This patient visited me in Dec 2018 for severe pain in the right lumbar region. She had not been able to pass stool for the last 4 days. She also had difficulty passing flatus. She had been taking laxatives and antibiotics.
Her CT scan showed segmental mural thickening of the pelvic ileal loop with inflammation of recto-sigmoid caecum appendix with paraovarian soft tissue thickening, with her increase in liver function tests and increased erythrocyte sedimentation rate (ESR). For immediate relief I gave her Opium 30, three times a day for two days, as it is suggested for spasmodic retention of faeces in Boericke’s Materia Medica. With that she passed her obstructed stool next morning. I observed her for five days and her constipation was relieved and she started passing normal stool. However, her pain persisted, so I took further details of the case. I learned that her father was a very domineering person and she was not allowed to make any decisions by herself. Taking the history of domination into account I gave her Lycopodium 200, a single dose followed by sac lac.
Since then the patient has fully recovered. Her ultrasound done in January showed an absolutely normal study. I am enclosing before after reports. Her liver function test is also normal.