Clinical Cases

A Case of Benign Hypertrophy of Prostate (BHP)

bph image

Dr. Akshay Mathur presents a case of benign hypertrophy of prostate cured with a single remedy in LM potencies. The mentals provided the dominant clues.

bph-image001.jpgI would like to have this opportunity today to discuss a case of Benign Hypertrophy of Prostate (BHP).  This patient is a 64 year old male, a retired Group Director from the Dept. of Space, who presented with symptoms of increased urinary frequency, more at night, and dribbling of urine at closure. His current Prostate size was 4.6 X 4.4 X 3.6 cms as per the latest ultrasound report (attached) which showed a consistent increase in size since few years.

The presenting generalities of this patient were :

Appetite- was normal, just that he was not able to tolerate any hunger.

Desires – Non vegetarian food++, peanuts+++, spicy food, warm food; cold drinks

Perspiration- was minimal, only occasionally on the back and axillary areas.

Sleep- It was difficult for him to sleep; sleep was unrefreshing.

Mental Generals- He was a happy go lucky person, wanted to socialize, does want to take any kind of stress etc.

Upon further intensive case taking as to the time of onset of all the symptoms, he reluctantly revealed that the symptoms may have started since the time of his retirement when his superior officer didn’t sanction an extension period for him, even though his work required for him to stay. He felt extremely hurt but was helpless and was retired. He said he tried to adjust to his retired life, and has been successful now, but still feels that he should have been granted the extension.

Looking at the onset circumstances, his desires, he was prescribed Ignatia Amara in 50 millesimal potency, twice a day with increasing potency every month from 0/1 to 0/9 currently. For the first 20 days he reported no change in the symptoms but after that his symptoms started reducing gradually and today very minimal symptoms are present and also his prostate size is absolutely normal of 3.2 X 3.1 X 2.6 cms (report attached).

There are 2 things which I would want to highlight in this case. First is that the silent grief, conflict and the rigidity (found in the Ignatia nut) was found in this case which was also supported by the desires the patient exhibited. Secondly, it is also retrospectively studied that whenever prostate is affected in a person, prostate being an exclusively male organ, there can be a male to male conflict in the patient’s life history which manifests in the male body organ. Since this patient’s conflict was also to his superior boss, Ignatia was prescribed and it worked beautifully.

Investigative Reports  ———————————————————————

154/9, Bannerghatta  Road,

Opp. liM-B, Bangalore- 560076

Tel: 080-66214444/9663367253

DEPARTMENT OF RADIOLOGY

UHID          : WHBG.0000490674    Aqe/Sex63(Y)!M          Order Date   : 24-Jul-2014

Name

Conium Doctor         : MOHAN KESHAVAMURTHY

USG ABDOMEN AND PELVIS

FINDINGS:

Report Date : 24-Jul-2014

LIVER: Size, echogenicity normal. No focal lesion detected. Intrahepatic  biliary & vascular radicles appear normal.

GB: Partly distended, no definitive calculus evident. CBD: Not dilated.

SPLEEN:  Size, echogenicity normal. No focal lesion detected.

PANCREAS: Head & body normal. Tail obscured by bowel gas.

KIDNEYS:

Right kidney- Normal in size, contour, position & echogenicity.  No calculus seen. No hydronephrosis seen.

Left kidney- Normal in size, contour, position & echogenicity. No calculus seen. No hydronephrosis

seen. DIMENSIONS:

RK-10.7×5.1 ems

LK- 11.2  x 5.7 ems

RP: No significant  adenopathy detected. RIF I LIF: Gas filled bowel loops seen. URINARY BLADDER:   Appears normal. Pre void:  160 ml

Post void : 70 ml {).;”‘/ .

PROSTATE: Normal in size, shape, position & echogenicity. Size: 3.2 x 3.1 x 2.6  ems  Volume 13 ml

No ascites seen.    .

IMPRESSION:

Small urinary bladder capacity with significant post void residue of 70 ml

Dr. Scrdhindra Kulkarni, MD

Radiologist sa

International Hospita limited

CIN: U74999HR1994PLC048225

——————————————————————————————-

Fatima Convent Sahyadri Clinic

Fatima Convent Compound, Near Vishal Mart

Fatima Nagar, Pune 411 013            Tel. : + 91 20 2686 0442 [email protected]          www.sahyadrhospital.com

Sahyadri Hospitals

Name: Mr.••••• Ref By: Dr. Noella Godinho

Date: 04-May-2013

Sex:M Age:62

USG ABDOMEN  & PELVIS

LIVER:

Liver is normal in size and increased parenchymal echotexture. No focal lesion seen. The intrahepatic biliary radicles are normal. The common bile duct and  portal  vein are normal.

GALL BLADDER:

The gall bladder is well distended. Its wall thickness is normal. No calculi seen

PANCREAS:

The pancreas is normal in size and shape. No f ocal lesion or calcifications are seen within it. The pancreatic  duct is normal.

SPLEEN:

Normal in size and echotexture. No focal lesion is seen.

KIDNEYS:

Right kidney measures 9.5 x 5.1ems.         Left kidney measures11.2 x 4.1ems. Both kidneys show normal parenchymal echotexture and the corticomedullary diff erentiation is maintained. Pelvicalyceal system is normal in both kidneys. No calculi or hydronephrosis seen.

AORTA:  The aorta and IVC appear grossly  normal.  No obvious lymphadenopathy is seen.

URINARY BLADDER:

The bladder is well distended. The wall thickness appears normal. No vesical calculus is seen.

Prevoid Vol – 117 cc. Postvoid Vol – 72cc.significant.

PROSTATE:

The prostate measures 4.6 x 4.4 x 3.6 ems. Approximate Wt – 40.2 gms. Enlarged in size andhomogenous echotexture.  No focal lesion seen.

IMPRESSION:

  • Grade I fatty liver
  • Enlarged prostate with significant post void residue.

As compared to USG done on 28/11/10 there is increase in size of the prostate.

MBBS,DM ,PGDHHM (Consultion Radiologist)

154/9, Bannerghatta  Road,

Opp. liM-B, Bangalore- 560076

Tel: 080-66214444/9663367253

DEPARTMENT OF RADIOLOGY

UHID          : WHBG.0000490674    Age/Sex 63(Y) M

Order Date   : 24-Jul-2014

Name

Conium Doctor         : MOHAN KESHAVAMURTHY

USG ABDOMEN AND PELVIS

FINDINGS:

Order No.   : OP843465

Report Date : 24-Jul-2014

LIVER: Size, echogenicity  normal. No focal lesion detected. Intrahepatic  biliary & vascular radicles appear normal

GB: Partly distended,  no definitive calculus evident. CBD: Not dilated.

SPLEEN:  Size, echogenicity  normal. No focal lesion detected.

PANCREAS: Head & body normal. Tail obscured by bowel gas.

KIDNEYS:

Right kidney- Normal in size, contour, position & echogenicity.  No calculus seen. No hydronephrosis seen.

Left kidney- Normal in size, contour, position & echogenicity. No calculus seen. No hydronephrosis

seen. DIMENSIONS:

RK-10.7×5.1 ems

LK- 11.2  x 5.7 ems

RP: No significant  adenopathy detected. RIF I LIF: Gas filled bowel loops seen. URINARY BLADDER:   Appears normal. Pre void:  160 ml

Post void : 70 ml {).;”‘/ .

PROSTATE: Normal in size, shape, position & echogenicity. Size: 3.2 x 3.1 x 2.6  ems  Volume 13 ml

No ascites seen.    .

IMPRESSION:

Small urinary bladder capacity with significant post void residue of 70 ml

Dr. Scrdhindra Kulkarni, MD

Radiologist sa

International Hospita l limited

CIN: U74999HR1994PLC048225

————————————————————————————————

Thiruvananthapuram – 695 011

Ph : 447262. p52357, Fax:550919,  Email:[email protected]!

Td.No   :OJ  ! 00597      Dt :08/04/2000

N tme   : .Mr..-     Age & Sex : 49 Y/ M

Ref. By: Dr. Asllok Paiiath

LIVER:

Normal in size and echotexture. No mass lesion is seen. No biliary radicle: dilatation.

Common bile duct appears  normal. GALL BLADDER :

Moderately distended. Lumen clear.

PANCREAS :

Echotexture: normal. D-.1ct not dilated.

SPLEEN:  Shape and size normal.

BOTH KIDNEYS:

Size and shape are nornal. Parenchymal echogenicity is normal.

URINARY BLADDER:

Normal.  No intraluminal pathology noted. Walls smooth.

PELVIC ORGANS :  Size, shape and echotexture of prostate is normal.

Bowels appear normal. Portai vein and Spleen are nonnal No lymphadenopathy.

No ascites or pleural ffusion.

IMPRESSION :

No abnormality detected.

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BS.DMRn

About the author

Akshay Mathur

Akshay Mathur

Dr. Akshay Mathur – I have been practicing Homoeopathy for 12 years. My father is also a Homoeopath so I guess I got it from him. I run my two private clinics. I have done a two level course/ workshops with ISABS (Indian Society for Applied Behavioural Sciences) and am pursuing my Masters in Psychiatry currently. In my practice, I follow the classical method of prescribing, single medicine, single dose. I do not practice polypharmacy or those combinations available in the market. For all chronic cases, I do some psychoanalysis with a thorough case taking which helps me in treating those cases. I also run special OPD's for autistic children, knowing that Homoeopathy has a brilliant role in autism.

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