Clinical Cases

Hypothyroid With Thyroid Nodule -Woman of 38

Written by Shishir Paranjape

Dr. Shishir Paranjape presents a case of hypothyroid with thyroid nodule in a woman of 38. She was a hot patient, anxious, indifferent which were among the symptoms leading to the simillimum.    

  • A female 38 came with K/C/O- THYROID SWELLING, HYPOTHYROIDISM since many years without any treatment. A tennis ball like swelling, a hard swelling on external throat.
  • Painless swelling on external neck, with difficulty in swallowing.
  • Body has developed –swelling on and off, menstrual disturbances, stomach disturbances, constipation, difficulty in breathing occ., hair fall Etc.
  • Constant lethargy, dullness++. Working with difficulty because of weakness.
  • Hot patient++
  • Thirsty++
  • Fair, light hair, obese lady with lax muscles
  • Fatigue ++
  • Plethora ++
  • Husband has developed some dispute with her
  • (Patient)- I have become dull. I don’t want to do anything. I am just sitting at home and do not have any desire to work. I understand that I have to work, rather I want to work and with the same thought I become restless.

I don’t know what to do. I have lost my interest towards my domestic duties. I don’t meet people. We are lower middle class people and so I have to work. Since thyroid I am so low. I feel anxious, restless.

  • I was not like that. I used to work at home as well as outside. I don’t know why I feel so depressed and low spirited. I feel dry. I don’t feel emotions
  • Some mornings i get up cheerfully but as day progresses, I get back to same state.
  • She has become irritable with the situation and has started behaving differently. Her behaviour has become unpredictable, sometimes normal, sometimes angry, sometimes weeping, sometimes cheerful.
  • I sit at home staring aimlessly for long periods. I just cannot think beyond regular dull thoughts.
  • I feel heaviness in the body with lot of swelling.
  • Low sexual functions.
  • Morning time facial swelling is also there.
  • C. Better
  • L/E- 4 into 5 cm size swelling on thyroid on right side. Hard, nodular, large ball shape swelling.
  • Adv- HMG- WNL
  • Calcium- Normal
  • TFT- S.TSH> 100U(15-11-2019)
  • Adv- USG Neck- Showing nodular swelling.

ANALYSIS

  • A lady thermally hot, with thyroid problems with maximum readings, depressed, dry, anxious, indifferent, with aversion to her profession, morose etc.

Huge, hard thyroid swelling

 

WHAT I WANT IN MY MEDICINE

  • GLANDULAR MEDICINE-THYROID SWELLING
  • HARD TUMOR
  • HOT PATIENT
  • ANXIOUS
  • INDIFFERENT
  • DEPRESSED
  • AVERSION TO OWN PROFESSION
  • WORK AVERSION TO
  • DISCONCERTED
  • WEAKNESS++, LETHARGIC

FOLLOW UP REPORTS- 19-12-2022

 

 FOLLOW UP REPORTS- 13-01-2022

 

USG – NECK- HUGE SWELLING ON EXTERNAL NECK OF AROUND 4*5 cm.

 

 PRESCRIPTION-(01-01-19)

BROM 200, 3 DOSES were given with SL-15 days

FOLLOW UP:

DATE SYMPTOMS MEDICINE GIVEN
15-11-19 S.TSH > 100U

SYMPTOMS SQ. MOODS ,STAMINA SQ

BROM 200, 3 DOES WITH SL. For 15 DAYS
30-11-19 S.TSH – is very higher. COMPLAINTS BETTER slightly. Swelling on neck reduced. G.C. BETTER. No new complaints. SL CONTINUED
19-12-19 S.TSH > 50U. Swelling reduced on thyroid.

COMPLAINTS BETTER. Anxiety better. Can do her domestic duties well. Has desire for work.

BROM 200, 3 DOSES WITH SL.
13-01-20 S.TSH – 6.65U COMPLAINTS are much better. Swelling   on thyroid BETTER. Has DESIRE TO WORK.

Mood fresh. G.C. BETTER.

SL CONTINUED.
13-02-20 COMPLAINTS BETTER. Moods are better

Swelling on neck reduced. Her relations at home are getting better. Her body swelling has reduced a lot.

BROM 200, 3 DOSES WITH SL. For 3 months
15-06-20 Had some acute episode of viral fever where she took allopathic medicines. No other complaints now. She is working well now. Moods normal. Vital data better. SL CONTINUED FOR 3 MONTHS
21-11-20 SWELLING BETTER. NO return of any complaints. S.TSH- 5.04U. STOOLS, URINE, APPETITE, STAMINA BETTER.

MOODS NORMAL. G.C. AVERAGE.

BROM 200, 3 DOSES WITH SL for 3 months.
1-1-21 Complaints better. No other complaints SL continued for 3 months.

 

About the author

Shishir Paranjape

Dr. Shishir H. Paranjape has been practicing for the last eleven years and is much appreciated for his skill in the Pimpri - Chinchwad area of Maharashtra, India where is practices. He formerly worked as a lecturer at P. DR. DYPHMC, Pimpri and is currently working with the LSFPEF'S Lokmanya Homoeopathic Medical College, Chinchwad, Maharashtra, as a Lecturer in the Dept. of H.M.M. After completing his B.H.M.S. from Lokmanya Homoeopathic Medical College he received very valuable guidance from Dr. Prashant Khaire, and subsequently from Dr.Gaurang Gaikwad. Dr. Paranjape follows the teachings of Dr. Sankaran, Dr. Vijaykar, Prof. Vithoulkas and of course, the classical pioneers.

2 Comments

  • Where’s the follow up sonography of nodules: after treatment. Last thyroid report was also not normal: no mentor weather TSH was not normal when this case was published. What’s the follow up after 3 months: how long patient has continued the medication or it just discontinued after 3 months

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