Monday, February 11, 2013

Emergency Case of the Week


EMERGENCY CASE OF THE WEEK

Homoeopathic Emergency Case Management where lives are saved within few minutes and hours..



A CASE OF ANURIA IN BENIGN PROSTATE HYPERTROPHY
DEPARTMENT OF UROLOGY
(Updated: 8.2.2013)

Patient Name: Ku****** Singh, aged: 67 years, Male

Diagnosis: Benign Prostate Hypertrophy (Grade III)

Emergency Crisis: Anuria (more than 48 hours)

Allopathic Urologist’s Advice: Immediate Surgical Intervention


Patient reported to our Urology OPD on 17.11.2012 (11.15 AM) in quite painful and critical condition as the patient had not passed urine for last 3 days and previously catheter was inserted for last 26 days (2 times) which caused localized inflammation and tenderness and had to be removed.

USG: Grade III Prostate enlargement (Volume 56 cm3) Residual volume: 500 ml
PSA: 11.82 ng/ml

Case Presentation

Patient suddenly stopped passing urine 1 month back and was taken to a urologist (allopathic) and on examination and USG it was reported that there is obstruction of urinary outflow due to enlarged prostate and was prescribed some medications for 2 days but with no help. After 2 days catheter was inserted to relive the patient and was advised to have a observation/wait for next 7 days.

No improvement after 9 days and patient approached a Homoeopath for help and he gave medicines for next 12 days but with no relief and finally patient was advised surgical intervention within next 2-3 days.

Patient approached our UROLOGY OPD with tearing pain in abdomen and anuria with nausea and loss of appetite. Patient was feeling drossy for last 2 days and there was raised blood pressure with palpitation.

On examination B.P. was 150/110 mmHg and HR was 94 bpm and ECG was done with findings of RBBB and RAD.

Taking into consideration the case presentation, Nux vomica 10M STAT (1 dose) followed by Pulsatilla 0/1 (1 hourly) was prescribed and patient was advised complete bed rest with diet restrictions.


Next morning patient’s attendant reported with joy that patient passed 450 ml urine since last noon (in 20 hours) and is feeling much relaxed and better now.

Pulsatilla 0/1 was continued 1 Hourly and was tapered to 2 hour/3 hour for next 2 days and after 4 days, a dose of Digitalis 1M was prescribed followed by Puls 0/2 and another USG & PSA was carried out on 31.12.2012 with marked improvement.

USG: Grade III Prostate enlargement (Volume 51 cm3) Residual volume: 150 ml
PSA: 4.63 ng/ml

The urine output was 700 ml/24 hour with intake of 1000-1200 ml/24 hour day by day.

This is how with 44 days of treatment, there is a remarkable improvement in lab reports and of course in patients condition.

The patient as of now is on cardiac/urology management and is comfortably performing his daily routine work with adequate diet and is symptom free.



Link to website: http://drbindras.wix.com/clc3795#!emergency-case-of-the-week/c9b1

Thursday, November 15, 2012

Winter Alert for Hypertension Patients



"During cold weather, the body restricts blood flow in an effort to maintain temperature and retain heat," said Dr Manpreet Singh Bindra, Chief Cardiologist at Cardio Life Care, Ludhiana.
"In return, the survival mechanism restricts blood movement and causes blood pressure to rise." Dr. Bindra suggests the following winter weather tips:-

•Minimize outdoor activity. 
•Dress in several layers of loose-fitting wool, silk, or polypropylene clothing.
•Always get your head covered with turban/scalf/hat or mufler. 
•Wear mittens instead of gloves.
•Eat well-balanced meals.
•Avoid alcohol and caffeine because they cause the body to lose heat more rapidly.

Dr. Bindra notes that about five percent of patients in Punjab suffer from a vascular condition known as Raynaud's Phenomenon, in which cold temperatures or strong emotions cause blood vessel spasms that block blood flow to the fingers, toes, ears, and nose. People who have this heightened sensitivity to cold experience numbing of the fingers, toes, lips, nose, and ears, their body parts become red, white, or blue due to a shrinking of blood vessels and limited blood flow.

Raynaud's Phenomenon usually affects household working women. Smoking, some heart and blood medications and migraine medications can cause primary Raynaud's Phenomenon.
As the temperature is falling rapidly, we are getting hypertension patients with aggravation of symptoms in routine, said Dr. Bindra.

So patients are being advised to follow diet and regimen instruction to avoid any complications in coming winter days.

He further noted that Homoeopathy is best and safe of all in Hypertension as most of the patients suffering from High Blood Pressure are in high risk of side effects and withdrawl effects of Hypertension Allopathy Medicines. Once a patient starts allopathic medicine for Hypertension, he has to take it for whole life and it becomes addiction for the patient. Other side Homoeopathy Medicine has to be given for short duration of time and once patient recovers well, all medications are stopped with immediate effect and patients can live for so many years without any re-currence of symptoms and without any side effects or withdrawl effects, patient lives stress free and healthy life ahead.



Source: http://drbindras.wix.com/clc3795#!newswinter-alert/clwm