Clinical Cases

Acute Pancreatitis in a Woman of 22

pancreatitis

Dr. Ashan K.A. shares a case of acute pancreatitis in a woman of 22. Iris Tenax and Magnesium phosphoricum gave relief.

 PRELIMINARY DATA

Name: Mrs. F A
Age: 22 Years
Sex: Female
Education: PUC Occupation: House wife Religion: Islam
Marital Status: Married
Date and Time of admission: 13-06-2019 at 6:15PM

CHIEF COMPLAINT : Patient presented with the complaints of abdominal pain and vomiting for the last three days

Past Treatment History: allopathic medication for the same.

Past Surgical History: appendectomy 5 years ago.

Family History: Mother: Type II DM And Hypertensive 7/29/2020.

Medical History: Chickenpox 15 years of age.

▪ Diet: Mixed; Appetite: Good.

▪ Thirst: Half Litre Per day but increased since 3 days.

▪ Craving: Spicy food 2+; Aversion: vegetables2+

▪ Bowel habits: once/ day. Bladder habit: 4- 5times/day, 2times at night, no difficulty. Perspiration: Generalised

▪ Sleep: Good. Dreams: unremembered

▪ Thermal: Hot patient

Menstrual History

  • FMP: 12 years; LMP: 27/5/2019 (Regular cycle, 6 days flow, 2pads/day).

Obstetrical History: G0 P0 L0 A0 D0

General Physical Examination

  • Well oriented with time, place and person.
  • Moderately built and nourished.
  • No signs of pallor, cyanosis, clubbing, icterus, oedema and lymphadenopathy.

Vital-signs

  • Temperature: Afebrile at the time of examination
  • P: 110/80 mm Hg
  • Pulse: 90/minute
  • SpO2 : 99%
  • Weight :48kg

Per abdominal Examination

  • Inspection: Surgical scar marks present over the right iliac area.
  • Palpation: Tenderness over the epigastrium, umbilical, left lumbar, hypogastrium, right and left iliac regions.
  • Muscle guarding present

INVESTIGATIONS DONE ON 13-06-2019

Total Leukocyte Count: 19.24*10^3/μL

Neutrophil: 75.6%

Lymphocyte: 16.4%

USG- Abdomen: Partially distended gall bladder.

  • Impression: No sonological abnormality detected.

Urine analysis: Normal

Serum Amylase : 140 IU/L

SPECIFIC MANAGEMENT

Robin Murphy- Homoeopathic medical repertory

  • CHAPTER:

                                   GLANDS / CLINICAL

  • RUBRIC:

                                    PANCREATITIS

  • SUB RUBRIC :

                                ACUTE

 REMEDIES:

             Bell, con,  iris 2

REPERTORIAL RESULT

13/06/19 at 6 pm – Medicine Prescribed

Rx;

  1. IRIS TENAX 6 (1 packet /Q4H)
  2. MAG PHOS 6X for pain

13/06/19 at 8pm

  • C/o 2 episodes of vomiting after food
  • Nausea present
  • Pain abdomen persisting

Rx

  1. IVF –RL 1 POINT 75 ml/hr
  2. Continue the same treatment.

14/06/19 at 8:45 AM

  • c/o Abdominal pain better
  • c/o Weakness better
  • c/o Nausea better; No new episodes of vomiting
  • Appetite: good
  • Thirst: good
  • Bowels and bladder habits: Good
  • Sleep: Good
  • O/E : P/A : – Tenderness and guarding reduced
  • Investigations CBC advised

Rx

  1. IRIS TENAX 6 ( 1 packet /Q4H)
  2. MAG PHOS 6X for pain

14-06-2019

  • COMPLETE BLOOD COUNT
  • HB:12.2 G%
  • Total Count : 9800/cmm
  • Neutrophils : 68%
  • Lymphocytes: 27%
  • ESR : 50 mm/1st Hour

15/06/19 at 8:45 AM

  • C/o Pain abdomen reduced
  • C/o Weakness reduced
  • No nausea; No new episodes of vomiting
  • Appetite: good
  • Thirst: good
  • Bowels and bladder habits: Good
  • Sleep: Refreshed
  • O/E –No Tenderness over abdomen

Rx

  1. IRIS TENAX 6 (1 packet /Q4H)
  2. MAG PHOS 6X for pain
  3. Advised SERUM AMYLASE

15-06-2019

Serum Amylase : 80 IU/L

15-06-2019 : Patient discharged with following medications and diet

Rx;

  1. IRIS TENAX 6 (1-1-1) for 1 week

2..MAG PHOS 6X for pain

3.Avoid Non veg and oily foods.

4.Review on 24-06-2019 on Medicine OPD.

FOLLOW UP ON 24-06-2019

  • C/o Pain abdomen reduced
  • C/o Weakness reduced
  • No nausea; No new episodes of vomiting
  • Appetite: good
  • Thirst: good
  • Bowels and bladder habits: Good
  • Sleep: Refreshed
  • O/E –No Tenderness over abdomen

No fresh complaints. Generally Good.

Rx,

1.Mag phos 6x – 2 tablets (S.O.S for pain)  for 1 week.

2.Avoid oily and fatty foods.

CONCLUSION

This is a case of a 22 year old female who presented with acute abdomen  diagnosed as acute pancreatitis and specific remedy was Iris Tenax 6.

REFERENCE

1.Y.P Munjal;API Text Book of Medicine;Page no: 813;9th edition;Jaypee Brothers Medical Publishers (P) Ltd.

2.N.D Robin murphy;Homoeopathic Medical Repertory;3rd Revised

Edition; B-Jain large print (P) Ltd.

About the author

Ahsan K A

Dr Ahsan K A, MD -Scholar, Department of Practice Of Medicine,
Father Muller Homoeopathic Medical College and Hospital, Mangalore.

1 Comment

  • A well presented case but the rubric u have taken is for Iris Versicolor and not Iris Tenax. Then on what basis did u select tenax

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