CASE OF RECURRENT URINARY TRACT INFECTION IN 54 YRS OLD WOMEN
This is the case of 54 years old married women, presenting with chief complaint of urinary problems since long time maybe 2-3 years and is on prolonged antibiotics regimen. Complaining of knee pain and lumbar back pain when she is walking wearing high heel shoes.
She says everything in life stresses her people, brother, mother. Brother mentally harasses her, never appreciates her, making her feel guilty all the time. After death of mother brother got married. Says brother is very hot-tempered. She speaks of financial stress 10-12 years back which forced her to stay with her mother-in-law. MIL was very selfish and cold according to her and had to stay with her for 12 years. She even wished for her MIL death when she was alive, but now after her death she realizes that it was wrong to think that way. Husband is wonderful by nature and one son who never troubled her.
She is very open and friendly as a person. She likes good things, likes to live big life, live luxurious life. Life and car should be big. She gets what she wants, earlier used to fight for it. She also loves to travel. Likes talking to people who are genuinely nice to her.
She than talks about her sister-in-law, she feels SIL copies her, SIL is envy of her.
Childhood: very middle class family, but very close and warm family. In society her family was one of the best families. She was loved by parents. She was introvert in college, than she went to London for work and then opened up completely. Through work she met her husband and got married, she delivered baby and then left the job.
Lots of fears of health problems, that she might get cancer. Tremendous fear of cancer. She also used to be insecure about money matters as she had to stay with mother-in-law.
She has lots of friends, who tell her she is very talented, also seeking her help for advice. She wants to look perfect, very conscious the way she dresses, very conscious that she should look good.
Physical generals
Menses: menopause in 2006. Previously menses was regular no trouble. Little weepy before menses.
She likes spicy food but it causes acidity.
Urine: increased frequency every 1 hour, when anxious than the frequency of urine increases. If infection is increased than urine is scanty.
Stool: normal and regular
Thermals: likes winter and likes cold place, loves to stay in air conditioned room
Past history
Previously used to get abdominal pains at night
Family history
Strong history of ischaemic heart disease, diabetes mellitus and hypertension in both the parents
Pregnancy
No problem says she had the most beautiful pregnancy
Medication history
She had been on long duration of different antibiotics, now she is on Nitrofurantion 100 mg daily
Case Analysis and Repertorization using Synthesis Repertory
Rubrics taken
- Delusion appreciated not being
- Egotism
- Extravagance
- Fear of cancer
- Foppish
- Haughty
- Selfishness
- Spices desires
- History of recurrent cystitis
Indicated remedy with potency: Platina 200, one dose along with placebo
Platina was prescribed depending on her mental symptoms of selfishness, egotism, always feeling being not appreciated by her brother and desire to live extravagant life and big life. She always felt excessively proud of her self and desired to look beautiful, also somewhere subconsciously there was lot of envy with her sister in law which bothered her a lot as she always tried to look more beautiful than her. So mental picture was being wonderfully covered by Platina.
Follow-up
After 2 weeks she came back, stating that 1st day her symptoms were aggravated especially her frequency of urination and distension of abdomen but emotionally she is feeling better, her fear of cancer and anxiety levels have gone down. Later her urinary symptoms had also improved.
After 15 days she said all her symptoms of urine have been better by 80%, distension of abdomen is there only if emotionally little stressed. She has stopped her dose of Nitrofurantion 100 mg, and has no troubles now in urination. Given a dose of Platina 200 single dose only to be taken if her urinary troubles are increased.
So Platina worked wonderfully for her as a constitutional medicine, treating not only her urinary symptoms but also helping her emotionally as well.
