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Reactive Arthritis Auto-Immune Sero-negative

Patient ID: Sex: Age: On behalf of Purna/F/40 yrs

1. Describe your main suffering?
Arthritic pain and swelling of all big and small joints. Right elbow had swelling many years earlier and joint is already fixed. Swelling and sinovitis of right knee treated by steroids in June 2014. Pain spreading to all other joints. Presently pain in neck, both shoulders, both elbows, both knees, wrists, all fingers, toes, arms, and low back. Tingling and numbness in limbs. Left elbow swollen and not opening fully. All joints getting stiff early morning. Diagnosed as Reactive Arthritis by allopathic doctor.
2. What other physical sufferings do you have in your body?
Headache on the right side time to time.
Sporadic pain inside the throat, right side like a small bone stuck.
Flattulence, burping and loose motion at times – motion not regular.
Pain in groin on both sides.
Lack of sound and adequate sleep, cannot sleep well due to pain.
Feels feverish and weak.
Glucoma suspected (not confirmed yet )
3. What mental sufferings / feelings do you have associated with your physical sufferings?
Feel low and demoralised especially when pain increase. Irritation and helpless follows.
4. What exactly do you feel when you are at your worst?
Do not feel like getting up from the bed.
Feel very dejected and irritated.
Do not feel like doing any work.

5. When did it all start? Can you connect it to any past event or disease?
The arthritic pain started almost 20 years back. It started with a pain in the right elbow joint. Took time diagnosing the problem. Took medication but the elbow got fixed. The pain started spreading to left elbow and eventually diagnosed as Reactive Poly Arthritis, sero-negative (RA factor never showed positive).
Spondylosis pain is recent, having aggravated in the last few months.
Difficult to establish the problem to any particular events.


6. Which time of the day you are worst?
Morning time is worst since most of the joints are stiff and somewhat numb early morning.
Sleeptime/late night is also difficult due to persisting pain and it is difficult to find a correct position to sleep.

7. What are the things which aggravate your suffering and which are those which ameliorate the same?
Aggravation. -- Weather, Intense activity, Stress/tension, lack of sleep, negative thoughts appear to aggravate the problem.
Ameriolation --- Relief in pain due to medicine or otherwise.
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)?
Change in place at times causes stress related to new environment/adhoc arrangements, sfifting house/movement etc.
Changes in weather at times aggravates pain

9. When do you feel better, during hot weather or cold weather, humid or dry weather?
The medical problem persists regardless the season.
I feel better when health is okay.

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 relatively moody, changeable, lazy and easily offended.
At times feel nervous, irritable, suspicious.
I am not too arrogant and lazy.
- How do you feel before or during a thunderstorm?
Thunderstorms scare me in case it is severe.
- Do you like being consoled during your tough times?
Yes.
- Are you sensitive to external stimuli like smell, noise, light etc?
Yes.

- Do you have any typical habit or gesture like nail biting, causeless
weeping, talking to one self etc?
Once in a while I talk to myself, mostly to remind myself to remembers pending tasks and complete certain chores.

- How do you feel about your friends, family, your children and especially your husband / wife?
Happy with my family and child.
Do not have very good experiences with friendship.

11. What are your fears and do you dream of any situation repeatedly?
Fear -- Deadly diseases, getting cheated by friends or in decision taken and death.
Dream – One particular dream gets repeated about appearing for exam without adequate prep.

12. What do you crave for in food items and what are your aversions?
Crave - Non veg food, Chinese, Chaat/Gol gappe, Mangoes.
Aversion -- nothing.

13. How is your thirst: Less, Normal or Excessive?
Nothing in particular , it depends on weather. Otherwise normal.

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

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

Indigestible food.

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

Normal sweating but more in the armpits.


17. How is your bowel movement and stool type?
Bowel movement has become irregular lately. Motion often loose.

18. How well do you sleep? Do you have a particular posture of sleeping?
Do not get sound and adequate sleep due to pain. Cannot sleep continuously for more than one hour at a time.
At times take sleeping pills but even these are not effective always.
Posture – Mostly sleep to the left side, at times to the right side.

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

At times yes and at times no.

20. How do you think you are different from others, if at all?

Yes. I feel I am unique in my own ways.
21. What medications have been taken earlier by you to treat the diseases and do you have any particular symptom surfacing after the medication?

Medication. -- Tried all types of treatment – Allopathy, Homeopathy, Naturopathy and Magneto thearapy.
Allopathy-- Taken steroid( Dopemedrol 80 ml Injection), Suphasalazine, pain killers of different types and vitamin supplements.
Homeopathy – Argentinum Metallicum 6c in wet doses for 7 days
Arnica 30 in wet doses for 7 days
No particular symptoms after medication.

22. What major diseases are running in your family?

Father - Diabetics, High BP
Mother and sister – Osteo Arthritis, Piles.
23. Describe, how do you look like? Describe your overall appearance

I am tall ( 5.4 inch), fair complexioned and presentable.

24. (ONLY FOR FEMALES)

- Are the periods early, regular or late in general? How long do they last?

At times early, at times on schedule, mostly early. Lasts for 2 days but has been less than 2 days last month and this month.
Generally scanty.
- Do you suffer from any kind of physical or mental discomfort before, during or after the periods?

Physical discomfort – Low backache, pain in both legs and cramps.
Mental -- None
- Is the flow scanty, normal or excessive?
Scanty.
- Is the blood thick bright red or pale watery?

At times thick with clots. Very rarely it is pale. No clots for past two months.
- Do you notice any clots in the flow?
Yes.
 
  csouba on 2015-03-09
This is just a forum. Assume posts are not from medical professionals.
Will get back to you.
 
rishimba 4 years ago
1. You say the pain is worst early in the morning. Tell me how does it feel after walking about for some time? Does it decrease after some movement?

2.Is the pain worse in cold weather or warm weather?

3. You say you are unique in your own ways. Can you give a few examples?

4. What was going on in your life when you first started noticing these pains in joints? Did it start after you took up exercising or is it due to excess intake of protein?

5. Is the pain worst when you are just about to move and gradually reduces after a few minutes of movement?

6. Can you write down some 10 nos. of adjectives to describe your personality?

7. Do you think your pains are comparatively less when you are constantly walking at leisure?

8. How does the suffering change with the following:

Touch, Light pressure, Hard Pressure, Rubbing, Warm application, Cold application, Washing, straightening of limbs, bending of limbs.

9. Is the pain worse at night and better during the day?

10. How does the suffering change when you are riding a jerky car or jeep?
 
rishimba 4 years ago
1. You say the pain is worst early in the morning. Tell me how does it feel after walking about for
some time? Does it decrease after some movement?


Ans 1. After applying pain relieving gel, hot water bag treatment and walking about inside the house the pain
sometimes increases and sometimes decreases. There is an increasing stiffness of joints experienced in the
morning which is a relatively recent development.

2. Is the pain worse in cold weather or warm weather?
Ans 2. The pain remains same in hot and cold weather.

3. You say you are unique in your own ways. Can you give a few examples?
Ans 3. . Despite my severe pain i still manage to be cheerful and effervescent. I enjoy parties and dance a lot despite the pain . I try to live life to the hilt. I pursue my passions. I really have a jest for life.

4. What was going on in your life when you first started noticing these pains in joints? Did it start after you took up exercising or is it due to excess intake of protein?
Ans 4. The pain started when I was doing my graduation. The pain started with my right elbow. At first we thought it to be some ordinary pain. It was not diagnosed in time . Soon the joint became stiff. It was not related to doing any exercise or intake of protein. Some doctor had speculated that it could have been a fever which remained untreated but I can confirm that.

5. Is the pain worst when you are just about to move and gradually reduces after a few minutes of movement?
Ans 5. It is not necessarily so. At times it increases and at times decreases.

6. Can you write down some 10 nos. of adjectives to describe your personality?
Ans 6. Tall, fair, sharp features, long hair, chirpy, moody, cheerful, lazy at times, fun loving and likes good times.

7. Do you think your pains are comparatively less when you are constantly walking at leisure?
Ans 7. No.


8. How does the suffering change with the following:

Touch, Light pressure, Hard Pressure, Rubbing, Warm application, Cold application, Washing, straightening of limbs, bending of limbs.
Ans 8 . Touch - no change, Light pressure – no change unless in severe pain, Hard pressure – pains.
Cold application - not effective, Washing – pains, Straightening and bending - painful .

9. Is the pain worse at night and better during the day?
Ans 9. Pain is severe at night and early morning. It improves slightly during day time after application of pain relieving gel, taking medication, physiotherapy.


10. How does the suffering change when you are riding a jerky car or jeep?
Ans 10 It Is very painful.
 
csouba 4 years ago
Your modalities do not point to a specific remedy so we need to try CAUSTICUM first.

To start the treatment take 4 doses of CAUSTICUM 30C, each dose 6 hours apart.

Wait and watch for the next seven days.

One dose would be 3 drops of remedy in some 10 ml of water sipped up in empty stomach and clean mouth. No food or water one hour before or after.
 
rishimba 4 years ago
Thanx
I will give u the feedback after 8 days
 
csouba 4 years ago
Dear Doc...I took Causticun 30C in doses as suggested by u.....however there is no improvement whatsoever in any of my symptoms....pl suggest some other suitable remedy...in the meanwhile a day back i had to resort to taking steroid injection prescribed by my Doc...as pain was unbearable...
 
csouba 4 years ago
Try RHUS TOX 200C once in 6 hours for 2 days maximum. Wait and watch for a week and let me know.
 
rishimba 4 years ago
I am reporting after 10 days of taking Rhus Tox 200 6 hrly for two days.

Right elbow siffness & pain - 10% improvement
Left elbow stiffness & pain - No improvement
Both Shouldersw - Initially improved 70% but of late stiffness becabe worse involving collar bones also
Left knee - 10 % improvement
Right knee - off and on...pain comes and goes
Wrists - No improvement...throbbing pain at night as if knife being stabbed repeatidly
Fingers - Stiffness same
Toes - no pain
Low back - pain comes and goes
Headache right sided - 50% improved
Throst pain in right side as if bone inside - 100% improved
Sleep - 70% improved
Loose motion - 70% improved
Feverish & weakness - 50% improved
symptoms of mind like feeling low, Irritability, dejection, helplessness - 20% improved

Overall there was much improvement 3-4 days after the med but faded out as days past....

waiting for next course of action, please
 
csouba 4 years ago
Thanks for reporting your condition in such a detailed manner.

I feel we must stick to Rhus Tox 200C and repeat it every 3 to 4 days or whenever you feel the need, based on your symptoms.

Once 200C potency stops working, you should move to Rhus Tox 1M in the same manner. You may have to take once in a week or 10 days.

Let me know your condition once in 15 days. Also, if you observe any new symptom in you during the course of treatment, stop the dose and revert to me.
[message edited by rishimba on Wed, 08 Apr 2015 13:04:10 BST]
 
rishimba 4 years ago
Thanks a ton....for your quick response earlier...I repeated Rhus Tox 200 twice and when its responce faded I took it in 1M potency two days back.

there are no new symptoms as such....but aggravation of earlier symptoms...specially on entire left side...there is increased stiffness and pain in all joints....specially left knee....on the right side my thumb and fingers are so stiff and painful that i cannot hold anything.

Please suggest ....to wait and watch or otherwise
 
csouba 4 years ago
Please don't take any dose now...till your condition stabilizes.

I too feel you may be going through an aggravation due to a jump in the potency. However, this is temporary and should pass in the next 48 hours.

Curing should begin after this phase. So, just wait and watch. Let me know your condition in the next one week and don't take any further homeopathic dose or painkillers for at least one week.
 
rishimba 4 years ago
Latest update on my symptoms is as under...
this is 13 days after the dose of Rhus Tox 1M

Left elbow - severe pain & stiffness
Left Knee - severe pain & stiffness
Right Thumb - Severe pain & stiffness
All finger joints - Tightness

will wait for your response eagerly
 
csouba 4 years ago
Dear patient - I am curios to know if you have these two symptoms as well

Does your to top of head is hot?

Does you sole of foot burns and sweats?

Would you also like to share following blood reports if available

Fasting Blood sygar
Serum Protien
HLAB27
Uric ACID =
Vitamin D =
Vitamin B12
ESR =
CRP =
Total Cholestrol =
HDL
LDL and Triglycerides
[message edited by bhuptgu on Fri, 24 Apr 2015 14:55:20 BST]
 
bhuptgu 4 years ago
I feel RHUS TOX 200C may be tried as a sustained dose because 1M potency has not created any good response even after about two weeks.

Please try a daily dose of RHUS TOX 200C for a week maximum and then stop in any case. If your condition becomes better after a few doses, wait and watch how long the dose holds.
 
rishimba 4 years ago
Update
Top of head - warm but not hot
sole of foot - No burning or sweating
Sugar fasting - 81
Sugar PP - 96
HLAB27 - Negative
Uric Acid - 4.7 mg/dl
Vit d 9.8 (Medation taken to rectify Vit D)
ESR - 12
Total Protein - 6.5
CPR - Positive (2.4)
Hb ALC - 5.5%
Total Cholesterol - 202
triglycerides - 118
HDL - 59
LDL - 120
VLDL - 23

In the meanwhile I have started RT 200 daily dose at night...and will stop as soon as improvement is seen....and will watch how long it lasts
Thanks
 
csouba 4 years ago
After taking two doses of RT 200......Pain in both shoulders, both elbows, left knee, both wrists and back has AGGRAVATED
Please advice
 
csouba 4 years ago
its CRP not CPR which is C -reactive protein. i hope that is what you meant.

one more thing, does your pain started after you have started vitamin D medication.?? Kindly suggest what dose are you taking.

Where do you live, tell me coordinates so that I can calculate sun altitude of that location.
 
bhuptgu 4 years ago
It means this potency creates a response in you.

Stop dosing immediately and wait for the pains to reduce. If the pains go down further and you get relief, you can continue with this remedy, else we have to find another one.
 
rishimba 4 years ago
-Yes I meant C-reactive Protein only
-Pain is there from more than 17 years...VitD was taken as part of treatment and this did not cure it
-Living in Delhi
-will intimate pain situation after it reduces
 
csouba 4 years ago
There is no improvement in condition as such....this way or that way...so i think RT in 200 strength after 1M is not beneficial now
Pl advise
 
csouba 4 years ago
Please answer the following questions to help me find the correct remedy.

1.What was going on in your life when you first noticed manifestation of this ailment?

2. What time do you generally have headaches and what makes it better or worse?

3. Do the pains get worse after sleep even if you sleep for one or two hours in the afternoon?

4. What time do you generally go to sleep? Are you generally a late night bird and late riser?

5. Do you crave alcoholic beverages?

6. Do you have abnormal fear of snakes and reptiles?

7. Do you suffer from hot flashes before or during your periods?

8. Does the flow bring an end to your physical and mental sufferings during your periods? Or does the suffering continues during the flow as well?

9. Do you sweat a lot in bed? Do you think you sweat more than others in general?


10. You said you have flatulance, burping, loose motions etc. Can you tell me what are the kinds of food or what factors make your digestive system worse?
 
rishimba 4 years ago

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