patient with heavy menses

[muthu kumar]

Hi Vera-
Verat.a is good as Dale pointed out.

I think Calc has many of the symptoms. In fact most of the carbs
have the symptoms. Coldness, Excess bleeding, tumors etc. Hot blood
is Bell..

Kali.carb has the diarrhea, coldness, starting from the first
pregnancy symptoms.

Amm. carb, Kreos also look good.

I would probably start with Kali.carb. Looking just at the bleeding -
Trillium looks good.

This case has so many modalities and concomitants that with some
more study to differentiate between remedies prescribing should not
be a problem

Good luck.

--- In minutus@yahoogroups.com, "Dale Moss" wrote:
menstrual cup so she knows that she loses around 500ml of blood
every month. Not surprisingly she's anemic. She's in her late 40s,
and has a very large womb with fibroids (around 24 weeks). She has
three children, and problems started after the first pregnancy. She
feels better after the flow begins, even though it's very difficult
for her to handle. Usually the first day of heavy flow she feels
very cold, although she generally suffers from heat.
constitutional (including Medorrhinum and Platina), but nothing
seems to touch the menses. I have given her Lachesis around the
time of menstruation, but that made things worse. The problem is
there's very little margin here, and I wonder if I should give her a
therapeutic, just at the time of menses, to lessen the flow and help
her build up her strength. She does not want conventional
intervention.
with "black strings and crumbs" (her description). Usually the flow
is painless, and the heaviest part of flow continues for one to two
days. She reports that sometimes with the heavy flow, the blood is
hot. She also reports that especially when the clots are expelled,
the flow gushes suddenly. Usually increased flow on getting up from
a chair.
a headache, often right sided in the right temple, which is worse
when she urinates. Also she often gets diarrhea or sensitive
stomach at the time of menses.

[Shannon Nelson]

Hi Hahnemannian and all,

I'm curious why the mentals aren't being mentioned at all? I know Vera
said she's had some success with the mentals but without touching this
set of symptoms, but wouldn't the mentals still be relevant in
differentiating among possible rxs?

Shannon

[muthu kumar]

Shannon-

I did not see about mentals in her post. She mentions Constitutional
and for me that means generals.

You probably know by now, from many of previous posts, that I am not
a "mentals mainly" or "mentals only" kind of prescriber.

For me mentals are but one of the generals - one of the "I"
symptoms -

I am angry, I am sweaty...

Rare and peculiars are generals

I would also say that even a particular symptom if it has clear cut
modalities, clear concomitants becomes a general in importance.

Discharges , menses etc. are so good generals.

This case right here is so full of generals -

The fact that it started after her pregnancy

Feels cold on first day of menses though by nature she is hot

Hot blood, bright red with black strings and crumbs

Flow anywhere? - I do not have my repertories) - we have
heard of headache relieved by urination but < must be rare- this is
a keynote)

Was it Dunham- who lamented that we are not paying enough attention
to the characters of stools - because that is so peculiar and
characeristic and that we can arrive at simillimum by that alone a
lot of times or some such thing?

Also theoretically if we agree that there is only 1 simillimum for a
case, whatever one's approach , we should all get there...
--- In minutus@yahoogroups.com, Robert & Shannon Nelson
wrote:
Vera
this
blood
bleeding -
not
40s,
has
She
difficult
her a
help
in
flow
two
is
expelled,
from
gets
worse

[Dale Moss]

How nice to have you back with us!
Peace,
Dale

[Shannon Nelson]

Yes indeed--welcome back!
Shannon

[Vera Resnick]

Hi H2002 and all,

The rubric Headache worse during urination gives:
Head Pain; GENERAL; urination; agg.; during (18) : tab., acon.Bng, asc-c.Brk, bell.Knr, coloc., gels.Brk

I couldn't find a rubric connected to menses with this symptom.

She's sensitive to wheat and dairy - but from my reading I find that this is common amongst women who have fibroid conditions.

Right now I think I'm down to Bell and Sabin - although I'm checking into Trillium as well. Also following up with dietary and supplement recommendations, including Vitamin C, gentle iron and Omega 3.

Mentals during menses are mainly desperation! She's fearful for her health - but since she's losing so much blood every month I don't know if I can use that to determine the remedy - if she wasn't worried that would definitely be RSP.

Any ideas on when to start the remedy in this case? I'm not sure whether to give the remedy before menses or only on onset of heavy flow. In addition - if heavy flow is stopped in mid-process, does that mean that the body is not "cleansing" itself sufficiently? Or is this kind of flow more of a haemorrhage and menses is just an opportunity for this? Not sure this is clearly expressed - hope someone understands!

Thanks to all for input as always!

Vera

[Rochelle]

Re -heavy flow I often find that a dose or 2 of Sabina 30 before the menses or immediately it starts can stop it being so heavy. Sometimes the menses will go on a couple of days longer because of this.
Rochelle
Registered Homeopath
EFT(Advanced) Practitioner
www.southporthomeopathy.co.uk

[Luise Kunkle]

Hi Vera,
Perhaps this has nothing to do with the "menses", i.e. the cycle
itself, but with the additional loss of blood. Did you say that it was
all through her menses, i. e. also at the beginning, when the
additional loss of blood has not occurred yet?

The heavy loss of blood is also IMO not connected with the cycle
itself but is caused by the fibroid. This is common - although not
usually to that extent.

I should rep. for rubrics like "small wounds bleed much" etc. to cover
the latter aspect.

Regards

Luise
--
One thought to all who, free of doubt,
So definitely know what's true:
2 and 2 is 22 -
and 2 times 2 is 2:-)
==========> ICQ yinyang 96391801 <==========

[Rosemary C. Hyde, Ph.D.]

Hi, Vera.
One suggestion -- only addressing one of your questions: Since this is a chronic state, you could start the remedy whenever you've decided which one, I would think. Obviously the menses and what happens would in a while give you an indication (possibly worse before better) of the remedy's action, but often there's an immediate shift in the energetic realm that would give you another important clue.
Rosemary

[Vera Resnick]

Hi all, thanks for input.

The urinary symptom is part of the PMS picture. Within the PMS picture there is also extreme tiredness and irritability - before the flow starts. Oddly enough before this picture emerged, when she was younger, the PMS included some irritability but also very high energy and focus, it was a good time to get things done. She told me her mother was like this, and always used to schedule driving tests etc. for the days just before her period.

Regards,
Vera