A Case of Hydrocele

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We are well aware of the efficacy of homoeopathy in treating surgical diseases and this case of a 2 ½ year old boy with hydrocele adds more evidence of this efficacy. The case was differentially diagnosed as an incidence of epididymo-orchitis and is very common. Rhus toxicodendron in fifty millesimal potency was prescribed according to the totality of symptoms.

Keywords: Homoeopathy, hydrocele, totality of symptoms

Case:

Chief complaint:

Swelling of right scrotum since 5 months

History of presenting illness:

A 2 ½ years old boy was referred to the surgical OPD on 27.7.2010 with swelling of right scrotum since 5 months. The mother complained of swelling of right scrotum, which increased in size gradually. There was mild pain when the swelling started. There was no h/o fever or trauma when it started.

Past history:

Intra-uterine history- Normal

Mode of delivery- Caesarean section (cause not known)

First illness- Pneumonia- 1 ½ years ago

General Physical examination:

  • Mental state and consciousness- Conscious and well oriented with time, place and person
  • Build and Nutrition: Average
  • Gait- Normal
  • Decubitus: Of choice
  • Facies- Normal
  • Pallor- Absent
  • Icterus- Absent
  • Cyanosis- Absent
  • Oedema- Absent
  • Clubbing- Absent
  • Pulse- 90/min
  • Respiration- 20/min
  • Temperature- Normal

Local examination:

Inspection-

Skin and subcutaneous tissue: Tense, normal rugosity of the skin lost.

Extent of swelling: Restricted to the scrotum

Impulse on coughing: Negative

Palpation-

Temperature: Normal like surrounding skin

Tenderness: Absent

Extent: Limited to Scrotum

Shape: Ovoid

Surface: Smooth

Margins: Regular

Consistency: Cystic

Get above the swelling- Can get above the swelling

Fluctuation: Positive

Transillumination test: Positive

Reducibility: Absent

Impulse on coughing: Absent

Testis- can be palpated posteriorly

Epididymis- Not palpated

Spermatic cord- Palpable

Lymph nodes- Not palpable

Left scrotum was normal.

The photograph as on 27.7.2010

Summary of the case:

A 2 ½ years old boy presented with swelling of right scrotum since 5 months. On examination, there was no tenderness; we can get above the swelling; fluctuation and transillumination test was positive; impulse on coughing and reducibility was negative. Lymph nodes were not palpable.

Differential diagnosis:

  • Vaginal hydrocele
  • Epididymo-orchitis
  • Haematocele
  • Pyocele

Final diagnosis: Right-sided Vaginal hydrocele

Physical generals:

  • Appetite-good
  • Desire-MILK, chocolate, sweets, fried egg, warm food
  • Thirst- 5-6 glasses per day
  • Tongue- clean, moist
  • Stool- regular, desire to play with water and whenever he does that he has constipation
  • Urine-clear
  • Sleep-sound but RESTLESS

Mental symptoms:

Headstrong

Totality of symptoms:

  • Right sided scrotal swelling
  • Desires MILK, warm food
  • Stool constipated when playing with water
  • Sleep RESTLESS

Prescription: Pneumococcin 200/ 1 dose on 28.7.2010

Rhus tox 0/1 tds from 29.7.2010

Follow up:

20.8.10 – 70% relief in swelling till around 10.8.2010, then again size increased.

Rhus tox 0/2 tds given

7.9.2010 – No change

Rhus tox 0/3 bd

4.10.2010 – No swelling

The photograph as on 4.10.2010

About the author

Nilanjana Basu

Nilanjana Basu

Dr. Nilanjana Basu, - B.H.M.S. (C.U.) is a lecturer at Department of Surgery, Bakson Homoeopathic Medical College, Greater Noida.

32 Comments

  • GOOD WORK. WHY Did you give Pneumococcin UNNECESSARILY. IF THE MEDICINE IS SIMILLIMUM IT WILL REMOVE THE EFFECT OF PNEUMONIA AND SCROTAL SWELLING AT SAME TIME.IF YOU GIVE BOTH RHUS TOX AND Pneumococcin, WE MAY GET CONFUSED ABOUT WHAT MEDICINE WORKED OUT IN THIS CASE. I THINK RHUS TOX IS A SIMILIMUM THAT WORKED WELL. NICE JOB

      • Respectec mam,
        Duly resoect i want to share my problem with you,i am suffering from bronchitis with pain in chezt since 6 years long and doctors are not able go cure it goes worst when i work physicall more then usual i seem i am dying or alive,i have sinus with rinitis and when i woke up i feel i am not feeling fresh,i snore at night,my throaght dries while i sleep and pain in my feets and could not able to concentrate any work for long time,my real uncle is homeopathy doctor i am knw under his medication ,he has 40 yrs of exp in homeopathy famous for paralysis treatment,what medicine can i take from him in bio chem please can i get cured or not please if you want to suggest me any medicine please suggest in my emai id i will be thankful to you..adityasingh.1393@gmail.com.

  • That’s great but if the testicle becomes hard with swelling then what will you prescribe when the patient is age 60 with prostate enlarged. thanks

    • Dear Doctor,
      It is very important to diagnosis the case first. An old patient with hard testicular growth and enlarged prostate suggests that it is a case of malignancy probably. It can be CA testis with metastatic prostate. This is only a suggestion. It has to be diagnosed.
      If it is a simple case of hydrocele, then only the case should be taken up. And medicine has to be given according to the totaliy of the case.

    • Thank you for your appreciation doctor. Pneumococcin was given to clear up the bad effects of the first illness suffered by the child.

  • WELL RESPECTED DOC.YOU HAVE DONE GREAT JOB BUT I HAVE HEARD THERE IS NO TREATMENT AVAILABLE FOR THIS, ONLY SURGERY IS AN OPTION FOR THAT.MY SECOND QUESTION FROM YOU CAN YOU TREAT ADULT PATIENT. ALSO IF ANSWER IS YES, PLEASE GIVE ME ANSWER OF MY QUESTION ON MY EMAIL ADDRESS I BEG FROM YOU FOR IT, BECAUSE I AM VERY DEPRESED FROM THIS TYPE OF DISEASE FROM 8 AND 1/2 YEARS IF YOU CAN GIVE DIRECT ADDRESS TO CONTACTING YOU SO PLEASE GIVE IT TO ME AND I WANT TO ALSO THE CHARGES OF FULL TREATMENT BECAUSE I HAVE LIMITATION TO SPEND ON THIS TREATMENT. I AM ALONE, HAVE NO ONE IN THIS WORLD TO TAKE CARE. THANKS FOR ALL THIS PLEASE GIVE ANSWER TO ME AS SOON AS POSSIBLE I AM DYING EVERY DAY .

    • Dear Kushal Singh,

      please tell us where you got the pain/swelling?
      left side or right side? Also is the swelling limited to scrotum or to the glands as well. Also do you have pains in the region of abdominal rings?
      If you can investigate yourself, read for these medicines – Rhus Tox, Nux Vomica, Cocculus Indica, Lachesis, Apis Mell.

      Your condition is COMPLETELY Curable under homeopathy, even if it is some malignant growth. No surgery needed, unless you have some external object lodged in there.

    • Kushal Singhji,

      First of all don’t panic about the condition. Get yourself checked by a surgeon. If you are not a doctor, then consult one regarding the same for homoeopathic medicine. If it a simple case of hydrocele as my case was, then it is curable with medicines.

  • Dear Doctor
    I am suffering from epididymo-orchitis in right side since 25 years ago. Please suggest some remedy via my mail ID.

    Thanks

      • Dear Nadeem,
        Alan is right. It is better to contact a homoeopath in your vinicity as a detailed case record is necessary to arrive at a diagnosis and a remedy.
        Regards
        Nilanjana

  • Mam, I’m happy to know that surgical cases are curable in homeopathy. I’m an allopathic doctor. I’ve much interest in homeopathy at the time i got cured of migraine by nat. mur., treated by an experienced famous homeopath physician Dr. P.N. Rai at Muzaffarpur. May you suggest to me any book for surgical cases in homeopathy. thanks
    with regard
    Shashi Kant Kumar
    Darbhanga Medical College(India)

    • Dr.Kumar
      Greetings!
      I apologise for the delay in replying. There are no particular book for the treatment fo surgical cases. What is important is to decide which case is to be taken to treat with homoeopathy and which is to be referred. This knowledge is gained from the Organon of Medicine. Rest there are some therapuetic books for reference too.

      Regards,

      Dr.Nilanjana

  • RESPECTED DR NILANJANA BASU THANKS FOR RELISE MY PROBLEM FROM BOTTOM OF THE HEART NOW WHEN I SEE YOUR ANSWER I FEEL SO RELAX THAT TIME.I AM SENDING YOU ALL MY LATEST REPORTS CONFIRM FROM SAFDURJUNG HOSPITALS.MY ULTRASOUND SCROTUM OR KUB REPORTS.B/L KIDNEY @ SAUSAGE SHAPE EPIDIMITIS .UNCLEAR@UB IS@ .RIGHT TESTICAL 3.4*2.35CM @SAUSAGE SHAPE EPIDIDMIS.LESFT SIDE TESTICAL 2.4*1.6CM SAUSAGE SHAPE EPIDIDMIS.LEFT EPIDIDMIS IS @ NO FLUID IN TUNICA VEGINILIS RIGHT EPIDIDMIS 2CM REFER.MY URINE REPORTS RM OR CS-CULTURE STAPH AUREUS 105 ORG END OFF URINE .COLOUR-(COAG+VE).PENCILLIN-S, VACNOMYCIN-S,CIPLOFLOX-S,NITROFURANTION-S ALL INDICATED BY ENGLISH ALPHABET S OR RM REPORT IS NILL SUGAR OR PUSS CELL.HERE INTO CAN BE LITTLE MISTAKE PLEASE UNDERSTAND IT YOURSELF I AM VERY THANKFUL TO YOU LASTLY I WANT ONE QUESTION IN THIS TYPE OF PROBLEM MARRIGE IS POSSIBLE FOR ANY PERSON CAN HE BE AN CHILD FATHER THAT IS WHY I HAVE NOT MARRIED YET YOUR ANSWER WILL BE NEW LIFE FOR ME THANKS ONCE AGAIN PLEASE ANSWER THIS QUESTIONS AS SOON AS POSSIBLE IF YOU HAVE ANY FAX NUMBER WHERE CAN I SUBMMIT MY MEDICAL REPORTS LEASE GIVE IT ME ONE AGAIN I REPEAT DO YOU TREAT ADULT PATIENT ALSO I AM TAKING AYURVEDA TREATMENT RECENT TIMING BUT NO EFFECT. THEY TELL ME ACCORDING TO MY SYMPTOMS IT IS FILARIASIS HYDROCELE OR FIBROSIS HYDROCELE ITS TELEMEDICINE TREATMENT SECOND I TAKEN OTHER SUGGESTION THEY SAID IT IS EPIDIDMIO-ORICHITIS THEY SAID IT WILL TAKE 4 TO 7 MONTH TIME TO FULLY CURE I REQUEST MAM IF YOU CAN DO I BEG FROM YOU PLEASE MEDCINE NAME OR WHAT SHOULD BE MY MEAL FOR DAILY PLEASE SUGGEST AND SEND IT TO MY EMAIL EDRESS IF YOU INSIST I CAN ALSO GIVE YOU MY PHONE NUMBER FOR TAKING ANY KIND OF HELP OR TREATMENT.

    • RESPECTED DOC.NILANJANA BASU PLEASE GIVE TO ME A ANSWER OF MY QUESTIONS AS SOON AS POSSIBLE I AM WAITING FOR IT ANXIOUSLY. ONE THING I WANT TO ALSO SHARE- ON AN INTERNET SITE I HAD READ ABOUT ASTHMA ATTACK. THEy SUGGEST IT IS BECAUSE OF FILARIASIS BUT POSSBILY DEPRESSION CANNOT DENIED THANKS
      KUSHAL SINGH

      • Dear Kushal,

        Homeopathy requires proper case taking, which includes many more details. Our authors cannot prescribe over the internet for problems such as you present. Your case must be taken by an experienced homeopath who will take much more information and manage your case. Contact the homeopathy organization in your country for a referral. You can find that information here: https://hpathy.com/homeopathy-organizations/

      • Greetings Kushal Singh ji,
        PLease see a doctor near your locality. If you want to consult me please mail me on my email ID niil2007@yahoo.co.in. If you reside in DElhi, YOu can consult me at my hospital. Alan is right. We need a detailed record of symptoms to arrive at a remedy. Only your report serves one part of the problem. The main part is case taking. So, decide.

        Regards,

        Dr.Nilanjana

  • RESPECTED DOC. NILANJANA BASU–this is kushal singh i want to ready to give any details of my illness.i have sent already to you all my medical reports but i want the right adress for proper treatment.where can i take treatment of my inllness delhi,new delhi and ncr noida ghaziabad any other nearest place i live in new delhi area thanks please give me my answer as soon as possible.recenlty i am taking ayurveda medicine for lymphatic channels blockage .

  • great job.doctor,
    but we prescribe the single medicine,then why do you prescribe 2
    medicines? And what is the significance of the potency which you chose?

    Thanks.

  • Dear Doctor

    Please help me, I had a injury on my testis 1 and a half months ago resulting in mild (sometimes severe) pain in the right hydrocel and little hardness. The pain evolved from the right hydrocele to same side of the abdomen. I had already consulted a Homeopathic Doctor and used ARNICA, but no relief. Please do suggest permanent remedies.

  • Sir I have been suffering form Hydrocele Left side about 6 years.Size not very large .I have use medicine Rododrendron foe six mont but no effect in left side hydrocele than I have contactated a h pathy dr. he told me that medicine was for Rigt side hydrocele. request tel me actual medicine for left side mhydrocele.No pain .I also taken cold water bath.Doctor now sugest for medicine Arm mat 30 Td and cal Fluor 6X QD Thanks and wait for your reply.G Mohiuddin dt 08.02.14

  • My grandson SEHZAD (born on 08/09/2013) aged one year six months did not have hydrocele at his birth. Later when he could sit or stand at his own after one year of his birth; he used to frequently fall on pucca floor of the room. He preferred sitting on plastic made horse and jump on it like horse rider. Shortly after he developed hydrocele which had been confirmed by ULTRASONOGRAM. He had constipation that time and Alopathic medicine + NUXVOMICA 30 have normalized his bowel habit (excretes 2 times daily with slightly blackish stool). So far starting from the beginning for more than last 06 month chronologically he had been given ARNICA 30, ARNICA – Q , CALCARIA FLOUR-12X, SILECIA-12X, CALCARIA PHOS- 12X. WHEN ON TISSUE SALT, GRADUALLY THE SWELLING OF THE RIGHT TESTES WAS REDUCING. But my daughter and wife wanted immediate result and went to professional Homeopath who prescribed him RHODODENDHRON-200 AND APIS MEL – 1M . Now there is no improvement for last 3 to 4 months. Having consulted several materia medica I decided to try him with PULSATILA, CLEMATIS AND RHODODENDHRON. His right testes and sparmatic chords are swellen and hard, bigger in size and always remains oedematic with slight reddish color than the other testes. Basically very restless, remains busy round the clock and moody. Likes outing and roaming on car or ricshaw. Dear Dr. can you please suggest me what should I do at such state ? He has not attained the age of undergoing surgery. I am from Bangladesh capital Dhaka. Though I study a lot of books on different books on Medicine including Homeopathy and Biochemic medicine; I am thoroughly confused and gradually my confidence on Homeopathy is diminishing. Please tell me whether I should try the new medicines I have planned as above.

    Hope to receive your valuable suggestions soon. Wishing you all the best.

    LT COL MOHAMMAD SHAH ALAM (RETD)
    DHAKA, BANGLADESH.
    07/04/2015. AT 15:35 BST.

  • I think clematis Erecta 30 power is better work for right scrotum is increasing and hard

  • I was impressed by the article. I have been diagnosed with right side hydroxide last week. I am consulting a homeopathic of cghs. He has prescribed Silicia 1000 to be taken once a day early morning. Are we on the right track.
    I am 65 years old . I had a fall in June and I hurt my back. The ain got cured but last week I lifted a bucket of paint weighing 10kg. The swelling was noticed after that and on an ultrasound it was diagnosed as a hydrocele. Can you give some advice on the medicine and other actions like what food I should have and whether hot or cold water bath will be of use. Man I am really looking forward to hearing from you.

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