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.
Chief complaint:
-
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.
Past History:
Had jaundice 15 years back.
Family history:
Mother suffering from hypothyroidism, Father is hypertensive.
Menstrual history
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.
Physical generals:
-
Complexion- fair,
-
Appetite-normal,
-
thirst –normal,
-
bowel movements –regular,
-
Urine – NAD.
-
Desire – not particular
Mental generals:
-
Easily irritable,
-
dislikes to undertake work
-
Anger from contradiction.
General examination
-
Weight : 64 kgs
-
B.P 120/80 mm Hg,
-
PR: 72/min,
-
CVS: S1,S2 normal
-
RS:NAD
Local examination:
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.
First Prescription
Date: 20/10/10
Rx Bromium 0/3 tid for 15 days, SL- 15 days.
Follow up criteria
-
Tiredness easily
-
Headache
-
Menses irregular
-
Breast pain
-
Acne
-
Nasal problem
Date |
Symptoms |
priscription |
|||||
1 |
2 |
3 |
4 |
5 |
6 |
||
25/11/10 |
< + |
S |
S |
S |
S |
S |
Bromium 0/6 tid-15 d, SL-15 days |
Easily tired slightly better, other symptoms status quo |
|||||||
22/12/10 |
S |
< + |
< + |
S |
S |
S |
Bromium 0/10 tid -15 d, SL-15 days |
Easily tired slightly increased; headache ,menses irregularity slightly better and other symptoms remain status quo |
|||||||
20/01/11 |
< + + + |
< + + |
< + + |
< + |
< + |
< + |
SL- 30 days |
Patient feeling better |
|||||||
24/02/11 |
< + |
< + + |
< + + |
< + |
< + |
< + |
Bromium 0/20 tid -15 d, SL-15 days |
Easily tired slightly increased and other symptoms remain status quo |
|||||||
17/03/11 |
I |
I |
I |
I |
< + + |
I |
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)
Before:
After:
This is interesting .I’ve read Dr Brownsteins work with halogens and hypothyroidism.
One of the halogens Bromide causes hypothyroidism.
His advice it to detox the halogens.
Does the homeopathic bromium help the body eliminate bromide
I have read the above articles. thanks to the author of this article be giving complete treatment and symptoms of thyrodosim
very interesting! and informative,it is nice to know the author has discussed diagnosis and subsquent treatment,I have hardly seen an article being discussed so well and the drug treatment aswell,homoeopathis doctors in India hardly discuss any medical problem and the mode of treatment,I wonder why,and also when we go to a homoeopathic consultant,they refuse to give out the treatment course,as though if we are told what is being prescribed,we usurp their domain,unfortunate
I read Case study, this matter interesting for homoeopathic student more case study article add on site that beneficial for homoeo student.
this help in homeopathic student to practise homoeopathy. build the confidence.
Use of Bromium as a constitutional remedy in Hypothyroidism has been well discussed. We need more such discussion to enhance our knowledge.
Very nice input for the novice to understand case taking and repertorising.
Hello Dr. Hafeezullah Baig, can I have your email-id so that I can consult you via email about my health issue. Thanks!