A 34 years old female complained of feeling tired easily and of weight gain from past 6 months. She had swelling in the thyroid gland. On advice she underwent a thyroid profile on Oct 2010 and was found to have TSH > 150 (ref. plate before) and was diagnosed as hypothyroidism. She was under homoeopathic management for five months in our clinical Unit. There was not only reduction in TSH level to normal (ref. Plate after) but also marked relief was noted in associated symptoms when treated with homoeopathic principles.
Easily tired with increase in weight since 6 months,
Left sided headache since 5 years,
Menses early and profuse since 6 months,
Pain in the left breast since 6 months,
Acne on face and back of chest since 2 years,
Running of nose since 6 years
H/o Present complaint:
Patient complaining of easy tiredness and gaining weight from past 6 months, (4 kgs); left sided headache on and off since 5 years < sun light, exertion; menses early ( 15-18 days) and profuse since 6 months; pain in the left breast with small lump < before menses since 6 months; acne with scars on face and back of the chest with itching since 2 years; sneezing 8-10 times on and off with tickling sensation in nose followed by running of nose and blocking since 6 years.
Had jaundice 15 years back.
Mother suffering from hypothyroidism, Father is hypertensive.
Attained menarche at the age of 13 years, periods were regular once in 28-32 days with 2-3 days flow. From past 6 months suffering from early periods ( 15-18 days) and profuse for 4-5 days. She underwent D&C on advice of her gynecologist for this problem 4 months back with no satisfactory relief.
bowel movements –regular,
Urine – NAD.
Desire – not particular
dislikes to undertake work
Anger from contradiction.
Weight : 64 kgs
B.P 120/80 mm Hg,
CVS: S1,S2 normal
Thyroid gland : slight swelling of gland noted on empty swallowing
Investigation: T3 – 76 ng/dl ; T4- 3.50 µg/dl; TSH > 150.00 µIU/ ml (see plate before)
General management: Advice toavoid milk and to restrict table salt.
Rx Bromium 0/3 tid for 15 days, SL- 15 days.
Follow up criteria
Bromium 0/6 tid-15 d, SL-15 days
Easily tired slightly better, other symptoms status quo
Bromium 0/10 tid -15 d, SL-15 days
Easily tired slightly increased; headache ,menses irregularity slightly better and other symptoms remain status quo
< + + +
< + +
< + +
SL- 30 days
Patient feeling better
< + +
< + +
Bromium 0/20 tid -15 d, SL-15 days
Easily tired slightly increased and other symptoms remain status quo
< + +
SL- 30 days
Patient feeling much better, weight reduced to 2 kgs
Note : < +(up to 25% improvement); < + +(up to 50 % improvement); < + + +(up to 75% improvement); I (more than 75% improvement).
Investigation: T3 – 167.2 ng/dl ; T4- 10.4 µg/dl; TSH 3.65 µIU/ ml (see plate after)
Discussion and conclusion:
Bromium was selected on the basis of constitutional totality and was given in 50 millesimal from 0/3 to 0/20 in repeated doses as per homoeopathic principle, and found effective in not only bringing down TSH level, but also in mitigating the associated symptoms. Literature revealed that milk and table salt hinders the improvement during the use of Bromium. This was verified in the present case.
(Lab results below)