A blocked case that seems straightforward?
Posted: Wed Aug 13, 2003 6:07 pm
Some help with this case would be much appreciated - I am getting absolutely nowhere, and feeling somewhat responsible and frustrated by it!
Young woman, aged 22, tall, slim - came to me with a diagnosis of "Irritable Bowl"
Young and fit prior to 1999 when mother was diagnosed with breast cancer
Her father had just before suffered a major fall "from which he never recovered" - he eventually died at the end of 2002
She felt that she had a lot of responsibility thrust on her, she became stressed and pressured; she is the only child; she also felt under pressure because of college work
She said that it felt like a role reversal - she was always the one that had been looked after
In Feb 2000 her condition came on suddenly; overnight, well in evening, ill in morning; and it has not improved within the last 3 years; she tried lots of conventional and alterantive treatment, nothing has worked
Symptoms are:
Constipation, only goes every few days, does not pass much, no relief when she does; usually no urge; passing motion requires lots of straining and is painful. Stoll is hard, dark brown, small pellets
Bloating in stomach (pointed quite high, between lower ribs; cannot wear tight clothing; she feels as if she has wind that is captured, would feel better if she could belch; this is worse for eating, she can only eat a little at a time
Stomach pain, worse after eating
Indigestion, especially if she eats onions, or a large meal
She can be sick, if she eats the wrong thing
She has no appetite
She is also experiencing hot flushes and palpitations; she says her circulation is out of order; her feet get very cold, cannot warm them; this has also come on at the same time as the other symptoms
She says that she gets upset and depressed, she feels that she is at her wits end
Mood swings, especially with mum and boyfriend (people she knows well)
She described herself as verbally spiteful, she hurts people
She does not like not being in control - she feels lost and alone
She gets angry when she sees other people are well; jealous
Often tearful, but cries on her own
She said that she is a private person; she bottles things up; she emphasised that she is an only child
She likes her own company (but can be sociable and extrovert - but she is not at the moment)
She does not feel the same inside as she displays outside; no-one knows the real person inside
Confidence? She was always quiet and timid as a child; got on with her work; described herself as innocent; a good girl; she needed a shove to do things. She developed more confidence when she was at college; but she did not do well in exams, she feels that she lets herself down. At our second meeting she said that she had lost confidence, was very self-conscious, and feels very low
She is always tense, on edge all the time; she cannot relax; if she went to bed early she would lie and worry; so she makes sure that she is really tiree
Worry: she worries about herself, feels selfish; just her problems; she said that she cannot take much more. Frustrated. She is emotional about everything. If she could get stronger then she could help other people better, but she need to get well herself first
She feels that she is withdrawing more and more; she misses her friends, and social occasions.
She says that she is a sentimental person, about her family and friends
She says that she is affectionate, although she is not showing her emotions so much now - she feels that she is closing down
She says that she had a happy childhood, just herself and her parents (she works in the school kitchen with her mum)
She has made me feel very responsible for her! And is desperate that I don't give up on her!
Any suggestions would be much appreciated - I must be missing something.
Steve Scrutton
Homeopath
"Homeopathy is a safe, gentle and effective medical therapy"
[Non-text portions of this message have been removed]
Young woman, aged 22, tall, slim - came to me with a diagnosis of "Irritable Bowl"
Young and fit prior to 1999 when mother was diagnosed with breast cancer
Her father had just before suffered a major fall "from which he never recovered" - he eventually died at the end of 2002
She felt that she had a lot of responsibility thrust on her, she became stressed and pressured; she is the only child; she also felt under pressure because of college work
She said that it felt like a role reversal - she was always the one that had been looked after
In Feb 2000 her condition came on suddenly; overnight, well in evening, ill in morning; and it has not improved within the last 3 years; she tried lots of conventional and alterantive treatment, nothing has worked
Symptoms are:
Constipation, only goes every few days, does not pass much, no relief when she does; usually no urge; passing motion requires lots of straining and is painful. Stoll is hard, dark brown, small pellets
Bloating in stomach (pointed quite high, between lower ribs; cannot wear tight clothing; she feels as if she has wind that is captured, would feel better if she could belch; this is worse for eating, she can only eat a little at a time
Stomach pain, worse after eating
Indigestion, especially if she eats onions, or a large meal
She can be sick, if she eats the wrong thing
She has no appetite
She is also experiencing hot flushes and palpitations; she says her circulation is out of order; her feet get very cold, cannot warm them; this has also come on at the same time as the other symptoms
She says that she gets upset and depressed, she feels that she is at her wits end
Mood swings, especially with mum and boyfriend (people she knows well)
She described herself as verbally spiteful, she hurts people
She does not like not being in control - she feels lost and alone
She gets angry when she sees other people are well; jealous
Often tearful, but cries on her own
She said that she is a private person; she bottles things up; she emphasised that she is an only child
She likes her own company (but can be sociable and extrovert - but she is not at the moment)
She does not feel the same inside as she displays outside; no-one knows the real person inside
Confidence? She was always quiet and timid as a child; got on with her work; described herself as innocent; a good girl; she needed a shove to do things. She developed more confidence when she was at college; but she did not do well in exams, she feels that she lets herself down. At our second meeting she said that she had lost confidence, was very self-conscious, and feels very low
She is always tense, on edge all the time; she cannot relax; if she went to bed early she would lie and worry; so she makes sure that she is really tiree
Worry: she worries about herself, feels selfish; just her problems; she said that she cannot take much more. Frustrated. She is emotional about everything. If she could get stronger then she could help other people better, but she need to get well herself first
She feels that she is withdrawing more and more; she misses her friends, and social occasions.
She says that she is a sentimental person, about her family and friends
She says that she is affectionate, although she is not showing her emotions so much now - she feels that she is closing down
She says that she had a happy childhood, just herself and her parents (she works in the school kitchen with her mum)
She has made me feel very responsible for her! And is desperate that I don't give up on her!
Any suggestions would be much appreciated - I must be missing something.
Steve Scrutton
Homeopath
"Homeopathy is a safe, gentle and effective medical therapy"
[Non-text portions of this message have been removed]