A 43 year female, visited me for intolerable pain in Right side of pelvis at 31st May 2021.
It was extreme pain with sensation that somebody tearing her pelvis.
Her ultra sound done at 29th May 2021,showed a hemorrhagic cyst of size 4.3 by 2.4 cm in right ovary.
Her gynecologist suggested surgery. She wanted the solution without operation.
When she entered my office, she was bending forward due to pain. I gave her colocynth 30 CH one dose. Which relieved her pain and she could give the history.
She had painful, offensive, bright red clotted menses since 4 months. Occasional hot flushes were there. Weakness, breast pain and irritability before menses.
There was no other complaint related to gynecology.
She had disturbed sleep due to thoughts.
Pain and stiffness in joints, sometimes difficult to tie hairs as could not raise the hands and shoulder.
Physical generals like appetite, thirst, urine, stool and sweat were normal.
Thermally- hot. Doesn’t cover feet while sleeping.
Desire for sweet after eating.
Her mother had breast cancer and she died due to Brain hemorrhage.
Nothing specific in her past history.
By profession, she is a teacher. Started job 4 years back.
It sounded strange to me. A lady who was housewife throughout her life suddenly decided to start job at the age of 39.Why?
Life space- She was born and brought up in good environment until her schooling. Her mother died when she was 17 years old. Later on the family environment changed. Her aunt used to scold and humiliate her for triffles.
She suppressed her anger for many years.
After her marriage,she was happy with her husband but mother in law was not so cooperative.
She had to suppress anger and emotions due to MIL’s behaviour.
She said- ‘I am very affectionate and open person,love to talk and enjoy but my mother in law told me that my life is only for serving the family and to produce children. I was not allowed to do job. I compromised for many years but always fulfilled my duties. Life is all about give and take respect. I respected them but they insulted me. To prove myself I decided to join the job. I wanted to be independent. Due to this decision, my mother in law left our home and shifted to her other son’s home.It was difficult to handle home and job together. She did not support me. I accepted the fact, struggled and eventually could manage everything well. I know the world is full of selfish people.
I dedicate myself to my family and work. I become sensitive; cry every now and then. I am worried about my daughter’s future.’
I asked her about mother in law. She said- ‘I don’t care. She is no more part of my life. May God teach her a lesson !’
Semiotic observation- Puffy infiltration in face, especially in upper eyelid. Obesity. Distended belly. Restless while sitting due to pain in back and knee.
Pain localized at right ovary with tenderness in full abdomen.
Her mental picture especially strong need of respect and recognition with suppressed anger indicated Staphysagria.
Obese lady, menopausal age, stiff joints and muscles, infiltration in face, painful menses accompanied by ovarian complaints, haemorrhagic cyst in right ovary, warm blooded patient was indicating Apis mel.
Apis mel is listed under ovarian cyst and haematocele pelvis in repertory.
I wanted a remedy which should cover the mentals of Staphysagria and physicals of Apis mel.
Patient complained of tearing pain in ovary. We must cover the chief complaint. I thought of Kali Iodatum.
As mentioned in Douglas M. BORLAND’s Materia medica and N. M. CHOUDHURI’s -a study of Materia medica-
Kali iod is talkative(I am very affectionate and open person, love to talk and enjoy), passionate(To prove myself I decided to join the job- she started job at age of 39), warm blooded patient(Doesn’t cover feet while sleeping), having anxious weeping tendency (I become sensitive; cry every now and then), fear of evil (I am worried about my daughter’s future), maliciousness with sadness (May God teach her a lesson)
Troublesome and unreasonable impressions become fixed idea in Kali iod (I know the world is full of selfish people.)
Her premenstrual complaints, stiffness and joint pain indicated Kalium group.
It was the confirmation from Materia medica. I want to check with repertory. I opened my search window in my software and put ovary and Kali iodatum. The result is as below-
Kali iodatum 30 twice a day for 8 days followed by placebo for 8 days at 31st May 2021.
I instructed her to call on our helpline number if pain become unbearable.She should not take any pain killer.
Follow up at 14 th june 2021-
Bearable pain for 3 days after medication.
She passed offensive leucorrhea for 5-6 days.
Menses appeared at 10th june.
No offensive odor, no clots.
Irritability before menses- same.
She said- after your medicine, skin eruption which looked like snake came on my back with severe itching. I wanted to apply lactocalamine but your assistant told me to apply coconut oil. It went off after 8 days.
During interview, she refused any skin treatment taken in past. Might have forgotten! Otherwise, how homeopathy would have dug it out!
(I have its video.)
Kali iodatum 30 one dose for 8 days given.
Patient insisted to perform ultra sound. I usually prefer it in a gap of 3 months.
Ultra sound report – 15th June 2021-
Haemorrhagic ovarian cyst usually dissolved within 8-10 weeks in premenopausal woman. If it is extremely painful, surgery is advisable.
Patient did not want to be operated hence came in homeopathy for her acute emergency.
Homeopathy efficiently manages acute pain,haemorrhage and other emergencies with well selected remedies.
Apis mel would have given the same result but I wanted to treat the personality not the local problem. Her mental symptoms and physical signs indicated Kalium personality. When we see, feel, listen and touch the patient without keeping any remedy picture in our mind the ball is always in our court.
Kali iodatum has two specific symptoms-though the inflammation is localized at one site (for ex. right ovary), there is diffuse tenderness in surrounding area (in abdomen and pelvis.) and this hot patient doesn’t cover the feet while sleeping.
Our selected remedy must justify material medica, repertory, mental symptoms and semiotic observation.
About the Author:
Dr. Kavita Chandak
Authors autobiography- Dr Kavita chandak is a gold medalist scholar in Homeopathy. she is Practising since 2 decades in Nagpur. She is trained with Dr. Michael Frass in dealing the cancer cases with Homeopathy. She is attached with P.D. Jain Homeopathic medical college as professor of Repertory and a Guide for P.G. students from Nashik Health University. She is an International faculty,speaker and promoter of Homeopathy, invited by 20+ countries to deliver seminars about homeopathic contribution in Psychiatric disorders and Autism, Infertility and cancer.
Honoured by holding golden book world record for treating kidney disorder. She is an advisory board member at Turkiyeklinikleri Journal of Istanbul. *She is running a NGO, Padmaja welfare foundation,which is dedicated in the field of Health and rehabilitation.*
She is an Excellent speaker and a social activist: received many national-international awards for her generous socio Medical contribution towards society. Won the INSC research award for her paper on Autism. Authored 3 medical books about gynacology and psychiatry. Organised 800 free medicine distribution camps till now. To spread awareness, she writes health articles, delivers sessions on TV and Radio about Health. She is the board member at Afghanistan Homeopathic association. She is providing her services through her web clinic in 20+ countries. Her speciality area is Behavioural Psychiatric disorders like Autism and ADHD.