Bed-wetting, also called Enuresis, is one habit disorder that causes trauma, pain and disturbance to all concerned. It is the parents who normally wakes up each night to check on the child, maybe even to disturb her sleep to check on whether she wants to urinate. When the child wets her bed, it is the parents and the maid who have to change and wash the sheets and air the room. And what about what the little child has to go through herself – the shame at having lost control once again?
A Case of Nocturnal Treated with Homoeopathy
A 10 year old girl with thin and fair complexion, dark hair and eyes, delicate, sensitive skin came with complaint of bedwetting. She started involuntary urination at night after the sudden death of her father in a road accident. She was extremely close to him. She passes urine at least two times a night. She had taken other treatment for this but without effect.
Chief complaints
Bed wetting at night for last 2 yrs
Past history
NAD
Family history
Mother had T.B.
Personal history
Appetite Poor
Desires fried foods
Aversions Bitter foods
Thirst 4-6 glasses of water daily
Perspiration scanty non offensive
Stool Passes stool every alternate day
Urine Involuntary urination at night, 2- 3 times
Sleep & Dreams Good sleep
Thermals Aggravation winters, change of season
Mental generals
She is absent minded, not obedient and is defiant. She does exactly the opposite of what her mother asks. She has a tendency to eat fast. She is sensitive and is offended easily at the slightest remarks by others.
Vital data
General Examination:
Temp: Afebrile Pulse: 72\min
Systemic Examination: CVS: NAD RS: NAD CNS: NA
P\A: Soft, non tender; no organomegaly.
Physical make up: Thin and fair complexion. Dark hair and eyes, delicate, sensitive skin
Investigation : No abnormalities detected on routine stool and urine investigations
Final diagnosis: Nocturnal Enuresis
Miasmatic background: Psoric
Analysis of symptoms
- Absent minded- Mental general characteristic
- Ailments from death of parent / Contradict, disposition to- Mental general characteristic
- Hurry haste tendency eating while
- Offended easily- Mental general characteristic
- Urination night involuntary children in
Evaluation of symptoms
- Absent minded
- Ailments from death, parent of
- Contradict disposition to
- Hurry haste tendency eating while
- Offended easily
- Urination night involuntary children in
PDF:
Chilly patient
Melancholic temperament
Thin and fair complexion. Dark hair and eyes, delicate, sensitive; skin
Totality of symptom
- Mind – Absent-Minded, Preoccupied
- Mind – Depression, Sadness
- Mind – Contradict, Disposition To
- Mind – Hurried, Feelings – Eating, While
- Mind – Offended, Easily
- Bladder – Bedwetting, Enuresis – Children, In
Repertorisation
Remedial differential diagnosis
Causticum 6/17
Lyco 6/13
Lach 5/13
Sepia 5/11
Final remedy
Causticum 200 single dose followed by S.L
Follow up
Sr.no | Date | Complaints | Remedy | Reason |
1 | 7/09/15 | Frequency of bed wetting not reduced | Causticum 200 T.D.S for 8 days
|
Complaint NOT reduced hence repetition of same medicine. |
2 | 15/09/15 | Complaints are decreasing slowly. | S.L for 12 days
|
As improvement is there S.L continued |
3 | 27/09/15 | bed wetted only once this week | S.L for 15 days. | As improvement is there,.S.L contd. |
4 | 11/10/15 | Frequency has increased to 3 times a day. Mother had scolded the child and beaten her for answering back. | Causticum 1M one dose.S.L for 15 days. | Recurrence of symptoms was seen, so dose was increased. |
5 | 26/11/15 | No bed wetting in 15 days | S.L for 15 days. | As improvement is there S.L contd. |
6 | 27/12/15 | No bed wetting in 15 days | S.L for 1 month | As improvement is there S.L contd. |
7 | 30/01/16 | Frequency has increased to 2 times a night. | Causticum 10M I Dose S.L. T.D.S for 15days | As recurrence of symptoms, dose increased. |
8 | 17/02/16 | Frequency reduced | S.L. T.D.S for 1month | As improvement is there S.L contd. |
9 | 25/03/16 | Occasion bed wetting. Much better | S.L. T.D.S for 1month | As improvement is there S.L contd. |
10. | 29/04/16 | Started bed wetting again due to tension of exams. | Causticum50M I Dose, S.L T.D.S for 15days. | As recurrence of symptoms, dose increased. |
11. | 16/05/15 | No bed wetting in 15 days | S.L for 1 month | As improvement is there S.L contd. |
12. | 27/06/16 | No bed wetting | S.L for 1 month | As improvement is there S.L contd. |
13. | 01/08/2016 | Started bed wetting again due to starting of rainy season. <damp cold weather | Causticum CM I Dose, S.L T.D.S for 15days. | As recurrence of symptoms, dose increased. |
14 | 03/09 16 | No bed wetting | S.L for 1 month | As improvement is there S.L contd. |
15 | 17/09/16 | No bed wetting | Stop treatment. Follow up as and when required. |
Comments
After analyzing the case I found that the patient had a melancholic temperament and was of the carbo-nitrogenoid constitution. After considering these facts and repertorial totality, CAUSTICUM was selected as her constitutional remedy. Patient responded very well and improved almost completely. This shows that when a correct constitutional remedy is selected and given in the right potency with correct repetition, it does wonders. Thus constitution plays a very important role in homoeopathy.
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Beautiful case description ..!!
palliative treatment