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GY issues, worry & concerns of self-fulfillment?

Patient 28yo female. Complaining of ongoing yeast infections & bacterial vaginosis. Small ovarian cyst on left ovary. HPV and mild cervical displasya. Conventional treatment does not seem to bring long lasting relief. very painful periods with severe cramps and diarrhea.

Slightly anemic, easily fatigued, dizzy. Symptoms increasing greatly with any stress. Seems to be worrying excessively about the future (mostly, financially).

Constipated. Frequent stomach cramps and gas even with normal bowel movement.

Right side of the body weaker than left
Lower back pain more on the right side
Muscular pains in the right side from exercise, overexertion which occurs easily

Unhappy in marriage. Says cannot leave her husband because of her moral obligations.

Afraid that she might have chosen a wrong path in life, that she is missing on things/ opportunities

Constantly uses the word 'tired'. 'Tired of everything'

Complaining that her life is missing any excitement.

Better around people, in company of friends.

Any suggestions?
 
  elena77 on 2010-03-08
This is just a forum. Assume posts are not from medical professionals.
Ars. Alb. comes to mind.
 
kadwa last decade
Please confirm if the Ars Album would still be the remedy of choice

Additional conflicting symptoms:

Patient complains of constant thirst - desire for room temperature or warm drinks

At the same time the patient is always cold (hands and feet always cold, even in warm weather)

From various sources:

Arsenicum album - cold and no thirst

Arsenicum iodatum -hot and thirsty

Which one would be the right to try?

Also, what would be the recommended constitutional protocol for a patient showing 5-10yrs minimum history of Arsenicum symptoms?
 
elena77 last decade
The additional symptoms confirm Ars alb. Ars Alb is chilly and thirty. Please give her three doses of Ars Alb 30c at a gap of 4 hours for 2 days and see how that affects her in the next 15 days.

It will be better to start the treatment with Thuja. Please give her three doses of Thuja 30c at a gap of 4 hours for 2 days and see how that affects her in the next 15 days.

If there is improvement after Thuja, continue with Thuja until improvement ceases. It means that Thuja should be repeated only when the improvement after the previous dose of Thuja ceases and the symptoms start worsening on sustained basis. Only when Thuja is exploited fully Ars should be started. Ars complements Thuja.
 
kadwa last decade
Thank you!
 
elena77 last decade
Thuja 30C:
after 2 days of application patient reported increase in anxiety, headaches and compulsive thoughts about past relationships. Insomnia. NO change in discharge (no increase to any levels experienced previously, before allopathic methods were used on this patient in the past). Should the dose be repeated, increased etc? Any suggestions?
 
elena77 last decade
Just to add to patient portrait:

Patient is not using any medications, medicated or herbal pimple creams, medicated tampons etc.

However, she is still drinking her herbal teas every day. Can these effect the treatment?

She also has braces. Can these have any adverse effect on the treatment?
 
elena77 last decade
Please give her a single dose of Arsenicum Album 200c. Please review the position after 15 days. If ars fails to work there are very good chances that Sepia will work.
Herbal teas and braces won't matter.
 
kadwa last decade
Do you suggest giving arsenicum right away without waiting until Thuja completely plays out (thuja administered 5 days ago)?
 
elena77 last decade
Patient did mention her initial GY troubles/ liquid burning yellowish discharge started after her first relationship with feelings or sexual guilt and emotional abuse by her partner. Does this confirm Thuja?

Sorry for so many questions, I am afraid to make a mistake here. The patient has tried a lot before, don't wan't to turn her off.
 
elena77 last decade
Do you suggest giving arsenicum right away without waiting until Thuja completely plays out (thuja administered 5 days ago)?
**One should wait for atleast 15 days after giving Thuja to know it's effects.

Patient did mention her initial GY troubles/ liquid burning yellowish discharge started after her first relationship with feelings or sexual guilt and emotional abuse by her partner. Does this confirm Thuja?
**The anti-sycotic remedy like Thuja should work better under such conditions.
 
kadwa last decade
Thuja 30c - 3 weeks - observations

Overall patient experienced on the first stage depression/ low mood first thing, another 10 days later
worsening of discharge, headaches, nausea

Mood seemed to improve now after the 1st week aggravation

Discharge is still there and profuse, less itchy now. (there was a severe aggravation on the second week)

Bowel movements -no change (still constipated)

Should I wait for more symptoms (3 weeks passed), repeat the same remedy or suggest a higher dose like 100c? 30c did not cause much of the physical aggravation, but patient complained the emotional state was really difficult for a while.

Any suggestions? Thank you!
 
elena77 last decade
Cysts respond to Kali Iodide.

Unhappiness in marriage / love life...Ignitia ...person has opposite symptoms...some times very happy and other times very dejected. Will also aid in giving relief from constipation and many other symptoms.

Need more info on the patient...including past illnesses she has been thru in life.

Pankaj Varma
 
PANKAJ VARMA last decade
Anemic...Ferrum Met.
 
PANKAJ VARMA last decade
Ignitia headache...is like a nail driven in the head.

Thuja headache is also similar.
 
PANKAJ VARMA last decade
But...Thuja has lots of left sided symptoms.
 
PANKAJ VARMA last decade
Left sided Ovarian Cyst ...also yields to Lachesis. Check for other symptoms of Lachesis in that case...like waking up with aggravation in the morning, left side throat pain, cough etc. etc.

Pankaj Varma
 
PANKAJ VARMA last decade
i think that you should give her a single dose of Thuja 200c and see how that affects her in the next one month.
 
kadwa last decade
'First the mental symptoms, then the physical symptoms' ...that is the rule.

Mental symptoms of a unhappy love life pre-dominate in her case.

Result is ...she is either an angry women or a sad women (maybe both...alternately).

Sadness appears to pre-dominate.

Then she is afraid of guilt...
(if she leaves her husband).

Sadness in love life, anger, fluctuating moods and fear of guilt all indicate Ignitia.

However, Thuja, Sulphur, Merc. act as inter-current remedies depending upon the miasm that you can identify that runs in the patient's metabolism from heredity.


Pankaj Varma
 
PANKAJ VARMA last decade
History of homeopathic remedies administered:
Alumina 200c x a times
Improved mood and bowel movements
Greatly improved self-conscious and shyness, sensation of throat closing, cannot bear tight clothing around neck - all symptoms improved after 2 applicaitons
3rd application - no significant change



Bryonia 1000 X2 times every 6 months
Improved first and headaches from motion


Thuja 30c (recent)
slightly improved mood
still has anger/ sadness
patient said she thought she went through a real 'existential crisis' after taking medicine on the first week

----------------------

Current symptoms:

BIG Fear of poverty

Fear of committing to relationships

Fear of disapproval made her develop almost another side she never reveals to others, she always tries to look and appear 'perfect', leaving no ground for disapproval, gossip etc
Does not share her problems

Asking others for help is the hardest thing to do for her

Compulsive thinking (in circles)

Extremely Self-conscious

Fear of Relationships because of her gynecological problems making healthy relationships impossible. Resumes to masturbation and sexual fantasies. Suppresses own sexuality, I think

Mood: angry/sad. helpless.

When asked what would like to change: improve self-confidence, become more independent.


Feeling of guilt with and without obvious reasons

Feelings of being used sexually > thinks all men are evil & only want to use her for sex. Does not believe in lasting relationships because of that. Does not trust people in general.

Fear of normal sexual relationships and fear or poverty made her commit to a marriage that would be more of a compromise > 1) insurance against poverty and 2) absence of big feelings= no pain

Patient also mentioned that she was constantly living with a feeling of being 'not good enough', not deserving, 'being a nothing' etc when growing up
---------------------



Physical symptoms history:

Acne and liquid yellow very profuse discharge after her first & also abusive relationship ; sexual guilt; painful breakup

Years later - discharge turned thicker; 8 years of chronic yeast infections with severe burning

Cervical erosion, later cervical dysplasia, HPV

Great Thirst

Anemia and unhappy/ angry mood started later in marriage

Constipation persists unless she takes additional fiber or herbs
 
elena77 last decade
Throat...difficulty in swallowing...Ignitia

Anger, sadness alternates...Ignitia

Fluctuating moods...Ignitia

Brooding over unhappy love life in isolation...Ignitia

Cannot wear anything tight around neck / waist....Lachesis
(Has she got a cough with pain in left side of throat. Wakes up with an aggravation ..then examine more on these lines)

Fear of poverty ...Bryonia

These are my immediate thoughts.

Pankaj Varma
 
PANKAJ VARMA last decade
Ignitia...rectum is almost closed / prolapsed...hence constipated

Bryonia ...yes constipated

Desire to drink water in large quantities at long intervals.

9Frequent sipping of water in small quantities ...is Arsenic Alb. symptom).


Lachesis...yes constipated

Does she have skin itch / rash etc symptoms ???


Pankaj Varma
 
PANKAJ VARMA last decade
Ignitia ...very well suited to women's problems.

Check menses cycle variations.
....and compare with 'drug picture ' of Ignitia.
 
PANKAJ VARMA last decade
Feeling of lump in throat...Ignitia
 
PANKAJ VARMA last decade
Reproduced in sections from ABC homeopathy site:

Ignatia

mind; insecure, uncertain, scared; anxiety; with fear; ;
mind; insecure, uncertain, scared; fear;
After shocks, grief, disappointment.
Sighing and sobbing
Not communicative
Melancholic, sad, tearful


mind; symptoms follow intense emotions; ailments from grief;
mind; symptoms follow intense emotions; disappointed love;
mind; mental exertion;
mind; emotions, feelings, attitude, disposition; anger (see irritability and quarrelsome);
mind; symptoms follow intense emotions; anger;
mind; emotions, feelings, attitude, disposition; anger (see irritability and quarrelsome); with anxiety;
mind; emotions, feelings, attitude, disposition; anger (see irritability and quarrelsome); with fright;
mind; emotions, feelings, attitude, disposition; anger (see irritability and quarrelsome); with silent grief;
mind; emotions, feelings, attitude, disposition; anger (see irritability and quarrelsome); from contradiction; ;
mind; emotions, feelings, attitude, disposition; impatience;
mind; symptoms follow intense emotions; fright;


mind; emotions, feelings, attitude, disposition; unhappy; sadness, mental depression; during chill; ;
mind; emotions, feelings, attitude, disposition; weeping, crying, tearful mood (lamenting);
mind; emotions, feelings, attitude, disposition; weeping, crying, tearful mood (lamenting); involuntary;

mind; emotions, feelings, attitude, disposition; love; silent grief;
mind; emotions, feelings, attitude, disposition; mood; alternating mood;
mind; emotions, feelings, attitude, disposition; mood; changeable, variable mood;
mind; emotions, feelings, attitude, disposition; quarrelsome, argumentative;
mind; emotions, feelings, attitude, disposition; sentimental;
mind; emotions, feelings, attitude, disposition; unhappy; despair;
mind; emotions, feelings, attitude, disposition; unhappy; despair; during chill; ;
mind; emotions, feelings, attitude, disposition; unhappy; grief;
Changeable mood; introspective; silently brooding


Throat:
throat; choking, constricting;
throat; larynx (voice box); spasm in vocal cords, stopping breathing;
throat; sensation of something in throat; lump;
throat; thrush;
throat; irritation; increases the more one coughs;
throat; irritation; larynx; ;
throat; irritation; throat-pit; ;
throat; sensation of something in throat; sulphur vapour;
throat; pain; sore;
throat; pain; sudden, sharp; when not swallowing; ;
throat; sensation of something in throat; lump; rising sensation;
throat; spasms, convulsions etc.;
throat; pain; when not swallowing; ;
Sore throat; stitches when not swallowing; better, eating something solid
Feeling of a lump in throat that cannot be swallowed
Tendency to choke, globus hystericus
Stitches between acts of swallowing

Rectum

rectum; pain; soreness; after stool; ;
rectum; constriction, contraction, closure, etc.; after stool; ;
rectum; constriction, contraction, closure, etc.; painful;
rectum; constriction, contraction, closure, etc.;
Itching and stitching up the rectum
rectum; pain; after stool; ;
rectum; pain; griping;
rectum; pain; pressing (pressure);
rectum; pain; soreness;
rectum; pain; sudden, sharp; extending to other parts; upward; ;
rectum; prolapse;
rectum; prolapse; evening; ;
rectum; prolapse; during stool; ;
----------------


Because of the rectal symptoms...there is constipation.

Pankaj Varma
 
PANKAJ VARMA last decade
Ignatia suits partially (past relationships)

She is quite communicative, especially on public. Looks quite cheerful. But holds sadness & problems inside.

Desire to drink water in small quantities non-stop (Ars?) Mouth dry, especially in the morning. Hot sensation when dry. Taking Thuja recently aggravated this symptom greatly for a while. Slightly better now.

Constipated with no urge to go even when she feels stool in rectum. When she finally goes it's big lumps. Also pencil stool after.

Skin itch history: history of pink dry patches on skin. She also mentioned after taking Thuja recently she is getting itching sensations all over body

Periods very profuse, pain for 3-4 days like from inflammation, pain in left ovary. Periods irregular (+/-5 days)

Again, huge insecurity about her financial future. Afraid to repeat Bryonia cause 2nd dose 2yrs ago did not work.
 
elena77 last decade

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