been reversed – tired, brain fogginess, poor concentration and memory throughout the day and become relatively alert after 8pm taking me hours to fall asleep (problem throughout my life). Got menstrual cycle late (age 16.5) but is regular, dark maroon in colour, not a lot of heavy bleeding but impacts my energy/frame of mind dramatically. It’s the only time where all I want to do is sleep, mind can’t think and joints ache esp finger and elbow.

Describe your main suffering and from how long? Three main suffering and historical timetable is provided below:
1. sleep depravation - have had this problem throughout my life
2. allergy and ulcerative colitis. Below provides my history keeping my health background in mind.

• Age 19 – Developed allergies when moving into a new house. Prior to this never even a sniffle. Soon after skin problems started developing. Allergies resulted in years of slight asthma, post nasal dripping, sinus infections, bronchitis , eye irritations and constantly spitting out mucous from back of throat. Doctors always treated me with antibiotics. The allergies reached a point where I couldn’t function in day to day.
• Age 30 – finally started allergy shots (test confirmed severe allergy to dustmites and catdander). At this time, the changes that took place:
o Took antibiotic for face acne
o Started a regimen of rigourous exercise and diet change
 Ran 5-6 miles/day and weights – did this 5-6x/week
 Decreased intake of rice and increased intake of milk and egg
o For the next 1.5yr I felt the healthiest in my life.
 Allergy was totally under control
 Skin completely cleared up
 Hair grew like mad and was thick and healthy
 Body/mind tired by evening and allowing me to fall asleep restfully
• Age 32 – Stomach started growling, followed by diarrhea and blood, tired, hair loss and finally diagnosed with ulcerative colitis/proctitis.
o Endoscopy showed normal esophagus, stomach and duodenal bulb.
o Colonoscopy showed:
 Anus – skin tags
 Rectum, sigmoid colon, descending colon, transverse colon and cecum – erythematous mucosa
o Pathology showed lower portion of colon is where most of the problem exists with rectum most severe
• Medication (mesalamine) worked for about a year but I still felt very weak (not tired) and started experiencing frequent flareups which left me debilitated, having 8-12 bowel movements/day, weight was down to 85 ibs.
• In October 2007 I started the SCD diet which is free of sugar, yeast, glutein, dairy, artificial flavors and colors.
o I’m better but every 3-6 months my system acts up.
o Since December 2008 (past 3 months) I’ve gained back my normal weight (97 lbs) and started consuming necessary supplements, probiotics and rice (all mentioned below given extensive testing).
o However allergy is a huge problem, and started sublingual allergy drops a month ago. Just recovered from allergy conjunctivitis. I continue to constantly spit out mucous from back of throat throughout the day.
o RECENTLY – face acne has worstened and skin is very oily. So I tried arnica (6c) pellet and noticed it helping but also noticed my digestive system is off track and avoiding a potential flareup. Not sure if arnica would cause it but I stopped taking it just to be on the safe side.

Exact location of problem? Explained above
Any cause which you feel for this ailment? For the allergy sensitivity don’t know just came out of left field. With regards to sleep depravation – bad habits since childhood and my mom has the same problem. Ulcerative colitis -Don’t know but some suspect that too much exercise did it, others suspect a personal loss I experienced and suffering internally as opposed to sharing. And last skin problems is attributed partly to allergies and hormones which is caused by digestive issues.

What other physical sufferings do you have in your body? Face acne. On chin, lower side of cheeks (small u shaped) and forehead (a lot concentrated above, below and between the brows). The acne on chin and cheek are a little pronounced but the ones on forehead just feel like a lot of little tiny bumps). Skin is very oily and my skin in general tends to be dry. I just got over an allergy conjunctivitis a few days ago and hoping it doesn’t return.
What mental sufferings / feelings do you have associated with your physical sufferings? Biggest is tired and foggybrained throughout the day with inability to concentrate, experience anxiety and moodiness, and can’t fall asleep.
When did it all start? This has been consistent throughout my life. Allergies began at age 19 when we moved into a new house. Ulcerative colitis began at age 32.
What are the things which aggravate or ameliorate your suffering? As to physical suffering such as allergy, dustmite obviously but also cold weather. My system is VERY sensitive to the slightest cold temperature – brings onset of stuffiness/congestion, runny nose. I do well in temp of 68 – 80 degrees but any warmer than this makes me feel dizzy and gives me a headache if I’m in the sun too long. As to the UC, no idea – diet has helped somewhat and while I love to exercise, I’ve noticed it tires my body and takes 4-5 days to recover so I am unable to exercise to the same level as previously. Stress/anxiety aggravates UC but I haven’t been stressed in a while. Anxiety comes on out of nowhere – no personal reason. And during PMS, I’ve noticed digestive system gets off track.
When do you feel better, during hot weather or cold weather, humid or dry weather? I feel better definitely during warm and humid weather but can’t be in the sun for too long or if temp gets above 80 degrees as I get a headache. Chances of this happening is low as I live in NY and during summer I’m inside working under A/C.
What do you crave for in food items and what are your aversions? I crave sweets, chai after dinner and rice but haven’t had in 2 years due to strict diet. As a child I had aversion to milk but not as I got older. In general not averse to anything but recently had an extensive food allergy test done which showed mild allergy (delayed and active) to peanut, soy, chicken, egg, pinto bean, sunflower seed and tomato (these aren’t a problem considering I don’t eat any of this except eggs once in a while)
How is your thirst: Less, Normal or Excessive? Normal
How if your hunger: Less, Normal or Excessive? Depends. During PMS, excessive (I can devour food) but typically normal. I can’t eat a lot at once, need small portions every 2 hours.
How is your bowel movement and stool type (Constipation etc.)? All over the map. For the past three months I was doing really well where the bowel movements were maintained to 1/day and formation was normal but in the past few days while bowel movements are still 1/day the formation is totally off. I think it’s constipation, small ice cube chunks or squirly pieces come out really fast and I’m dreading a flareup onset. As mentioned I do believe what triggered it is me taking arnica 6c (I decided to try it for my face acne and while I saw it helping even within 3 days, I noticed as soon as I took it, my digestive system started contracting and feeling funny so I stopped.) I need to figure out a way out of getting a flareup in the next few days. My doctor believes the sublingual allergy drops (introducing an allergen) is the potential cause.
How sleep, how are your dreams? As mentioned above, sleep is terrible. Don’t really have much dreams and if I do, I don’t remember. The only time I had very bad dreams waking up with tears was in end of 2004 right around when I started experiencing UC symptoms.
Do you have any strange, peculiar or unusual symptom or feelings? NO
What medicines have been taken earlier? Currently the only medication I’m on is mesalamine. Prior to this, doctors put me on steroid which had terrible reactions on me so I stopped that. Rest of the stuff I take are supplements based on extensive stool, urine and blood test. These revealed abnormal low hydroxyl estrogen ratio (2/16) which supposedly irritate the intestine, low in coenzyme Q10, low in magnesium, low folic acid, impaired isoleucine metabolism due to low levels of B-complex, need endogenous antioxidant glutathione, lactoferrin is borderline high, and am producing ketone bodies so need for high consumption of adequate carbs. As a result, I am taking B-complex, natural iron supplement, fish oil, coQ10, glutathione, magnesium taurate and told to eat well boiled basmati rice.
How do you look like (Appearance (fat, thin, smart, tall, lean etc)? Stated above
If your are female how is your menstrual cycles and from how long (normal, irregular, painful, clotted, colour etc.) – Stated above
Family history - What major diseases are running in your family? My mom has type II diabetes. She also has major problems with sleep. Father used to suffer from severe allergies in India but he said as soon as he came to the US, it improved dramatically. My siblings do suffer from environmental allergy but not to the same extent as me.
Any other information? Not that I can think of – this was a brain overload. Let me know your thoughts and please explain rationale as there’s so many issues going on between allergy, sleep depravation, skin problems and UC. I appreciate your time.
 
nbk1103 last decade
Please start with Sepia-200 One dose weekly and report after 2 weeks.

dr.mahfooz
 
Mahfoozurrehman last decade
Doc,

there were a few things I forgot to mention under other problems with the body. For the past 2-3 weeks my upper right side gums (above second tooth from back)becomes swollen and tender to touch. It comes and goes. I dont' know if this is caused by sublingual allergy drops, digestive issues or causing the digestion problems. I'm afraid of it getting worst and today it just swelled up again. I will go and have it checked out by dentist but i'm afraid they'll tell me i need a root canal or something. What do you suggest? And lastly, I have no yeast/fungi, parasite or pathogenic bacteria issues in case that came to mind. Let me know if you have any insight to the gum problem and I will get the sepia-200C you advised. I believe it's in pellet form. To confirm, when you say 'one dose weekly', that means one pellet per week under tongue?
 
nbk1103 last decade
Just got back from the dentist and he said I need a root canal because my last teeth (upper right side) is virtually dead. He said there's a 25% chance I need antibiotic but i am trying to avoid given my UC. Please help.
 
nbk1103 last decade
yes 2/3 pellets per dose. In addition you can take Kreazotum-200 per dose daily for your gums for one week.


dr.mahfooz
 
Mahfoozurrehman last decade
Dr. Mahfooz,

What assumption is the kreasotum 200c based on?

1. I am having the rootcanal next week and this is to be used in place of the antibiotic

2. Not having the rootcanal and this remedy will help get rid of the infection/issue

And last, if I do have the root canal next week, what can I take before, during and after procedure to fight potential pain/infection?
 
nbk1103 last decade
Dr. Mahfooz,

I am having the root canal next week so want to confirm that i should take the kroasotom 200c as prescribed or is there anything else you would recommend before and after procedure. As noted, I cannot take antibiotic so need something that will take care of the pain and possible infection. Please advise.
 
nbk1103 last decade
Dr. Mahfooz,

Where are you? Please respond. I finished your sepia remedy. The only thing to respond is that my acne improved somewhat but have extremely greasy skin. I am supposed to get my menstrual cycle in a day or two and been feeling very sleepy and noticed that upon waking up my face is drenched with sweat (only face, not body). Please advise.
 
nbk1103 last decade
please come up after completing mensuration with latest position.


dr.mahooz
 
Mahfoozurrehman last decade
Dr. Mahfooz,

Update: Got my menstrual last Thursday and finish this past Wednesday. Blood was very dry and dark maroon the first day then by second day it ws bright red and normal. Acne seemed to be improving but the very day it finished and now two days later, my skin is breaking out like crazy (chin, side cheeks and forehead within eyebrow area). They are red, bumpy with white in middle that you want to pop. Other than face breakout, feel pretty good and stool formation is almost normalized. Just have no idea what is going on with my skin. Please advise next course of action.
 
nbk1103 last decade
Dr. Mahfooz,

Update: Got my menstrual last Thursday and finish this past Wednesday. Blood was very dry and dark maroon the first day then by second day it ws bright red and normal. Acne seemed to be improving but the very day it finished and now two days later, my skin is breaking out like crazy (chin, side cheeks and forehead within eyebrow area). They are red, bumpy with white in middle that you want to pop. Other than face breakout, feel pretty good and stool formation is almost normalized. Just have no idea what is going on with my skin. Please advise next course of action.
 
nbk1103 last decade
One thing i forgot to mention. About five days prior to getting my menstrual, I experienced severe lethary to the point I just slept all day and didn't go to work along with mild headache (only on back of head on right side).
 
nbk1103 last decade
Dr. Mahfooz,

Please look at my update above and instruct on next steps. Thank you.
 
nbk1103 last decade
1. If you have decided to go with dentist then there is no need for any homoeo medicine.
2. If you you Kereazotum for 2/3 weeks it will neat and strengthen your teethes.
Now please re-write your problems with changes you found for further advice.


dr. mahfooz
 
Mahfoozurrehman last decade
Dr. Mahfooz,

As per your instructions i finished the sepia remedy and you asked me to update you once my menstrual cycle is over. This was my response:

'I finished your sepia remedy. The only thing to respond is that my acne improved somewhat but have extremely greasy skin. I am supposed to get my menstrual cycle in a day or two and been feeling very sleepy and noticed that upon waking up my face is drenched with sweat (only face, not body). Please advise.

Update: Got my menstrual last Thursday and finish this past Wednesday. Blood was very dry and dark maroon the first day then by second day it ws bright red and normal. Acne seemed to be improving but the very day it finished and now two days later, my skin is breaking out like crazy (chin, side cheeks and forehead within eyebrow area). They are red, bumpy with white in middle that you want to pop. Other than face breakout, feel pretty good and stool formation is almost normalized. Just have no idea what is going on with my skin. Please advise next course of action.'

NOW WHAT?
 
nbk1103 last decade
Okay.

Please continue Sepia-200 as suggested earlier till next mensuration. and then report about your skin and overall improvements.


dr.mahfooz
 
Mahfoozurrehman last decade
Earlier you had said to take Sepia 200 'one dose weekly'. So I can take once per week for how long? I want to make sure it's ok to take weekly for the next 3-4 weeks.
 
nbk1103 last decade
yes
 
Mahfoozurrehman last decade

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