Case:35yo F/cont...

[Jayne Evans]

Thanks for your responses Rochelle, Donna and Joy,

Recent history...
The pain went away for a week or so and came back this week, very strongly.
Her period started on Saturday with heavy bleeding Sat and Sun but very
little pain, just a few spasms around the middle of the day.
Monday she was woken at 4am with extreme pain. She took some pain killers at
6.30am to go to work. Had diarrohea in the evening 7-10pm.
Tuesday woke at 2am with some pain and again at 4am with extreme pain. Took
the painkillers straight away this time. Felt so dizzy and nauseus while
getting ready for work, she called in sick. Felt unwell all day, slightly
dizzy, very tired, slept most of the day. Was teary on and off at thoughts
she may never be well. Short periods of the paroximal pain throughout the
day.
Wednesday, still some pain but not as acute.
From Donna
Just two questions
What time of day? Is it the same all the time?

You then say:
always regular.
I am not clear on this. Do you mean moves the bowel on a regular basis but
the evacuation varies?

When in pain, it seems to last all day but the early morning start seems to
be consistant. A few years before it would wake her at 5am. Once it starts
it is there most of the time in varying degrees of intensity.
She moves her bowel everyday, usually more than once. The evacuation varies
a lot. When she is well, the evacuation is "normal" in her words, i.e easy
to pass, consistency like a peeled banana. When she is acute, there is often
urgency to go to the toilet and the stool is diarrohea like "squiggles".
These "squiggles" are always associated with the pain in the LLQ.

From: "Joy Lucas"

It is also a chronic case and she is probably going to need one remedy. I
need to choose something for the pain first up because the alternative is
600mg Ibupofane 3 times a day (the latest prescription form the doc) Coloc
seems to cover the presenting PAIN symptoms so well.

case I would suggest you give

7 years ago she was in an unhappy marriage looking for a way out. She was
practising jujitsu at the time and thought she had pulled a groin muscle but
the pain has never gone away.
I don't see Puls as her "type" she definitely prefers to be alone, has
almost a complete aversion to going out and being with people. And the pain
is ALWAYS in the same place. She does have the variable stool and is quick
to tears when slighted.

The timeline . .
Cradle cap as a baby,
Umbilical hernia removed when 2 yo.
Warts on hands as a child.
HPV diagnoses at 18yo, removed by infra-red and chemical treatments.
~1992 Developed psoriasis on hands during her relationship with ex-husband,
cleared on hands and then occurred on feet. Weepy eczema also. She used
aromatherapy and Australian Bush Flower Essences for this. The skin
condition cleared when she left her husband in Aug, 1995. The pain had
started in Jan, 1995.

play in the diseased state she is in now etc.
She likes to have the house clean. Won't relax until everything has been
done. Likes everything to be perfect.
Gets stressed when she can't acheive all the things she wants to do.

Case:35yo F

Main symptom is PAIN. Centered in Lt groin, extending to Lt iliac crest and
Lt knee. Deep, sharp, unbearable pain, causing her to cry out, bend double,
drawing up Lt thigh > heat, lying on Lt side, pressure, < cold

Duration of symptoms lasting 7 years. Clinically diagnosed with
endometriosis and complicated ovarian cysts. Surgery in March 2000 to remove
8cm complicated cyst on Lt fallopian tube and 4cm cyst on Rt ovary,
diathermia for endometrial deposits. Symptoms ameliorated for about a year
and slowly increased again. During the past 2 years, the pain was directly
associated with onset of menses, so intense, requiring ER treatment with
i.v. pain killers. At this time the pain was associated with vomiting and
diarrohea.
Jan - Jun 2002 on progesterone 30mg/day to suppress cycle - no periods for
this time. Normal period 2 weeks after finishing course. Now the pain
described above almost everyday for a few hours. Pain causes feelings of
despair and hopelessness. Leaves her feeling very fatigued.

Bowel habit variable, sometimes easy evacuation, sometimes difficult, always
regular. Lots of flatulence, abdomen feels slightly distended. Timid
personality around certain people, easily upset to tears, esp when feeling
fatigued. Happily married. Not really outgoing, prefers to be alone.
Fastidious. Fears affects of this on her fertility, no children as yet but
would like to have some.

Remedies. I have thought of Coloc for the pain and Thuja for the underlying
pathology. I would like peoples advice on this and what sort of potency to
use. She has been administered Puls in the past with little effect.

Jayne Evans
BIH Dhom Student
Abu Dhabi, UAE

PS To All, I don't own any remedies so have no fear I will administer
anything willy-nilly. I have to decide on one and order it form overseas. As
far as I know, this list is my closest qualified homeopath.

[Joy Lucas]

Dear Jayne, in your opinion is the pain related to the ovarian region and
radiating or is it the descending colon area. Can you clarify please.

Regards, Joy

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[Beverly Shamon]

HI Jayne,

have you looked at Arsenicum?

She may need some thyroid support as it sounds as if there's an iodine
deficiency with the history of cysts.

Best wishes with this

Beverly

[Jayne Evans ae]

Joy:-
or is it the descending colon area. Can you clarify please.

The pain is in the groin (skin fold) when it is at it's worst. If the
left knee gets cold, the knee starts to ache and may trigger the "full"
pain, same for getting a chill on the mid-riff. There is sometimes a
niggling pain at the level of the iliac crest as of wind.
The clinical history points to radiating ovarian pain. Endometrial
pains commonly extend down the thighs. As the uterine tissues are smooth
muscle, when they go into spasm the surrounding smooth muscles are affected
i.e. the bowel. The bowel is definitely irritated when symptoms are acute.
There were no bowel symptoms while she was on the progesterone treatment.
She has been a strict vegetartian for 13 years but started eating a
small amount of meat and fish this year. So there is a large amount of bulk
in her diet as she is still 80% vego. Lots of fruit, vegetables, legumes
and whole grains, very little if any pre-prepared convenience foods.
Kali Carb and Colocynthis
These are interesting mental characteristics for Kali Carb. I had only
read Boericke on this remedy. I had read it to be a right sided remedy, <
lying on affected side - but I see in Clark some symptoms are agg lying on
right side. She simply cannot lie on her right side when the pain is there,
even in a quiet spell between spasms, lying on the unaffected (right) side
will trigger the pain. She also lies on the affected (left) side to keep it
warm.
Kali carb has repungance of coition, which is definitely not her case,
she has a healthy and very enjoyable physical relationship with her
husband. However there was great repungance to coition with her ex-husband,
whom she was with when the pain started in 1995.
Kent's description of Kali Carb looks promising. Especially detailing
the acute nature of Coloc and the deepness of Kali Carb. But still, his
description of Coloc female parts/pains is so exactly the presenting
symptoms. Do you think (as does Kent) that Coloc will only palliate the
symptoms?
I am learning a lot from this compare and contrast exercise. But
getting more confused on which remedy to decide on.

Beverly:-

The pains are not of a burning nature which appears to be the keynote
for Ars. She usually sleeps very well. One or 2 of the mentals did match
but not over all.

Thanks for your input.
Jayne

BIH DHom student
Abu Dhabi, UAE

[Joy Lucas]

Dear Jayne, it is important from my point of view that the totality of the
sx are represented in your choice of remedy - i.e. this must include the
emotional and mental sx and I wasn't convinced that Coloc. addressed what
you were presenting - yes definitely the pains and many of the modaltiies
(although we have a contradiction with >> for lying on painful side) do fit
Coloc. but not really the emotional picture. But if you feel comfortable
with Coloc. then you should proceed with it. I also think some diagnostic
tests would be in order to ascertain whether it is ovary or bowel (or both)
and whether there is any really serious pathology going on here.

Good luck and best wishes, Joy
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[Beverly Shamon]

Dear Jayne,

not all the rubrics need to match in a remedy. i have used ars quite
successfully to address a problem in a few days where there have been no
burning type pains.

kind regards
Beverly