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.

---

 

---

 

---

 

---

Kali carb 200 was prescribed

Follow-up (march 2023)

•        Patient was advised to repeat the remedy 2-3 times from the starting of the treatment

•        Patient is well… But still patient has slight discomfort while swallowing the First morsel …

•        Constipation and acidity reduced …

•        “I think I had habit and excessive eating and now I have reduced it… Yet there is no change in my energy levels”

•        All the general parameters are normal.

Rx

Sac lac – 1nmonth

Follow-up (29 April 2023)

•        The frequency of the difficulty in swallowing reduced (earlier he had difficulty for every meal he had)

•        constipation from few days

•        Intense itching over whole body – scratches till it becomes red and raw

•        Rest everything is good

Rx

Kali carb 0/6

Sac lac