Irritable Bowel Syndrome & Homoeopathy paper was presented at Omics Traditional and Alternative Medicine at Hyderabad on 9-11 Dec 2013
Irritable bowel syndrome is a functional
gastrointestinal disorder characterized by abdominal pain, discomfort and
alteration of bowel habits in the absence of any organic disorder. Irritable Bowel Syndrome is a very common
gastrointestinal dysfunction with the world wide prevalence among general population ranges from 5.7% to
34%, the overall prevalence of IBS in
western countries as reported by various studies ranges from 17-22%. However,
in Asian countries a highly variable range of prevalence has been observed i.e.
2.3-34%. Many studies have reported
that IBS is associated with elevated levels of emotional and psychological
stress is a major contributing factor. In spite of strong evidence of a
high prevalence of depression and anxiety in IBS there is very limited research
on this in India. As there is no clear causes of irritable bowel
syndrome, treatment focuses on the relief of symptoms.
Many sufferers seeking homeopathic,
complementary
and alternative medicine as a part of treatment. Homeopathic treatment is based on Individualization,
Constitutional approach with lifestyle modification. In Homoeopathy, Importance is given to psyche symptoms along with
bowel symptoms in the plan of treatment, There is quite a good number of remedies in Homoeopathy like Argentum
nitricum. Sulphur, Podophyllum,Cynodin and
carcinocin etc Results are quite encouraging.
Magnitude of the Problem ;
20% Adults in western
world . More or less same in India.
Significant impact on quality of life. 2nd common
cause (after cold) of absenteeism .
Contribute to 25 - 40 % of practice of
gastroenterologists
Rome II Criteria for diagnosis 2
Pain or discomfort for 12 weeks of the previous 12 months, associated
with
two Of the following three:
Relief on
having a bowel movement,
Looser or more frequent stools,
Harder or less frequent stools
Symptoms 2,3
Abdominal pain associated with defecation.
Irregular pattern of defecation for at least two days a week.
Three or more of the following:
altered stool frequency; altered stool form (hard/loose);
altered stool passage (straining/urgency/ sense of incomplete evacuation);
mucus per rectum,
bloating or feeling of abdominal distension.
Homoeopathic Approach
· Case recording
· Physical
examination
· Provisional
diagnosis
· Differential
diagnosis
· Investigations
· Final
diagnosis
· Analysis of
the symptoms
· Evaluation
of the symptoms
· Results of
repertorisation
· Analysis of
repertorial result
· Classification
of disease ( according to hahnemann)
· Miasmatic
diagnosis
· Choice of
remedy
· Potency
selected
· Diet
STUDY
My study of 23 cases( was from june 2011 –may 2012 ) average
age was 25 years ,female gender were more, home makers were
more with large size of family, 3% were employees . DIBS was more seen then
CIBS, past treatment history majority took conventional
treatment with out any result.
every case was thoroughly investigated and came to conclusion that
there was no pathology.
15-25 years age group males were (1) females (6)
26-35 years age group males were (2) females (10)
36-40 years age group males were (1) females (3)
In occupation out of 17 females 8 were home makers, in out
of 6 males 3 were I T professionals 2 were teachers.
Remedies used:
Arsenic Alb , Gelsemium , Argenticum Nitrricum, Mer Sol , Nux
Vom , Cynodyon, Carcinocine were the remedies ,potency used
200 ,I M.
Improvement was as
follows
No reoccurring of
symptoms three months after stopping medicines ( 6 T + 3 ST) no reoccurrence of
symptoms : took it as good improvement
reoccurring of
symptoms three months after stopping medicines ( 6 T + 3 ST) no reoccurrence of
symptoms, intensity of symptoms were less , took it as moderate improvement
reoccurring of
symptoms very frequent with treatment took
it as poor improvement
Improvement
in 23 cases was as follows
- N : 23
- drop
outs : 2 (
8.7%)
- cases good improvement :
15 ( 65.2%)
- cases moderate improvement : 4
(17.4%)
· no improvement :
2 (8.7%)
Treated case
Irritability, anxiety about health of his own health,
pain abdomen > stool after, diarrhea anxiety after, cold water cold drinks
<, cold food <.,
Ars alb 33/15 , NUX Vom 25/11, Silicia 23/15 were choice remedies
Treatment follow up
5/06/2011 Nux Vomica 30 c 3 doses
were given
15/07/2011 case was repertorised as shown
in next slid Ars Alb 200, 5
doses was given
14/08/2011 pain in abdomen reduced ,
general condition improved,
29/09/2011 Nat sulf 200 was given and followed by Ars Alb
27/10/2011 general condition improved, Ars Alb 1m
one dose was given
02/12/2011 was a symptomatic , with good general
health , Tuberculinum 1M one dose was
given as closing remedy and
treatment was stopped and advised her to see me after 4 months .
Bibliography
•
1) Govind K Makharia, Anil K Verma, Ritvik Amarchand
Anil Goswami J Neurogastroenterol
Motil. 2011 January; 17(1): 82–87.Published online 2011 January 26
•
2) http://www.mayoclinic.com/health/irritable-bowel-syndrome/DS00106">Irritable
bowel syndrome
•
3) http://www.onhealth.com
Irritable_ bowel _syndrome paged4htm
•
4) Dr GRMohan Irritable bowel syndrome challenge in medical
practice, NHJ, Vol 8, no 2, March-April-2006
•
5) http://en.wikipedia.org/wiki/holmes_and_rahe_stress_scale
