Homoeopathic Management of Homoeopathic Management of Pseudo Surgical casesPseudo Surgical cases

Re Orientation Presentation by Dr. Deepti Chawla

Discussion Agenda

Pseudo Surgical diseasesHomoeopathic approachDetailed overview

Homoeopathic Management of Tonsillitis Common Medications

Conclusion

‘Pseudo’ Surgical cases

Conventional classification

Surgical Non Surgical

Treated by mechanical intervention

Treated with medications

Pseudo Surgical: Cases classified as surgical by specialist but respond well to Homoeopathic medications

Hahneman’s classification

Clinical Classification of Diseases

Surgical Diseases(Local malady due to causa external)

Dynamic Diseases

Acute Diseases Chronic Diseases

Diseases with fully developed systems One sided diseases

Having Internal Complaints Local Disease

External Cause Internal Cause

Hahneman’s classification

Local Diseases

External Cause Internal Cause

One sided diseases which appear on external or local parts of the body

Local diseases due to some external cause such as an injury , fracture etc. may be treated with surgery followed by a suitable homoeopathic medicine

Local diseases due to internal cause which have been triggered by some immediate exciting cause.

Cases falling under this category may be classified as pseudo surgical cases

Pseudo Surgical cases

Interpretation of Pseudo Surgical cases in light of Hahneman’s classification

Local Diseases of Internal Cause Internal cause : Altered immune status Exciting cause: Exposure to pathogen

Management of Pseudo Surgical Cases

Selection of homoeopathic remedy corresponding to the

totality

Acute totality to be tackled first ( in case of acute

affection)

Anti miasmatic treatment, once the acute state has

subsided

Formation of complete picture of disease

Exact character of local affectionAll observable changes in health , symptoms Symptoms present before any medicine was used

Common Surgical conditions in which Homoeopathy has a role to play:

Tonsillitis Adenoids Urolithiasis Warts Uterine fibroids

CAUTION: Not ALL cases of the above conditions can be treated without surgical intervention. Practitioners are advised to follow guideline protocols in identifying cases suited for homoeopathic management

Tonsillitis

Inflammation of tonsils (tonsillitis) can be bacterial or viral Symptoms of tonsillitis include:

Tonsils visibly red and swollen Patches of white discharge on infected tonsils Severe sore throat Difficult or painful swallowing Headache Fever and chills Enlarged, sore glands in the jaw and neck Changes in or loss of one's voice

TonsillitisClinical Signs

Source: http://www.hcs.calpoly.edu

Adenoids

The nasopharyngeal tonsil when hypertrophied so as to produce symptoms is called Adenoids

This leads to symptoms of nasal obstruction such as: mouth breathing noisy breathing nasal tone of voice persistent nasal discharge deafness due to obstruction if Eustachian tubes.

Inflammation of Adenoids may cause persistent nasal discharge, post nasal drip, cough or otitis media

Adenoids

Source: www.arthursclipart.com/medical

Conventional Treatmentof Tonsillitis and Adenoids

Medication:

Tonsillitis resulting from a streptococcal infection is usually treated with an antibiotic Unfortunately, there is currently no medication for the viruses that cause tonsillitis

Surgical removal of Tonsils:

In general, a patient may be a candidate for tonsillectomy if he or she meets one of the following criteria:

Seven or more episodes of tonsillitis in one year Five or more episodes of tonsillitis each year over a period of two years Three or more episodes of tonsillitis a year for a period of three years Tonsillitis that recurs despite treatment with antibiotics Airway or swallowing obstruction due to swollen tonsils

Drawbacks of conventional treatment

In day to day practice we encounter Surgery is advised arbitrarily even to patients not meeting the previously stated criteria

Surgery can never be without its accompanying risks, morbidity and complications

Post operative haemorrhage Infection in some cases Ear Pain Poor oral intake of fluids Lower immunity hence overall increase in susceptibility to infections Iatrogenic complications

Removing tonsils may reduce the risk of throat infections, it won't necessarily prevent them completely .

Surgery is expensive.

Homoeopathic Management of Tonsillitis & Adenoids : Case Studies

Three case studies in all of which Tonsillectomy or adenoidectomy were recommended as the treatment of choice by ENT Surgeons

All were treated effectively with homoeopathic medicines.

Needless to say surgery was no longer required in any of them

Homoeopathic Management of Tonsillitis Case Study 1 : Tanshi 6/C

A six year old female child presented with complaints of cough, sore throat and pain in swallowing solids, accompanied by fever at night. She had a past history of recurrent episodes of acute tonsillitis with a frequency of an episode almost every two weeks.

P/G: marked tendency to take cold easily on the slightest exposure increased thirst tendency for every cold to settle in throat

M/G: the child appeared to be shy++ dull expression according to the attendant her concentration and memory were poor

O/E- single pus follicle in right tonsil erythema++

The following prescription was made on the basis of acute totality Merc. sol 200 x TDS x 2 days Belladonna 200 x TDS x 2 days

Homoeopathic Management of Tonsillitis Case Study 1 : Tanshi 6/C

On follow up the patient reported general improvement. She was afebrile and sore throat and cough were better

O/E- erythema>> no pus focus seen No gain of weight in the last 2 years despite normal appetite

Prescription Tuberculinum 200 x 2 doses Baryta carb 30 x T.D.S x 5days

Further improvement over the next 3 months during which placebo was prescribedPatient reported with sore throat and dry coughPatient was afebrile and symptoms were much milder than earlier

O/E Tonsils were enlarged but less as compared to previously slight erythema no pus follicles seen

Homoeopathic Management of Tonsillitis Case Study 1 : Tanshi 6/C

There was swift recovery with a repetition of the previous prescription of

Tuberculinum 200 and Baryta carb 30

Subsequently follow up was continued for six months during which patient did not present with acute tonsillitis.

The patient’s weight gain is now satisfactory

Homoeopathic Management of Adenoids Case Study 2 : Lakshya 10/C

A ten year old male child presented with c/o: Persistent nasal blockage Mouth breathing especially in sleep Cough off and on with yellow expectoration Snoring

Past history: H/O mouth breathing Recurrent attacks of sore throat

O/E: Tonsils enlarged Erethema +

Investigations X- Ray nasopharynx: Soft tissue shadow nasopharynx, obstructing airway. Suggestive of

adenoids.

Adenotonsillectomy had been recommended by ENT surgeon. The following prescription was made:

Silicea 200, 3 doses stat Agraphis Nutans 30 x TDS x 3 days

Homoeopathic Management of Adenoids Case Study 2 : Lakshya 10/C

On follow-up, general improvement was noted in cough and sore throat, expectoration was white. Mouth breathing and snoring were same as before

Agraphis Nutans 30x TDS was repeated over the next two weeks

Patient continued to improve and placebo was prescribed

Follow-up: Child was reported to be breathing normally through nose in sleep within four weeks of starting

treatment There was no snoring On examination, tonisllar enlargement was markedly less than previously observed Follow-up was continued for approx 6 weeks after the condition improved Patient has ever since remained asymptomatic

Homoeopathic Management of tonsillitis Case Study 3: Akanksha 5/C

A five year old female child presented with c/o pain throat since two days fever pain right ear < swallowing P/H: Recurrent episodes of sore throat with fever almost every 20-25 days.

Patient continued to improve and placebo was prescribed

Follow-up: Child was reported to be breathing normally through nose in sleep within four weeks of starting treatment There was no snoring On examination, tonisllar enlargement was markedly less than previously observed Follow-up was continued for approx 6 weeks after the condition improved Patient has ever since remained asymptomatic

Conventional Treatmentof Tonsillitis and Adenoids

Surgical removal of tonsils and/or adenoids has remained the mainstay of treatment in conventional allopathic school of medicine. However, even minor surgery can never be without its accompanying risks, morbidity and side effects. There may be post operative haemorrhage, infection in some cases and since swallowing is painful after surgery, there may be poor oral intake of fluids.

Footnote

On August 24, 2005, Prince Charles commented that up to 480 million pounds could be saved by the UK government if one in 10 family doctors offered Homeopathy treatment to their patients as an alternative to standard drugs - The Times newspaper. It is well-known that traditionally the British Queen's family favours and follows Homeopathy. Prince Charles always insists that the UK government provide Homeopathy treatment in the National Health Services (NHS).