Clinical Cases

How to Manage the Emergent Condition in a Patient with Umbilical Hernia

Seyedaghanoor Sadeghi treats an umbilical hernia successfully with a polychrest.

Introduction: An umbilical hernia occurs when part of the intestine protrudes through an opening in the abdominal muscles. Umbilical hernia is a common and typically harmless condition. Umbilical hernias are most common in infants, but they can affect adults as well. In an infant, an umbilical hernia may be especially evident when the infant cries, causing the baby’s bellybutton to protrude. This is a classic sign of an umbilical hernia. Many umbilical hernias close on their own by age one, though some take longer to heal. To prevent complications, umbilical hernias that don’t disappear by age three or those that appear during adulthood may need surgical repair. If you suspect that your baby has an umbilical hernia, talk with your child’s pediatrician. Seek emergency care if a baby or an adult patient has an umbilical hernia and:

The patient appears to be in pain.

The patient begins to vomit.

The bulge becomes tender, swollen or discolored.

Prompt diagnosis and treatment can help prevent complications.

Analysis of the patient: A homeopath colleague aged 51 complaining of acute abdominal pain with nausea, discoloration of skin below her umbilicus along with tenderness, was seen on June 15th 2014. She is an obese woman with positive past history of three pregnancies, having 3 children. All the children were born naturally. She suffered acute moderate pain and tenderness with an infra-umbilical bulging.These are the main symptoms of intestinal obstruction. Once she was about to vomit but only some saliva poured out of her mouth. Her husband was about to take her to hospital because of her emergent condition, however before doing so he preferred to try homeopathy for her. I examined the patient and saw that she walked while bending forward. Peri-umbilical abdominal pain, internal trembling and an icy feeling on her face were the main subjective symptoms. A blue discoloration, local tenderness in an area of about 2.5cm by 3cm was observed during physical examination.

After taking her case, seven rubrics were repertorized and analyzed by Radar:

MIND – ANXIETY – business; about

MIND-INDEPENDENT

STOMACH – NAUSEA – pain, during – Abdomen, in

ABDOMEN – HERNIA; ABDOMINAL – Umbilical

ABDOMEN – PAIN – walking – while

ABDOMEN – PAIN – lying – while

GENERALS – OBESITY

STOMACH – PAIN – touch

According to the Vithoulkas Expert System (VES), the best probability was Nux-v. 748 (confidence rating 181 points). According to the horizontal analysis and graphical analysis Nux-v. was the first remedy selected.

Course of Treatment: A globule of Nux-v. 30 c was dissolved in 17 cc of pure clean water. One drop of the remedy was given to the patient orally; a drop was poured on the region of the hernia. The patient’s pain became a bit worse afterward. She wanted to vomit but about 50 cc of saliva poured out of her mouth. Therefore, after about 5 minutes 2 drops of the remedy was taken orally by the patient. After a few minutes the pain subsided. After 30 minutes she had no pain in the affected area, i.e. the peri-umbilical region. The bulging disappeared, as well. After about 12 hours she had defecated hard stool containing undigested food items. She feels well now after 24 hours, without no pain or tenderness and no skin discoloration or bulging.

Conclusion: While the acute condition in patients with umbilical hernia is considered an emergent condition and surgical treatment should be considered, the patient preferred to take a homeopathic remedy before going to the hospital. The prescribed remedy led to complete healing of the emergent condition. In such cases I suggest that written consent be taken from patients to prevent possible legal consequences.

About the author

Seyedaghanoor Sadeghi

Seyedaghanoor Sadeghi

Seyedaghanoor Sadeghi M.D., Hom.: Graduated from Tehran University of Medical Sciences and Health Services and Iran Homeopathic Learning Center. He is a Certified medical doctor in Iran, and Official member of the Iranian Homeopathy Association, and was granted RIHA certificate and LMHI certificate of membership. He also writes a health page as a journalist in the Tehran Times daily newspaper. Visit his website: http://drsadeghihom.ir/en/

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