Minutus

Anyone treated a nodule in a fold of the vocal chord which means the
patient can't talk above a whisper . This unfortunately has come on
since I have been treating her for IBS type symptoms quite
successfully although it is now back again she tells me!! All I
have found is RU, Throat; phen; NODULES:, ign[3], lach[3] umless
anyone knows of anything else. Ignatia appears to be for nodules of
the tonsil and I don't think "Throat " is specific enough.
In Murphy I found Diseases; NODULES,, agar[2], am-c[1], ant-c[1],
arg-n[1], ars[1], ars-i[2], aur[1], bar-c[2], bor[1], bufo[1], calc
[1], carb-an[2], caul[1], caust[1], chel[2], chin[1], cic[1], cinnb
[1], clem[2], con[1], dulc[2], graph[2], guai[1], iod[2], kali-c[2],
kali-s[1], lach[1], led[2], lyc[1], mag-c[1], mag-m[1], mang[2], merc
[2], mez[1], mur-ac[2], par[1], phos[1], puls[2], ran-b[2], rhod[1],
rhus-t[3], ruta[1], sars[1], sep[3], sil[3], squil[1], staph[2],
sulph[3], ther[1], thuj[2], tub[1], verat[1]
She has done well on Carcand an eye infection cleared with
Staph.When she forst started with this problem in April I tried
Arg,M and then Staph with no real improvement.
Thoughts greatly appreciated.
Rochelle

Hi Rochelle

Here are some other rubric ideas from Synthesis 9.1

LARYNX AND TRACHEA - NODES - Vocal cord

sel.

LARYNX AND TRACHEA - VOICE - whispering

aloe am-caust. arg-met. ars-h. ars. Calc. camph. canth. carb-v. Caust. coch.
Coloc. cupr. dub. Ferr. ign. iod. kali-br. lac-ac. limen-b-c. Merc. nit-ac.
NIT-S-D. ol-an. phos. phyt. Pop-cand. prim-v. puls. rumx. stram. sul-ac.
Sulph. tab. verat. zinc-m.

LARYNX AND TRACHEA - POLYPI - Larynx

Arg-n. ars. berb. calc. hep. kali-bi. kali-br. nit-ac. phos. psor. Sang.
Sangin-n. syph. teucr. Thuj.

LARYNX AND TRACHEA - POLYPI - Vocal cords

arg-met. arg-n. berb. Thuj.

LARYNX AND TRACHEA - CONDYLOMATA - Larynx

Arg-n. calc. hep. Merc-c. Nit-ac. Thuj.

LARYNX AND TRACHEA - TUMORS - benign

caust. kali-bi. sang. thuj.

LARYNX AND TRACHEA - TUMORS - malignant

ars-i. Ars. bell. carb-an. clem. Con. hydr. iod. kreos. lach. morph. Phyt.
sang. thuj.

LARYNX AND TRACHEA - WEAKNESS

alum. bar-c. calc. canth. caust. gels. limen-b-c. plb. sulph.

LARYNX AND TRACHEA - WEAKNESS - Vocal cords

Carb-v. Caust. coca dros. graph. pen. phos.
You may be interested in Hamer's view on polyps on vocal chords?

He writes that the polyp is an excessive healing growth of the epithelium of
the vocal chords, following a conflict or traumatic situation involving an
unexpected fear or fright of an emerging danger. The change in the tissue
will begin with this fright, but a change in the voice may not show up until
in the healing phase.

You may find a use for the above information in your discussions with your
client and it may help when choosing a remedy.

Best
Robyn
"The fact is we need any and every way of finding the right remedy; the
simple simile, the simple symptomatic similimum and the farthest reach of
all - the pathologic similimum, and I maintain that we are still well within
the lines of Homoeopathy that is expansive, progressive, science fostered
and science fostering." (Dr. J. Compton Burnett)

Hi, Rochelle.

It sounds as if possibly you should be looking in the larynx/ voice section of the repertory, rather than "throat."

Could one of the remedies in these rubrics address the whole set of symptoms?

LARYNX & TRACHEA - PHENOMENA - TUMORS, benign, larynx

beryl. calc-f. caust. kali-bi. sang. thuj.
LARYNX & TRACHEA - PHENOMENA - CONDYLOMATA, larynx

ARG-N. calc. hep. MERC-C. NIT-AC. THUJ.
LARYNX & TRACHEA - PHENOMENA - POLYPI, larynx

arg-met. ARG-N. ars. berb. beryl. calc. calc-f. hep. kali-bi. kali-br. lach. merc. nit-ac. phos. psor. SANG. SANGIN-N. teucr. THUJ.
LARYNX & TRACHEA - PHENOMENA - POLYPI, larynx - vocal cords

berb. THUJ.

It would be worth combining these rubrics, probably, and then crossing the result with the major symptom of the irritable bowel syndrome to find the remedy(ies) that are common to the symptoms in both locations.

Rosemary

Rochelle,
You've most likely already considered this - but one distinct possibility is an allergic reaction. If the IBS type symptoms are back - the original cause/maintaining cause may not have been completely removed, and one of the most frequent cascade effects is usually heightened allergic reactions.
Also, in your searches, you may wish to try the words polyp (spelling variations include polypi, polype, polypus) and tumor as well as nodule, and look under larynx (spelling variations include larynges) and trachea as well as throat.
Donna

Thanks Donna, Robyn and Rosemary.

Is a Nodule the same as a Polyp? I see a Nodule as hard and a Polyp as soft. The surgeon says that before trying an operation she is to have physio and voice training therapy. She can now speak softly but not raise her voice.

She tells me that she has tried a Gluten free diet and this has helped the IBS as when she tried coming off it she got a lot worse.

She has a SRP which I can't rep:- If she is anxious she has to urinate. She was in Paris and trying to cross a road for instance, It also happens when she gets anxious while driving ,especially on a motorway when she thinks that cars won't be able to get past her. This could be Arg Nit. Then she talks of a her battle with fungus of the nails which could be Thuja!!. She did well with her IBS on Carc. I took her up to 1M which I felt went as far as it was going to. It was after this that the voice problem started.
Regards
Rochelle

Hi Rochelle
Here is a clarifying exerpt for you - if you want to see the pictures go to

http://voicedisorders.upmc.com/VocalCor ... erview.htm

Currently, there is a no uniformity of language among otolaryngologists
regarding vocal cord growths (lesions), especially in defining vocal cord
nodules, polyps, and cysts. This lack of standard terminology can cause
confusion. While these vocal cord growths have common traits, there are
important differences that can affect diagnosis and treatment choice.

Vocal Cord Growths (Lesions):
Nodules, Polyps, and Cysts
Overview
Vocal cord growths refer to a group of benign (non-cancerous), abnormal
growths (lesions) within or along the covering of the vocal cord. Vocal cord
growths are one of the most common causes of voice problems and include
vocal cord nodules, polyps, and cysts. A fourth type of lesions is known as
a reactive vocal cord growth.

Regardless of type, benign vocal cord growths cause hoarseness by disrupting
the vocal cord closure and vibration pattern.
Vocal Cord Nodules
These growths are thought of as "calluses of the vocal cord". They usually
diminish or disappear when the trauma or misuse of the vocal cords stops.
Characteristics include:

a.. Nodules are typically present on both vocal cords.
b.. They usually face each other.
c.. They are located at the midpoint of the vocal cord.
d.. There are two types of vocal cord nodules: soft or young nodules and
hard or old nodules.
e.. When analyzed under the microscope, nodules have a thickened surface
layer of the vocal cord.
Vocal cord nodules are common among children (more common in boys). They are
also seen in young adult females. Individuals with vocal cord nodules are
usually extroverts and might have a loud voice, which can often be
particularly percussive.
Vocal Cord Polyps
Vocal cord polyps are similar to vocal cord nodules in that they are
generally caused by voice abuse, allergic reactions, and inhalation of
irritants, such as cigarette smoke. Polyps can result in hoarseness and a
breathy voice.

A vocal cord polyp typically occurs only on one side of the vocal cord.
Although there may be some similarities between polyps and nodules, they
look different when examined under the microscope.

a.. Vocal cord polyps are typically reddish due to increased blood supply.
b.. They can occur in a variety of shapes and sizes.
c.. Polyps can cause a wide range of voice problems.
Vocal Cord Cysts
A vocal cord cyst is a firm mass of material contained within a covering.
The cyst can be located near the surface of the vocal cord or deeper, near
the ligament. As with vocal cord polyps and nodules, the size and location
of vocal cord cysts affect the degree of voice problem such as the severity
of hoarseness.
Reactive Vocal Cord Growth (Lesion)
A reactive vocal cord growth is a mass located opposite another vocal cord
growth, such as a vocal cord cyst or polyp. The reactive growth is thought
to be a callus or reaction from trauma or repeated injury from the growth on
the opposite vocal cord. There are two unique features of a reactive vocal
cord growth:

a.. There is little or no disruption of the vocal cord on the side with a
reactive growth.
b.. When a reactive vocal cord growth is treated by voice rest and speech
therapy, it will typically shrink or completely disappear.
"The fact is we need any and every way of finding the right remedy; the
simple simile, the simple symptomatic similimum and the farthest reach of
all - the pathologic similimum, and I maintain that we are still well within
the lines of Homoeopathy that is expansive, progressive, science fostered
and science fostering." (Dr. J. Compton Burnett)

Robyn,
What a wonderful summary - I'll print this out and put it in my notes. Nice work. Thank you.
Donna

Rochelle,
I had one 'patient' yeserday with a similar lump type sensation in
her throat on the right side. It might have been due to a suppressed
tubercular abcess she had on the neck. Her presenting compalint was
something else and this was a just an accompaniment. I gave Ignatia
200. Boger's mm is quite revealing on this.
Regards
Venkat
the
[2],
merc
[1],

Do you mean the Synoptic? I looked in Boger's Studies in MM and Study in MM but Ignatia wasn't there. The Synoptic was interesting because it said > profuse urination and I wonder if this could mean her anxiety?
Rochelle

I second that!! Thanks so much.

Rochelle