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idiopathic nephritis

He is a 68 year old man who was diagnosed with idiopathic nephritis 3 years ago.
Before that, he was a relatively healthy man, no major health issues, except for chronic (severe) constipation. He is dependent on a fiber supplement. Without it, he says he has no urging and must strain a while.

His nose was always obstructed at night. He became dependent on otrivin, eventually making him lose his sense of smell. He stopped the otrivin, but still suffers from blocked nose while sleeping.

His sleeping has been deep, but he is known to talk in his sleep and occasionally move his hands in sleep. Usually, he is 'fighting' or 'arguing' in sleep.

He is lethargic and very sleepy after breakfast and lunch. Even while sitting, he will doze off to sleep for a short nap.

Before being diagnosed with nephritis, it was noticed that his bladder control got weaker. After noticing some swelling around his ankles, he was soon diagnosed with idiopathic nephrotic syndrome.
He has to get up 4 to 5 times in the night to urinate. He says he has more urine output in the night time than in the day time.
His water and salt intake has been restricted according to his physician's recommendations. His first symptom was oedema in the ankles and feet, and will occur on and off if sufficient urine is not passed, or if salt intake is high.
His urine is 'obstructed' at night, not as easy as it is in the day. By 'obstructed' he means, it stops then continues. His urine is frothy.
Any kind of overexertion (such as a 30 minute walk) causes weakness and 'heaviness in the legs'.
He complains of having no energy and feeling very weak and tired. Lately, the complaint has been more frequent, practically every day.

Before the nephritis was diagnosed, the right index finger started to suffer uncontrolled tremors. Initially, it was a tingling sensation, which he would rub to ease it. After the nephrotic syndrome, the tremors increased. The whole right hand shakes constantly, even while at rest. (But not while asleep). While grasping an object such as holding a coffee cup, there's barely any tremors. Muscle strength is good. While eating and speaking, there's a slight tremor around the jaw line.
He has been diagnosed with parkinson's and has been on the medication, but suffers a side effect. The side effect is a desire to grind the teeth, or clench it down, during the day, making speaking difficult. Onset of stress and worry make the tremors worse.


Please advise.
 
  karinamom on 2011-04-05
This is just a forum. Assume posts are not from medical professionals.
Is this someone you know well? You do realise what I am going to say :)

There is no way for me to suggest a remedy without hearing the patient themselves describe their problems. I am not one to prescribe 'pathologically' unless there are no other symptoms to use (a remedy on the basis of the name of their condition or on the common symptoms of the condition).

For me I would be asking questions like:

Describe your sleep (or dreams perhaps)

Describe the lethargy

Describe more on obstructed (seems two seperate locations in his body share this issue, that could make it important)

Describe weakness

Describe heaviness

Describe the feeling of the tremor

Also I would want to get the characteristics of all the above where applicable :

1. what does it feel like
2. when does it happen
3. what makes it worse
4. what makes it better
5. what occurs at the same time
6. when did it start

as a minimum level of detail
 
brisbanehomoeopath 9 years ago
I completely understand. I do know the patient well and will give u answers from the patient himself. Give me a day or two to get this information to you.
 
karinamom 9 years ago
Describe your sleep (or dreams perhaps)

He does not remember the dreams. He says he sleeps well, despite having to wake up 4 to 5 times to go use the bathroom. On occasion for years- he has talked in his sleep, and moved his arms. Usually his talks involve conflicts, and arguments. His speech during sleep is not very clear. He hasn't done it in the last few years.

Describe the lethargy,
Weakness and lowness in energy. Does not feel like doing anything, but sit on the couch. He starts the day feeling the lowest, and as the day progresses, he starts feeling better. The best is late night before bed. He likes company. Feels better while in company, feels better when watching sports... but physical exertion will show negative effects the next day.

Describe more on obstructed:
The urine stops and continues. (This happens more at night). Towards the end, it dribbles, and he has to keep pushing the urine out to completely empty the bladder.

Describe weakness
Primarily felt in the legs. Says he can't even walk more than 20 minutes. If there is overexertion, and standing for long, he complains of pain. Mainly felt in the left leg. On occasion, the right leg also gets affected. The weakness mainly starts in the morning. Gets better as the day progresses, but not after too much physical exertion.

Describe heaviness
Legs feel heavy so he keeps them elevated while relaxing on the sofa.



Describe the feeling of the tremor
He doesn't feel anything, but they just shake. Except the tremor felt in his jaw, he says makes him want to bite.

Constipation: urge is every alternate day, at the same time.. around 5:30-6 am. When the urge is not there, its difficult to pass stool. Color of stool: yellow and black. When he's done, the water in the toilet turns black. He doesn't know if the color is because of supplements he's on. He has never paid much attention to color before.

Relaxation and good company make him feel better. Exertion, morning hours, make him feel worse. Salt causes swelling- mainly on the right foot and ankle.

Does not feel thirsty, at all. Does not sweat.
 
karinamom 9 years ago

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