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(Dr Jitesh Sir please advise) Bipolar disorder Type 2, Chronic Idiopathic Urticaria, Deodenal ulcer

Age:22
Gender: Male
Symptoms:
I had been suffering from depression since 5 years and had been on anti depressant sertraline 100mg, also mood stabilizer Lithium carbonate. I was a very focused person, with good academic record and 5 years back I got typhoid fever and lost interest in studies and any activities also it was the first time I went to hostel for my degree. Then I used to cry things about past events and after two years of anti depressants and mood stabilizers I was able to concentrate but I was feeling weak every time and sleep for a long time. Some time there is disturbances in sleep as well. I enjoyed spirituality but now I don't have internet in it. I don't play sports as well. I get affected by very small stressful events. Since three years I suffer from Chronic Idiopathic Urticaria and have to take cetirizine. Since one year I have been suffering from heart burn and weightloss and was diagnosed with h pylori infection and deodenal ulcer and I had two courses of triple therapy and now I'm getting good with my stomach. My main issue now is unable to be active as before. I used to like roaming around and going on trips, but now it feels very hard to get out of house.

Please give me suggestions....
Thanks in advance
[Edited by Zees on 2020-10-31 14:05:09]
 
  Zees on 2020-10-14
This is just a forum. Assume posts are not from medical professionals.
fill this


Age :                                                Date of Birth :                             Sex :                        Wt.:
Address : (in detail)                                                              
 
 Blood Group:                                          Ph:                                                             E-mail :
__________________________________________________________________________________A. K/C/O : [Duration is important. e.g.  HTN since 2 yrs. etc.]
B. Investigations :
Date :  Haemogram / Blood Report/ Urine Report/ CT scan/ MRI/USG Abdomen & Pelvis/ Thyroid       Function Test, etc.
 
C. Chief C/O: Write the complaints with sides & duration.
Give them separate nos. [e.g. 1] Abdominal pain(Rt. side)Since 8 days. Etc.
 
Please start with History of C/C : How complaints started?
H/o C/C : Write every complaint individually with-
·         Onset, decline, causation.
·         Side.
·         Location & Extension
·         Character of Pain.
·         Duration of Pain.
·         Sensation.
·         Modalities : Movements/ Positions/ Thermals/ Food Habits/ Seasonal/
                                      Time
¾     Concomitant.
Complain 1
 
 
2
 
 
3
 
4

5

6

7

Etc
 
D. Ask for any recurrent complaint. Ex. Fever, Cold, Coryza.
E. Past H/o : Any major illness (along with side if present) e.g. H/o Typhoid/ Malaria / Jaundice/
Fracture/ Fall/ Injury/ Accident.
And  H/o Vaccination – Hepatitis B / Dog bite Vaccination, etc.
Blood Group :
F. Family H/o
G. Physical Generals :
·         Habit : Alcohol / Drugs/ Smoking/ Tobacco, etc. (Since how many tears?)
·         Diet : Veg./ Mixed.
·         Appetite : Any alteration?
 
            Whether patient can tolerate hunger?
·         Desire : With reference to taste and not any particular food item. e.g. Sweet, Pungent, Spicy,
Sour, Fatty(Oily, ghee), Non- veg, milk, milk products, tea, coffee, Vegetables, Fruits, Ice Cream, Cold Drinks etc. is important. Also ask for any desire for indigestible food items.
·         Aversion : Main taste e.g. Sweet, Sour, Fatty, Non-veg etc. is also important.
·         Food :
·         Head :
·         Eyes :
·         Ears :
·         Nose :
·         Mouth :  any odour
·         Tongue : Dry/Moist/ Coating/ Cracked/ Fissured/ Imprints of teeth
·         Thirst  : Thirsty/ S.Q.S.I./L.Q.S.I./Thirstless.
·         Teeth : Carries of  teeth.
·         Gums : Bleeding Gums.
·         Taste : Any particular taste in mouth
·         Throat :
·         Chest :
·         Stomach/ Abdomen :
·         Bowel : Character of stool is important. Dry/ Hard/ Soft/ Loose. Color, Smell, Straining or not?  Etc.
·         Bladder:
·         Skin :
·         Chest & Back :
·         Extremities:
o   Upper Extremities:
o   Lower  Extremities :
·         Perspiration :
o   Scanty/ Profuse. On which part of the body?
o   Stain /Odour.
o   Hot/ Cold sweating.
·         Sleep :
o   Time : Daytime any sleeping habit / Night time sleep hrs.
o   Sound/ Natural
o   Refreshing/ Unrefreshing
o   Startles/ Snoring
o   Position : Whether lies on back / sides-which side ?
o   Covering
o   Bed+ Pillow
o   Talking/ Walking sleep during?
o   Eyes open / closed sleep during.
·         Dreams :
·         Female:
o   Menstrual History
i.                     Menarche
ii.                   Duration of cycle
iii.                  Color of discharge/ Any clots, etc.
iv.                 Smell
v.                   Any pain Before / During etc.
·  In General Discharges : Color/ Smell/ Quantity –scanty/ profuse etc. (very important)
H. Mind :
·                     Education :
·                     Occupation : (Working / Retired)
·                     Childhood at which place? –City/ Town
·                     Marital Status : Married / Unmarried
 
·                     Childhood :
o Family : Joint / Separate
o Financial Condition : Sound/ Poor/ Rich etc.
o About Study:
o Nature : Obstinate/ Mild/ Pampered/ Short Tempered/ Irritable.
o Desires Company or Not?
o Close to?
o Fear of/ Stage courage
o Playful/ Studious.
o Any impactful/ disturbing incidence in childhood.
o Angry when? How is it expressed ?
o Timid / Daring.
o Ambition.
 
·         After Marriage.
(Suppression injustice and relation with inlaws, Adjustment)
·   NOW :
o   Specially ask about main feelings : Anger, Sadness, Hypocrisy, Jealousy, etc. (Please, write in Rubric form)
o   Family: Joint / Separate
o   Financial Condition : Sound / Poor/ Rich etc.
o   Mild/ Short Tempered
o   Angry when ? How is it expressed?
o   Talkative/ Less talkative.
o   Jolly- Jesting/ Submissive
o   Affectionate / Reserved/ Censorious.
o   Reaction to Jesting
o   Reaction to Criticism.
o   Reaction to Reprimand
o   Reaction to Mortification
o   Any major conflicts
o   Sympathy about ?
o   Helping nature?
o   Desires Company?
o   About Cleanliness.
o   About Time Punctuality.
o   About Religiousness.
o   Reaction to Lie & Injustice.
o   Fears ? (Being alone, Dark, Water, Height, Quarrel, Exam, Robbers, Animals, Downward  Motion)
o   Sensitive (Physically & Emotionally)
o   Happy When?
o   Sad when?
o   Weeps when?
o   Consolation.
o   Hobbies?
o   About Social Activities.
o   Lazy/ Workaholic.
o   Industrious ?
o   Duty Bound?
o   Relation with others :
¾     Husband/ Wife
¾     Son / Daughter.
¾     In-laws.
¾     Friends.
¾     Colleagues, etc.
·         A/F :
o   Anxiety about what ?
           Loan, Court case, Money, Future, Health, Disease, Death, Job, Settlement, Children.
o   Any Anticipatory Anxiety
o   Death of Relatives :
               Reaction : Grief, Sad, Forsaken, Helpless, Weeping.
o   Any Insecurity
o   Perfectionism.
o   Fall/ Accident/ Injury/ Fracture/ Sprain/ Loss of fluid.
o   Overexertion.
o   Brooding.
o   Suppression of anger.
o   Any major setback in life.
Your Observation(Physical Appearance/Dressing).
Thermals :
                                    Summer                                          Winter
Bathing                        Hot / Cold /  Luke Warm              Hot / Cold /  Luke Warm
Fanning                       requires or not?                                             requires or not?
Covering                     Thick / Thin? (1 or 2,etc)                Thick / Thin? (1 or 2,etc)
 
·         Open air : desires or not
·         Require Sweater in Winter ?
·         Chills begin from which part?
                                       
 
drjitesh last year
Thanks for your reply.
I'm really unable to write all the details asked in the list but I have filled my case in the Remedy Finder in detail. Can you please help me by looking into the attached Remedy Finder checklist in above post.
Age: 22
My main issues to be tackled are
1) Depressive phase of my Bipolar type 2 disorder which I'm suffering since 5 years
2) Chronic Urticaria, hives and iching which comes without any trigger and any diet change and also may come at any time of the day. I need to take cetirizine 10mg daily to supress them.
3) Deodenal ulcer, I had been facing weaknessa and heartburn since 1 year and had been diagnosed with H.pylori infection and had undergone antibiotic therapy twice in this year and last month the endoscopy indicated presence of non bleeding round ulcer of 2mm. And I am on acid controlling PPI named lansoprazole 30mg to completely heal the ulcer.

I'm sensitive to cold, but hot weather also some times causes unease. I get headaches when I am exposed to cold wind. Chill begins from hands. Feels uneasy with sweater on. Doesn't like windy climate.
I am nowadays feeling averse to water, but previously I liked getting wet and swimming.
I feel very thirsty
I had a habit of masturbation since 9 years but now I don't feel please in sexuality but am compelled to masturbate. My penis is not as hard and long as before. I don't feel intense heat during masturbation now as I used to feel during the initial days of the habit.
I feel very disturbed at night and difficulty in sleeping
I used to like sweets a lot and now I am averse. and now I like salty foods. I like icecreams and cold drinks. I'm averse to meat.
I am an ambitious person since childhood, was in combined family which was seperated 8 years ago. Faced lot of stress as a child due to family disputes and also due to perfectionism.
I was studious person with very less friends, always achieving top ranks and disciplined an craved for praise.
I had a sense of superiority during childhood till depression hit me.
After wards during engineering i got typhoid and became weak and got into depression. Before this I was a very religious person and used to enjoyed spiritual practices like meditation but now I became averse to these activities. My hobby was reading books now I'm averse of reading them.
My eyes become dry easily.
I don't focus much on dressing, but feel inferior when I see others.
I'm anxious of getting settled and gettinggood job and reputation, as now I'm persuading master's in engineering.
I feel very disturbed during household disputes. I procrastinate a lot due to perfectionism. I feel shy and uncomfortable when speaking to girls.


Sorry for very foggy and scattered writing, please help me out with the above mentioned problems.

Truely thankful to you
Dr. Jitesh
 
Zees last year
We will go gently in order to heal you
First you start

China 30
4 drops twice a day for 10 days

Report me after 10 days


Dr.Jitesh Sharma
 
drjitesh last year
Thank you very much Doctor for you advise. I will start the remedy and update you in 10 days as per your guidance.

Can't thank you enough for helping me...
 
Zees last year
Dear Dr Jitesh Sir,
Thanks for your suggestion,

I have used China 30 for 10 days and found the following effects:
- Felt energetic than before, and reduced tiredness after physical work.
- Increase in itching slightly during night.
- Frothy nature of urine some times dark yellow.
- Feels good when waking up from sleep.
- When going to sleep I feel very uneasy and get tendency to turn sides for 1 hour constantly since taking china
- Also started getting irritated and getting angry
- Didn't feel any change in mental health symptoms like clarity of thought, low mood, anxiety, lack of direction in life, low confidence



I also want to add few past historical illnesses
2011- Jaundice
2013- Dengue
2014- Typhoid
2016- Dengue
2018- Chicken pox
2020- H. Pylori Infection of stomach and deodenal ulcer.

I also suffer fro vitamin D and B12 deficiency since 1 year and I am unmarried and my testosterone levels are around 300.
I also have issues with increased jealousy towards others achievements and also feel very guilty about that.
Since the start of antidepressants, I feel indifferent towards sorrows and joy and neit her really enjoy in good conditions nor feel bad on bad circumstances, Just think every time about myself.

I request you to please look into my case and suggest me a remedy.

Also I have been on cetrizine for urticaria which comes for no reason, May I please known if there is any remedy which I can take instead of cetirizine as an antihistamine effect.

Thanking you for all your advice
Zeee
[Edited by Zees on 2020-10-31 14:04:21]
 
Zees last year
Just to highlight the post and keep it visible in the forum
[Edited by Zees on 2020-10-31 14:05:57]
 
Zees last year
Dear Dr Jitesh

May I please know if you have any online consultation available in India?

Thank you
 
Zees last year
WE DO HAVE ONLINE CONSULTATION

CHECK MY PROFILE FOR DETAILS & EMAIL

DR.JITESH SHARMA
 
drjitesh last year
click dr.jitesh name to see info.
Clicking any user name will show info they provide.it will also show past threads and current threads.
 
simone717 last year
Zees said Dear Dr Jitesh Sir,
Thanks for your suggestion,

I have used China 30 for 10 days and found the following effects:
- Felt energetic than before, and reduced tiredness after physical work.
- Increase in itching slightly during night.
- Frothy nature of urine some times dark yellow.
- Feels good when waking up from sleep.
- When going to sleep I feel very uneasy and get tendency to turn sides for 1 hour constantly since taking china
- Also started getting irritated and getting angry
- Didn't feel any change in mental health symptoms like clarity of thought, low mood, anxiety, lack of direction in life, low confidence



I also want to add few past historical illnesses
2011- Jaundice
2013- Dengue
2014- Typhoid
2016- Dengue
2018- Chicken pox
2020- H. Pylori Infection of stomach and deodenal ulcer.

I also suffer fro vitamin D and B12 deficiency since 1 year and I am unmarried and my testosterone levels are around 300.
I also have issues with increased jealousy towards others achievements and also feel very guilty about that.
Since the start of antidepressants, I feel indifferent towards sorrows and joy and neit her really enjoy in good conditions nor feel bad on bad circumstances, Just think every time about myself.

I request you to please look into my case and suggest me a remedy.

Also I have been on cetrizine for urticaria which comes for no reason, May I please known if there is any remedy which I can take instead of cetirizine as an antihistamine effect.

Thanking you for all your advice
Zeee




Dear Dr. Jitesh

Can you please suggest me best constitutional remedy for my condition...
Thanking you...
 
Zees 11 months ago

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