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.


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