A Case of Dysphagia

FIRST HAND INFORMATION (BEFORE CASE)

ENDOSCOPY

• LOWER ESOPHAGEAL MUCOSAL RING

• SCHATZKI RING

• GASTRIC ERYTHEMA

USG

• EDEMATOUS COLON

• POST VOID 60 ml URINE

Presenting complaints

• Difficulty in swallowing food (since 1-2 years) first morsel is difficult to pass

• It happens when I eat the first morsel, have to bear I have to wait… after food passes there would be no problem from next morsel

• Aching type of pain constantly in the lest side of the abdomen (pointed towards left lumbar) agg in the morning

• Stomach is full even after 5-6 hrs of taking food, bloating and no hunger

• Tea agg symptoms

• Constipation

• Belching

• H/o Running nose … very often … when I used to go for Dharwad/ Banglore, it used to get congested. Though its raining now… I have no complaints

• Disturbed sleep

Dreams

• Trying to climb a hill

• Crossing a river

• Conducting a big exam

• So many problems – trying to solve

• During this – that and all… I wake up – it’s not possible

In what way (disease) it affected you

• I felt weak – uneasy

• I felt empty

• Felt as if I was having ulcer – panic – something was going wrong

D: Panic about what?

• Don’t know – Ulcer or cancer

• Worried that if anything was wrong

• Particularly – during pandemic

What happened during pandemic, that affected you?

Guide for what ?

Little more info please

• Desires : sweets and sour food

• Aversion : spicy food

• Thermal – cold desires – too much cold cannot tolerate

• Thirst – not feeling thirsty these days

8 box method of analyzing

Let us Understand Kali carb

• The chief feeling of Kali carbonicum

• Vital fear and reactivity (Carbon) that is seen when a person lacks the support of a family or group (Kali)

• The main symptom of Kali carbonicum is the fear of being alone and the desire for company.

• Their dependence on the group or family is so great that her entire life revolves around their family – health of family members, integrity of the family, amount of support they get from the family, etc. They seek to belong to a group/family so that they are never alone.