Case Quizes Clinical Cases

Revisiting: Frequent Urge To Urinate During Sleep

What is wrong with this 22 year old? Did you figure it out? Scroll down to see which homeopathic remedy solved the case.

Mom, it’s time for the quiz again!

Is that sooooooo……?

Yes, that is soooooo…… But before we start with our exciting Quiz, I have a few announcements to make.  I may as well start with the Death Report because it’s rather depressing this time.

Should I be sitting down for this?

Sadly, I have to mention that Daddy’s army friend, Gaynel Hodge, who we met at one of Charlie Horner’s Doo-Wop concerts…

Is it “who” or “whom”?


Who we met or whom we met?

Mom, don’t make me have to report you to Alan–or Firuzi!  And as I was saying…I think it was at Roxy & Dukes, and don’t say “What was at Roxy & Dukes?”  Because I know how you think!  And… Oh geez, what were we talking about?

Gaynel Hodge died.


He co-wrote “Earth Angel” along with Jesse Belvin, and What’sHisName from The Penguins.  Don’t worry, I’ll come up with it.

Mom we can’t wait here all day!

Hold on, let me get the record….

Williams.  Somebody Williams.  Don’t worry, I’ll come up with it!  They were all in the Army with Daddy, in Germany.  Here you are below with Gaynel Hodge at Roxy & Dukes, it must have been 3 years ago:

Also in Charlie Horner’s News Letter, he announced that Yvonne Baker of The Sensations died.

The Sensations


Daddy has their picture hanging in our house.

Yes, on the wall, as I remember.  Shana, they both recorded for Kae Williams!


Who both recorded for Kae Williams?

The Sensations and The Silhouettes!

I knew that!

The Sensations’ big hit was “Let Me In” (you can see it listed on the above album, it’s the first song), but their other song is even better, according to me: “Music Music Music”.


OK, so, onward and upward with the Death Report….



Curtis Williams!  I told you I’d come up with it!  He wrote “Earth Angel” along with Jesse Belvin and Gaynel Hodge!

Earth Angel, Earth Angel, will you be mine….

Mom, we’ve moved on now!  We’re up to Betty Wright!  She had a big hit with “Clean Up Woman” in 1972; she died last month at 66.

But people have forgotten her first song from 1968, “Girls, You Can’t Do What The Guys Do, No, And Still Be A Lady”

Mom, I believe it’s called “Girls Can’t Do What The Guys Do”.

Well excuuuuse me, Miss Pedia!

A British musician named Steve Priest also died.

And…we care about this because…..?

He was a member of a glam rock band called Sweet (if you’re not sure what that is, just think of T-Rex’s “Bang a Gong.” )

Well, if I have to…..

He was the bassist/co-founder and lead singer.  The group is most remembered for “Ballroom Blitz” and “Fox on the Run”, both released in or around 1975.

OK, well, I do sorta like “Ballroom Blitz”.

And now for the moment you’ve all been waiting for!  Time to bring out our guest presenter for the month, and here she is now…you all know her and love her…

Maria from Greece!!!!



Thank you Elaine and Shana, it is such an honor to be here in person at the fabulous Hpathy Superdome!

Well, it’s not much of a superdome; but then again what is?

I originally wanted to be anonymous so that you could make up one of your exotic fictitious names for me, but you talked me out of it.

It’s a shame too, because I had already come up with a perfect fictitious name:

“Schmaria”.  Now I can’t use it!

“Schmaria”?  That’s what you came up with????

I know.  Great, isn’t it?!  Not only is Maria here in the Quiz, but she’s also in this month’s “Repertory Round-Up, part 7”, so, be sure and check that out!  What case did you travel half way around the world to bring us today?

It’s the case of my niece, “Esmeralda”.  Long story short, my 22 year-old niece came to me with a complaint of frequent urging to urinate during sleep.  She was waking up 3-4 times a night!

Good heavens!  That’s way too much for a 22 year old.  Even once would be too much.

She does drink a lot of water per day, though (2 liters).

Is she that thirsty?  This should always be your follow-up question when people tell you they drink a lot of water.  Sometimes they’re only doing it because their doctor told them to, or because of an article they read.  And they’re not really thirsty at all, meaning you can’t take that as a rubric.

She also had involuntary dribbling during laughter sometimes.

I see…….. Well, you know, you should find out if she still has this because she might be making her kidneys weak by over-drinking.

Her occupation is yoga trainer and zumba dance trainer.  She loves to dance, she says dancing is her life.

So I thought of some remedies at first.  But I asked her when did this complaint start? And she said 2 years ago, when she broke up with her boyfriend whom she liked very much.

I see……….

So after considerable consideration, I gave her __________10M (that potency was all I had) and the next day she told me she didn’t wake up during sleep at all!!!  For the first time in 2 years, she had continuous sleep.

Looks like you nailed it, Maria!  Now she will bring all her dance students to you!  (“My Aunt Maria can fix that!”)  Did it change the dribbling problem at all?  Did anything change other than being able to sleep through the night?

We are on the 3rd week now and she still is doing great.  The dribbling hasn’t occurred to date.  Her deep sleep also increased dramatically.

So, what saved the day was your reminding us again and again…

Wait!  Don’t say it!  People should know it by now!

I had some concern if she needed __________ instead.

Interestingly, they’re both complementary remedies.

But she had indecision for a matter.  Her indecision changed too with the remedy.  She was between two wills, struggling to decide, but after _____________ she made the decision without any effort!


_______________ made her sleepy the first 3 days and improved her mood.

That’s how you know you’ve got the right remedy!  Improvement in mood and so relaxed, they fall asleep!  These are the positive signs we look for after a remedy and if we see them, we celebrate!  Maybe the physical complaint is still there!  We ignore that if we see the change in mood, sleep and the deep relaxation!

She drinks 2 liters of water because she heard it is good for health, not because of thirst. Common stupidity in the world of gyms.

Charming.  Well, you have to tell her this is very dangerous!  It can weaken the kidneys and lead to things like loss of urine while laughing or coughing or sneezing.  Drink when you’re thirsty, not just for the sake of it.

So listen, everybody, now it’s your turn!  Write to me at [email protected] and tell me what remedy helped “Esmeralda”!  The answer will be in the July ezine.  See you then!

Oh! I nearly forgot!  Let’s go out with Betty Wright’s smash hit from 1972,

“Clean Up Woman”.

Thanks for the music, Betty; we will miss you!





Nat-mur (2)

OK, everybody!  Step right up to the microphone and tell me what remedy solved this case!

Hi Elaine,

Sorry I missed last month’s quiz.  Looks like I missed a challenging task.  You have a ton of patience!

Hmm….I never really thought about that…..

I think Maria prescribed Pulsatilla.

It is one of the remedies for disappointed love; also Bladder, Urination, general, dribbling (in bold); Bladder, Urination, urging, night, (in italics), although it appears she is drinking too much water, which could be the main cause of the problem.

Exactly!  That’s what I thought too.

The Mind, indecison rubric also has Pulsatilla in bold.

Right, that’s true.  But there’s a remedy that actually comes in higher than Pulsatilla for “Indecision”, and it’s Ignatia!  And that’s what Maria gave.  My feeling is this:  Maria said that after Ignatia, “Her (Esmeralda’s) deep sleep increased dramatically.”  I think that’s why she stopped getting up to go to the bathroom at night!  In deep sleep, the urge doesn’t wake you!!!!  I think the problem with weak kidneys will always be there unless Esmeralda stops drinking so much water when she’s not thirsty.  Ignatia is also in the rubric “Dancing amel.”  Plus, her mood improved after Ignatia; so, clearly, that was the right remedy.

Hope the Corona Virus is not causing you too much inconvenience.

I guess I’m one of the lucky ones so far.

Best Wishes



Do we have any other contestants?

Elaine, the remedy is Causticum (see attached repertorization).

Misba, I read your repertorization; you chose:


  1. Ailments from disappointed love
  2. Dancing, loves to

(We should combine that with “Dancing, amel.”)

  1. Irresolution

So far I agree with you.  That is basically the case right there.  You went on to choose:

  1. Urination, dribbling, night

No, that isn’t what happened.  She was waking with an urge to urinate 3 or 4 times a night.  No dribbling in sleep.  Dribbling only occurred sometimes when laughing.

  1. Urination, involuntary

Actually, you’d be more accurate to choose: “Urination, involuntary, laughing”.

Now, in reality, Misba, we have two cases here.  Esmeralda’s problem is that she drinks too much water!  People “in the world of gyms”, as Maria so aptly put it, think you’re supposed to drink vast quantities whether you’re thirsty or not!  However, in truth, both under-drinking and over-drinking are equally to be avoided!  She has weakened her kidney-bladder area by over-drinking, causing her to lose urine while laughing.  Because of over-drinking, she’s feeling the urge to urinate several times a night.  The only cure for that is to stop drinking so much!  I hope Maria will impart this information to her.

But, what else has happened?  Through meticulous questioning, Maria arrived at an etiology!  She said, “When did this problem start?”  Two years ago, came the answer.  “What happened 2 years ago?”  “I broke up with my boyfriend,” says Esmeralda.  So now Maria is thinking, “Ailments from loss of a loved one–Ignatia!”  And it also happens that Ignatia covers “love of dancing” (or “dancing amel.”) and “irresolution” as well!  So, Esmeralda was given Ignatia, and everything got better!  But why did the bladder symptoms go away?  Because her sleep is deeper now thanks to the remedy, so the urge to urinate no longer wakes her! 

It’s somewhat of a tricky case, isn’t it?  Not exactly what it seems on the surface. 

Oh look, the gang from Slovakia is here!


Hello Elaine and Shana,

Hello Miroslav and Jitka!

We send our responses sooner thanks to a short quiz and maybe you are going on vacation so that you can evaluate our responses in time for a new ezine.

Going on a vacation?  Me?  Ha!  I don’t think so!  I’ll go on vacation when I die.  Maybe Rick will take me somewhere.  Did you hear that Rick????

Miroslav says:  Natrum mur.


Mind, love, ailments, from disappointed

Bladder, urination, frequent, night

Bladder, urination, involuntary, laughing

At first I thought, probably like Maria , because of  her niece loving to dance, the remedy is Sepia, but  etiology shifted me to Nat-m.  Sepia  is actually, according to Elaine, complementary to Natrum Mur.


Jitka says:  Natrum mur.

This time, maybe I’ll be lucky enough to guess the right remedy.  There were only a few symptoms in the quiz so that one couldn’t get lost in them.  Moreover, you emphasized, the girl had no problems with the urinary tract due to ailment on a physical level, but due to a modern bad habit to drink a lot of water.  That’s why I focused on etiology – ailments from disappointed love.  When I added the remaining symptoms, frequent urination at night, involuntary urination while laughing and insomnia from grief…

OK, wait a minute.  There was no information for insomnia.  She does not have insomnia.  In fact, she has no trouble falling back to sleep once she has gone to the bathroom.  She’s lucky that she gets right back to sleep.

…the remedy Natrum mur. came out and it’s a complementary remedy to Sepia, who likes to dance.

Well, the thing is, there was no way to confirm Sepia.  And we would have to because other remedies like to dance too, like Carcinosin, for example.

Mind, love, ailments, from disappointed

Sleep, sleeplessness, grief, from

No, sleeplessness is not a problem here, the problem is waking to urinate frequently.

Bladder, urination, frequent, night

Bladder, urination, involuntary, laughing

I hope you don’t mind if I answer both of you at once.  So, this was a deceptive case, even though it was short!  So, remember when Maria said, “What saved the day was your reminding us again and again…” and I said, “Don’t say it!”  Well, what she was about to say was:

“Etiology over-rules symptomatology” (which means etiology over-rules the totality of symptoms).

So, Maria figures the etiology is “ailments from disappointed love”, which leads her to 2 remedies:  Nat-mur and Ignatia.  But which one to choose?  Frankly, I don’t see Nat-mur as a dance teacher, do you?  Nat-mur tends to be introverted and shy around people.  And it’s hard to imagine Nat-mur saying, “Dancing is my whole life!”  So, between the two, I would have to lean towards Ignatia; but, what other information do we have?  “Indecision”!  That’s another Ignatia quality.  Do you remember a quiz I had from a long time ago when the patient said she “wanted/didn’t want consolation”?  And that was what made me think of Ignatia—that she couldn’t decide.  The quiz was called “Creeping Sore Throat”:

Revisiting: Creeping Sore Throat


Now, I’m sure you’re going to say, “But wait a minute, does Ignatia cover frequent urging to urinate at night?  Because that was the chief complaint!”  But see, her over-drinking was the cause of that!  We actually have 2 cases here!  Remember, I always say, “If a symptom makes sense, it’s not a symptom!”  So now you’re going to say, “Then why did Ignatia make the complaint go away?” 

Well, in a way, it didn’t!

Remember when Maria said, “Her deep sleep increased dramatically”?  That’s the reason she stopped waking up so often to urinate!  It was because the quality of her sleep improved!  Have I mentioned before that one way you can tell if you’ve given the right remedy is by asking the patient if their sleep has improved, because on the right remedy, it should.  Well, that’s what happened here.  She didn’t feel the urging anymore because now she has deep sleep!  That’s what Ignatia did for her: deep sleep, better mood, easier decision-making.  The problem is still there!  She’s still going to have to stop drinking so much or she’s going to wind up with weak kidneys leading to dribbling when laughing, sneezing, coughing, etc.

So, you see, the case was more than what it seemed.  Maria could have just said, “Cut your drinking in half!”–but it wouldn’t have solved the constitutional case, which, on that level, Esmeralda didn’t even know she had a problem! 

How many of you out there ask the all-important question, “When did this start, and what was going on in your life around that time?”  That question made all the difference in this case!

You know, my friend Caralyn came to me once with a pain in her neck, and it would have been very easy for me to just take the case of the pain (sensation, location, modalities, concomitants) and maybe I would have come up with Bryonia or Rhus tox; but instead, I said, “When did this start and what was going on in your life around that time?”  I was expecting to hear that maybe she was over-lifting, moving heavy furniture, etc., but, no; she said her sister-in-law confronted her in her doorway and said, “I know you don’t like me….” and a big emotional scene ensued!  So I gave Ignatia; and it worked!

So, this is a very important question in case-taking: When did it start, and what was going on in your life around that time?  You may have to coax them if they say, “Nothing.”  Give examples.  Any doctor’s appointments?  Any college exams?  Arguments with friends?  Disappointments?  Illnesses?  The flu?  Any drug use–Rx or otherwise?  And so on.

OK, I’m still trying to find a quiz for July, so, it’s back to work for me; and I’ll see you  here again next time!

Elaine Lewis, D.Hom., C.Hom.

Elaine takes online cases and animal cases too!

Write to her at [email protected]

Visit her website:

About the author

Elaine Lewis

Elaine Lewis, D.Hom., C.Hom.
Elaine is a passionate homeopath, helping people offline as well as online. Contact her at [email protected]
Elaine is a graduate of Robin Murphy's Hahnemann Academy of North America and author of many articles on homeopathy including her monthly feature in the Hpathy ezine, "The Quiz". Visit her website at: and


  • Hi Elaine, though a short quiz compared to the last quizzes, this one is quite interesting. This quiz really reinforces the fact that, Mind is the seat of disease. Great one indeed , and quite a good learner. Thanks you so much.

    • Hi Vamsi! Yes, a very interesting quiz indeed! A lot of ways you could be misled by the information given by Esmeralda; but, smartly, knowing that “etiology over-rules symptomatology”, Maria asks “When did this start and what was going on in your life at that time?” Probably she was not expecting to hear, “I broke up with my boyfriend,” but, once she heard that, all she had to do was differentiate between Ignatia and Nat-mur. Ignatia has the “indecision” and love of dancing more so than Nat-mur. So, problem solved!

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