Ankylosing Spondylitis Elaborated Homeopathically!

Joining or stiffening of the vertebrae is termed as ankylosing spondylitis in short. It results in inflammation of vertebral bones of spine. Degeneration of spine, pain, loss of motility are some of the problems that crop up in a person suffering from AS. Though in majority of patients, we see degenerative changes in the spine, there are also many cases where AS has affected the hip joints.

Causative factors of AS-

(1) Idiopathic- that means the exact cause still remains unknown.

(2) Autoimmune- Various studies and evidences point to the fact that ankylosing spondylitis is an autoimmune disease.

(3) Hereditary- Though definite evidence is lacking, many studies suggest that positive family history makes the person more vulnerable to develop AS.

Signs and Symptoms of Ankylosing Spondylitis-

(1) Usually the onset of development of pain and motility affections is insidious.

(2) Gradually pain and stiffness in back, buttock region, hips, etc develops

(3) Undue fatigue is many times presenting symptom in these patients.

(4) Usually the patient complains of morning stiffness that gets better ad the day advances or once he begins moving around

(5) Weight loss has been observed

(6) Anorexia, malaise, etc can develop with more and more stiffening

(7) One can elicit tenderness over the sacro-iliac joint

(8) Restricted movements over the period of time

(9) Patient walks with bent back

(10) Chest expansion limited

(11) Rigidity of spine and joints results in curved spine gradually if left unattended

(12) Rarely in very advanced cases, aortic incompetence due to valvular calcification and recurrent respiratory (chest) infections are noticed

(13) On X-ray spine, one can see narrowing of joint space, haziness of joint margins, and eroded and sclerosed margins.

(14) In unattended cases, one can see ossification of intervetebral discs, squaring of vertebrae, bridging of joint cavity, and new bone formation.

Homeopathic Management of Ankylosing Spondylitis-

As we have seen earlier, homeopathy is an individualistic and holistic science. It acts wonderfully in patients of AS, especially when they are considered as unique individuals with characteristic signs and symptoms. Treating ankylosing spondylitis just on the basis of common signs and symptoms of the disease homeopathically is a disaster. In this treatment module, you might get some initial relief of symptoms but as no long term goal is set, the symptoms will most probably relapse, perhaps with much more intensity.

That’s why it is must to consider the totality of symptoms in every individual and treat accordingly. No wonder many stalwart homeopaths discourage the use of patent homeopathic remedies for treating ankylosing spondylitis. The patents usually contain group of remedies thought to be useful for AS. However, this certainly does not go along the lines of homeopathic principle. And unless homeopathic treatment is given along the lines of its principle, it will not give desired results. Therefore, complete history of the patient should be taken including the important causative factors behind his problem, his mental sphere of looking at the disease and otherwise, and then the treatment should be started depending upon the totality.

Obviously, for acute pain management, a homeopath might need a few remedies to look into, during the course of constitutional therapy. Here is a list of important remedies one should remember while treating AS-

1. Calcarea phos-

- Rheumatic pains in neck and lumbar region

- Dullness of head brought on by slight drought of air

- Right to left pain in neck, crampy variety

- Least effort brings on backache

- Upper back pain associated with sharp pains in sacrum and coccyx

- Soreness in uterine region

- Thin spare subjects with tall frame

- Shining bright eyes

- Anemic

- Worse by cold, wet winds, mental exertion, loss of fluids

- Better by lying down

2. Silica-

- Stiffness of nape of neck with occipital headache

- Indurated feeling and actual swelling in axillae, groine, back, below chin, etc (lympthatic swelling)

- Stitching pains between hips

- Coccyx painful as after a carriage ride

- Painful to pressure

- Weak, paralytic pain in back, lumbar region

- Curvature of vertebrae

- Nervous, irritable patients with pale face, lax muscles

- Tendency to catch cold that stiffens the back too but warmth causes burning in back

- Lots of sweating

- Deficient nutrition

- Worse by draft of cold air, change of moon, night, mental exertion, checked foot sweat

- Better by warm wraps, profuse urination

3. Rhus tox-

- Stitching tearing pain in back and lumbar region

- Always sore lumbar region, slightly better after walking

- Paretic muscular states

- Spinal ligaments are affected and fibrous joints

- Restlessness associated with pain; cannot sit in one position for long

- Sensation of dislocation in spine

- Crawling sensation in back between shoulder blades

- Pain in back causes numbness and pricking pains in limbs

- Pain in lumbar region and coccyx almost always associated with pain in thighs

- Legs feel as if made of wood

- Dreams of huge labor, work; wakes up fatigued

- Worse by rest washing of parts, uncovering, after midnight

- Better by continued motion, wrapping up the part, rubbing

4. Kali carb-

- Early morning aggravation of pain in back or lumbar region (typical 3am aggravation)

- Whatever happens in body, first thing to get affected is back; usually develops some kind of dull pain

- Stabbing pains in lumbar region

- Back and legs give way, paretic states

- Heavy feeling in back and legs

- Edematous swelling of foot (especially left) with lumbar affections

- Fixed ideas, absolutely conscientious and trustworthy person

- Wakes every day same time in early morning around 3am

- Worse by cold, loss of fluids, exertion, winters

- Better by warmth, sitting with elbows on the knees, open air

5. Symphytum-

- Etiological factor may lie in some kid of fall or fractured bone, etc

- Pain in back ‘since that last fall’; also from sexual excesses

- Psoas abscess

- Actual caries of spinal bones

- Pricking pains in lumbar region and coccyx

- Pain of nervous origin

- Worse from any type of injuries

6. Hypericum-

- Nerve injury or pain leads to spinal pain and then gradually the bones are involved

- Extremely painful, sore parts

- Painfully sensitive spine

- History of injury or surgery (spinal anesthesia) may be there

- Changes in spine noticeable after delivery of child

- Cannot sit for long, legs feel lame

- Furry feeling in feet with lumbago

- Aching in bones

- Limbs feel detached

- Worse by jar, exertion, motion

- Better by bending back

Top 10 Homeopathic Remedies for Headache!

Headaches are probably one of the commonest causes of suffering for human beings. Headache is the problem that can occur due to wide variety of causes; however, whatever is the cause, it leads to incapacity to work, concentrate and be happy! Treating headache is one of the important aspects of homeopathic prescribing I would say, because it instills confidence in the doctor that they can give rapid and sustained relief to the patients with aptly chosen homeopathic medicine. Rather in the initial practice, it was ‘headache’ that gave me lot of patients for other problems, because they never thought homeopathy can relieve headaches so fast! Quite obvious thinking for people gulping the dangerous nimusulide or inflagin for that maddening headache!

Stress, migraine, hyperacidity, hypertension, sinusitis, allergies, flatulent dyspepsias, etc are some of the common causes of headache. We are not considering here the graver problems like endocrine dysfunctions or liver disorders that also may give rise to headaches. The graver causes need thorough evaluation and expert handling of the situations and cases.

Moreover, as with many other problems, headache is the tendency in many. Some personality traits like ‘type A’ personalities develop headaches quickly and may also develop other complications associated with headache.

Now, let’s consider the top 10 homeopathic remedies and their symptomatology that we must not forget while handling headache homeopathically. Certainly these are not the only remedies; rather there might be more than thousand remedies with peculiar headaches. But these are among "Not to be forgotten" list!

(1) Natrum mur-

- One of the top remedies for headaches

- Throbbing variety

- Headache starts in the morning after getting up and remains till sunset

- School-girl headaches those suffer from anemia

- Pain as if numerous hammers are thrusting on the brain

- Semi-lateral headaches, migraines, with nausea and vomiting

- With heavy aching eyelids

- In migraine, has an aura in numbness and tingling in tongue, lips, nose etc, before the attack sets

- Headache associated with sinusitis, when attack sets in after catching cold

- Ill-effects of grief, worry, fear etc

- Worse, from noise of any kind, music, heat, mental exertion; better on empty stomach, open air, pressure, sleep

(2) Belladona-

- acute headache that starts suddenly

- sensitive head to least contact

- fullness in forehead

- associated with constant moaning

- ill effects of catching cold or having a hair cut

- pulsations felt in head

- aggravated by lying down, noise, jar, afternoon

- better by pressure and semi-erect posture

(3) Gelsemium-

- headaches associated with vertigo

- spreading from occiput or located at occiput

- tension headaches

- dull pain with marked heaviness

- heavy drooping eyelids

- band feeling around head

- temporal headaches that occur after exposure to sun

- soreness in neck with headache

- may be delirious

- blindness may precede headache

- foggy weather aggravates and so does anticipation about anything

- better by profuse urination, open air and lying with head high

(4) Glonoine-

- worsened Belladona headache, throbbing variety more on left side

- head feels large when it aches

- peculiar sun-headaches with dizziness

- headache brought on by menstrual suppression

- congestive headaches with irregular circulations; pulsations felt in head, ears and all over the face

- any type of occupational headache brought on by working near or with heat

- can feel surging of blood to head

- despite heaviness, cannot lay head on pillow

- headache in a child that attended campfire the day before

- associated with sparks before the eyes

- <>

- > brandy, after sun sets

(5) Onosmodium-

- migraine headaches

- associated with loss of or deficient memory

- marked state of confusion

- headache starts in the morning on waking up

- areas affected- occiput, temporal region, and mastoid

- associated with heavy dull eyes with pain in eyeballs

- worse using eyes, left side, movement

- better by cold drinks and eating

(6) Chamomilla-

- Sudden onset headaches with excessive irritability

- Throbbing pain in half of the head

- Patient bends head backwards in the hope to relieve

- Associated with hot clammy sweat on forehead and whining restlessness

- <>

- > wet weather

(7) Ignatia-

- Headache as if a nail driven through the sides

- Crampy pain over the root of nose

- Headache from anger, acute grief, etc

- Emotional causes always lead to headache first

- Marked congestion

- Hysterical headaches

- Hollow-feeling of head that is aggravated by stooping

- Sobbing lady with headache

- <> change of position frequently

(8) Sanguinaria-

- peculiar right sides sun headaches

- marked periodicity

- begins in occiput, settles over the eyes (More on right side)

- menopausal headaches

- pain in spots over head

- associated with burning in eyes and red burning cheeks

- feels as if a flash of lightening hitting at the back of head

- > sleep, lying down, <>

(9) Iris versicolor-

- Typical acidic headaches

- Headache associated with lots of acidity

- Marked nausea, lack of appetite, and burning along the alimentary canal

- During mental strain, performs well but once it’s over, develops sick headache

- Frontal headaches with nausea

- Migraine with aura settling in eyes with a blur before eyes, followed by dull constricted headache for long time

- continued motion

(10) Nux vomica-

- headache with vertigo, especially after night-watching

- headache from over-exertion, tobacco, alcohol, coffee

- marked sensitivity to touch

- frontal headache > by pressing hard

- headache associated with constipation, nausea

- sun headaches

- head feels sore and distended

- associated with photophobia, neuralgic pain in eyes, and watering of eyes

- worse in the mornings, after eating, cold; better after a good nap, evening, rest

How Useful Is Homeopathy For Allergies?

{For queries, write to me on- contact@drshreya.com} 

Common cold is too common for people who have it once in a while due to climatic changes. But if it becomes the rule of life like in cases of allergic conditions, it’s hell! There are people who get up every morning with the dread that the sneezing will start like a demon to end never at least for a few hours. Suppressing these attacks with anti-allergic drugs obviously benefits prima facie, but it is just temporary, as witnessed by thousands of allergy sufferers.

There are many home remedies too that are tried by these victims of allergy like using ginger in tea etc. But again this gives just temporary relief, as the root cause is never dealt with.

What is the root cause for these allergies?

Do you think that allergens are responsible for this? Well, it is true that the allergens lead to these allergies. But what causes these allergens to be so dreadful as to attack people so violently? There must be something deep within. Yes, this “Something deep within” is the root cause! We can call them tendencies to catch allergies, infections, etc. Unless this tendency is dealt with efficaciously, we cannot expect radical cure from allergies.

One more interesting story is that, if you suppress these allergies with counter-acting drugs and for time being, if they really vanish, don’t be overly elated! The reason behind is that, you haven’t kicked them away but have suppressed within the body. Either it is lying in dormant condition inside or is busy preparing to attack some other vital organ to trouble you later. There are many cases of respiratory allergies being suppressed by drugs and developed into some skin allergy later on (without even known by the sufferer the reason behind this new-found skin allergy).

Does homeopathy help?

Yes, it does! The principle of homeopathy is “like cures like”. When judiciously this principle is applied in practice, we enforce the similarly acting drug to stimulate the vital force inside to expel the symptoms of the disease (allergy) and establish harmony.

Well, sounds like just a theory?

Do homeopathic medicines never suppress?

It is not true. Homeopathic medicines if applied wrongly, without considering the totality of symptoms, i.e., the person’s physical and mental make up, his attitude towards life, dominant miasm in him, and things alike. Also if the potency chosen is not correct or excessively high or cruder, it may lead to suppression, only to be revealed again later on.

Choose right homeopathic remedy to cure allergies!

However, it is also true that rightly chosen remedy, potency, and its application in the right way do help to annihilate the symptoms of the disease in the mildest yet powerful manner within no time. In that sense, homeopathy is a true healer. Go for expert homeopathic consultation and your struggle to overcome an allergy will come to a good end.

Allergies are of different kind. In homeopathy, they usually fall under categories (miasms) Psora and Tubercular. However, if it is badly expressed allergy or a more destructive kind of allergy leading to some drastic end organ damage, it also can fall under Sycosis or Syphilis miasms. This understanding and differentiation can be done only by an expert homeopath. But once rightly recognized and attacked the root cause of allergy, the person frees himself of the recurrent spells of sneezing, cough, colds, and other bodily complaints due to it and leads on the path of complete cure!

A Doctor Must Be Considerate Towards the Patients’ Needs!

Every doctor is bestowed with immense power to rule the psyches of their patients. We hear stories of past-doctors who were considered as Gods by the local community. Remember that old man in white coat who was considered as the “Friend, Guide, and Philosopher” by your grandfather or father? He used to enter your house with such a grace, check you or the one ill, give you minimum medicine (if the sick man is lucky enough to have such a doctor), and leave the house gracefully again!

What’s the scene today? You take appointment of the busy practitioner, enter his clinic, rush through lot many investigations (God only knows if they are really needed), and get a prescription studded with a huge list of medicines to be taken at different times of the day. Time to hone your memory skills to remember all this! And in turn suffer from drug-induced disease for unknown period of time!

Well, sounds too negative? Certainly don’t want it to; but the story says the same thing again and again. And frankly, in this category of doctors, there is no segregation between Allopaths, Homeopaths, Ayurvedic or any other types of doctors. They are just the “Type” in themselves!

“DOCTOR” is someone the patient relies completely on. With the increasing awareness among general public about better healthcare facilities, there is tremendous change in the mindset of the people. Now they know what is right and what is wrong. Still when it comes to certain judgmental decisions regarding their or their near and dear ones’ health, they agree to what their doctor says. Therefore, isn’t it doctor’s duty to give them the decisions that they will be happy forever with? Many learned doctors will agree to the fact that the major quality any doctor should possess is not just intelligence but compassion! It is taught in medical schools to view any patient’s condition as a third person practically and give your judgments. But possibly the role of compassion is not taught in medical schools, because of which the doctor cannot visualize the patients’ needs as his own!

Suppose, a patient approaches you with the complaint of general weakness and pallor related to it. You advise him complete hemogram, ESR, Urine routine, ECG, Chest X-ray, and stool test. The patient gets all these tests done and was found to have just low hemoglobin that can be safely managed with some good iron preparations and dietary modifications. How can you explain or justify the need of all other tests that were performed on your patient? Can you? Would you undergo all these tests if you suffered from the similar problem? (Unless laboratories sponsor you with free tests)

Well that may sound harsh but it’s the fact that is going on too rampantly in public as well as private settings.

In rural and semi-urban set-ups the things are even worse! People in cities at least can afford to undergo these tests (even though not needed, just for mental satisfaction many like to). But in rural set ups, literally some poor people are exploited to undergo many tests and treatments absolutely without any need and the poor fellows borrow money from some sources and work for their rest of their lives to pay the debts!! No, this is no exaggeration but the fact! Have seen doctors perform even hysterectomies without any need and the patient cries for the rest of her life for hormonal depletion. This has to be stopped.

Certainly not all doctors are like this. There are many good and honorable exceptions because of which our health-system is running smoothly. These are the doctors who are considerate towards the patients’ needs and work for the ultimate good of the patient! Have had privilege to work with doctors who are real gems in the medical world! Their smiling faces would make patients comfortable immediately upon entering their chambers. Their style of questioning further used to erase the borders of seclusion from the patient. They would never fall prey to medical representative’s luring and would prescribe exactly what is needed. The medical investigations would strictly corroborate with their clinical findings (had a doctor teacher who used to write on his investigation note- ‘Please do hemoglobin test only and not complete blood count’) and their treatment pattern would never be based on their self-ego but on the timely requirements and in collaboration with the experts in the field. They would never hesitate to seek help from their subordinate doctors if they are good in their field. And an overall atmosphere of mutual bliss was attained between doctor and patient!

Sounds too idealistic? Yes, it is ideal. But can’t we make ourselves ideal? Don’t you think we must? A complete man or woman or child is in our hands!! We can either make or break! With little compassion, with little shedding of self-ego, and with keeping patient’s interest as the topmost priority, it is possible to create ideal environment for better prognosis of cure! Practice of Medicine does deserve ideals!!

Arteriosclerosis and Homeopathy!

It is said that “A man is as old as his arteries”! How true! Better the arterial circulation, better are the chances of health and longevity! Obviously age is the major non-modifiable factor in developing the sclerotic changes in arteries but there are many modifiable factors too. High bodily cholesterol, obesity, hypertension, faulty diet, etc are some of them. They can certainly be modified to reduce the chances of early arteriosclerosis.

Familial traits have also been observed in cases of early arteriosclerosis. Such patients have to take extra care not to fall prey to fatty deposits in arteries by maintaining their diet and exercise regime. ‘Being a man’ too increases the risk by some percentage. However, women should not be careless. Once they pass the menopausal stage, they equal their chances of arteriosclerosis as in men.

Osteoarthritis, rheumatoid arthritis, diabetes mellitus, etc have also been blamed for early arteriosclerosis.

Treating the root cause is obviously important and while treating homeopathically, apt cause can be traced through efficient history taking of the individual. It has been observed that with appropriate homeopathic constitutional therapy, the arteriosclerosis changes can be reverted back, even in patients with positive family history. Obviously the patient needs to be counseled about right eating habits and exercise too.

Now let’s see some of the important homeopathic medicines that can help tackle the problem of arteriosclerosis!

(1) Arnica- This is one of the most important remedies while treating homeopathically. Arnica prevents formation of clots in blood. When chosen wisely in right potency, Arnica reduces blood cholesterol (LDL) steadily too. It aids in hassle-free circulation.

(2) Crataegus- In mother tincture form, this medicine is seen to literally dissolve the arterial plaques. Though the patient has to take this mother tincture for long time.

(3) Arsenicum iod- thickening of arteries, tachycardia, slow circulation leading to venous congestions. Extreme weakness is frequently a concomitant.

(4) Sabal serrulata- Some problems in kidney or bladder leading to one or more arterial problems. Fatty deposits in renal and cardiac arteries.

(5) Colchicum- rheumatism induced arteriosclerosis. Slow circulations. Cutting pains in cardiac region due to arterial problems

(6) Kali phos, calc fluor, natrum mur, Ferrum phos, etc are some of the biochemic salts to be remembered (individually as needed) while treating arteriosclerosis. They help in eliciting efficient compliance from the patients to the selected homeopathic regime.

The above mentioned medicines are the specific medicines that may be needed while treating arteriosclerosis in patients. However, the homeopathic treatment must involve constitutional therapy in order to revert the changes and halt the progress of any disease, including arteriosclerosis.

Dealing with Constipation Homeopathically!

Regular and satisfactory bowel movement is bliss! But sadly not many people enjoy this gift and suffer from what we term as constipation. Hard, difficult to pass stools irrespective of the frequency of bowel movement is also called as constipation.

Lots of factors come into play when it comes to regular bowel movement. Inadequate fiber in diet, drinking less water, eating instant food, sedentary habits, etc are some of the factors that are modifiable. Rather a doctor must advice modifications in every patient complaining of constipation instead of merely suggesting remedies; only then the cure can be said complete. Maintaining factors often are the crucial factors that hamper the way to cure. Most importantly the physical activity must be stressed the lack of which is THE reason in many of the patients these days.

There are certain problems that also include constipation as one of the symptoms. The diseases like irritable bowel syndrome, diverticular disease, hypothyroidism, diabetes, scleroderma, spinal cord injuries, etc are some of the problems giving rise to constipation.

Homeopathic Medicines for Alleviating the Constipation-

As we always say, nullifying the symptoms is the way to cure for any disease. Therefore, the name of disease is certainly not important while we treat any malady. The symptoms of the disease considered in totality help one find the accurate remedy for any disease, rather person. Constipation can be effectively dealt with as a symptom in homeopathy and there are quality medicines that can be employed homeopathically to help one restore normal bowel function. Let’s see some of the important remedies and their differentiating features for constipation—

(1) Alumina-

· No desire for defecation

· Hard dry and knotty stools

· Itching at anus

· Even soft stool is pushed with difficulty

· Long before the evacuation there is a painful urge sometimes; but ha to strain a lot

· Pressing in groins

· Associated with dryness of mucus membranes everywhere

· Moody person with hasty hurried attitude

(2) Alumen-

· Extremely severe constipation

· No desire for days together

· Absolute lack of ability to expel stools

· Despite passing the hard stools, the rectum feels full

· Stitching pain in rectum after stool for long time

· Associated with hemorrhoids

· Constricted sensation in mucus outlets

(3) Ammonium mur-

· Crumbling stools at the verge of anus

· Itchy sensation pervades rectum

· Hard stools covered glairy mucus

· Mucus stools (often green) alternating with constipation

· Smarting and burning pains in rectum during and after stool

· Associated with the thirst for lemonade

· Hemorrhoids after suppressed leucorrhea

(4) Antim crud-

· Marked anal itching

· Old cases of irritable bowel syndrome, where constipation alternates with diarrhea

· Hard lumps of stools mixed with watery discharge

· Bloated abdomen after eating

· Entirely mucus stools at times

· Haggard look on face, suggesting subdued liver function

· Marked craving for sour food, especially pickles

(5) Bryonia-

· Stools seem large, hard, as if burnt

· Lack of desire for stools

· Tender abdomen

· Burning pains in rectum with sensation as if peristalsis has come to a stop

· Associated with thirst for large quantities of water

· Pressure in stomach as of a stone

· Irritability is often a concomitant in all Bryonia patients

(6) Calcarea carb-

· Stools at first hard, then soft, then liquid

· Large and hard stools

· Stinging hemorrhoids

· Most Calcarea patients however do not complain of constipation; they are better with it

· Has to be associated with sour belching, sourness pervading the system

· Fearful gesture, with marked fear of disease

· Indolent types, averse to any type of exertion

(7) Carduus mar-

· Venous constitutions with dropsical swellings

· Bright yellow stools, hard, dry, knotty; often alternates with diarrhea

· Constipation in patients with gall-stone disease

· Tender liver region

· Hemorrhagic piles

· Burning pains in anus and rectum

(8) Collinsonia-

· Sharp sticking pains in rectum

· Most obstinate constipation with hemorrhoids

· Constipation during pregnancy

· Alternate constipation and diarrhea

· Itchy anus with constricted sensation

· Painful bleeding piles

· Venous engorgement of rectum

· Mental emotions or excitement aggravates, better by heat

(9) Graphites-

· Climacteric constipation

· Knotty stools with mucus threads

· Soreness of anus

· Anal fissures

· Undigested stools, very offensive, with fetid flatulence

· Hemorrhoids with itching of anus

· Associated with constrictive pains in stomach

· Must loosen clothing around waist

(10) Kali bichrom-

· Marked periodicity associated with constipation

· Sensation of plug in anus, worse mornings

· Associated with pain across the loins and brown urine

· Cutting pains in abdomen after eating

· Constipation in fat, flabby, light complexioned people

· Most suited to subacute stages and not violent ones

(11) Lachesis-

· Offensive stools with tightness of anus

· Pain through rectum and anus while coughing, sneezing, etc

· Purplish protruding hemorrhoids

· Blackish discharge-bleeding from bowels

· Abdomen sensitive, cannot bear anything around waist

· Associated with gnawing hunger spells

(12) Mag mur-

· Constipation of infants during dentition

· Sheep dung like stools, knotty, in small quantities

· Crumbling stools at the verge of anus

· Bloated feeling in abdomen, worse after eating

· Associated with painful hemorrhoids

(13) Mezereum-

· Constipation after the delivery of child

· With bearing down pains in rectum

· Alternating with greenish offensive diarrhea

· Associated with colic at times, with shivering and difficult breathing

· Associated with watering of mouth and some or the other skin concomitant

·

(14) Nux vomica-

· Ineffectual urging for stool is the hallmark of the remedy, whether in constipation or diarrhea

· Has to go several times in the morning and still feels unsatisfactory

· Irregular peristalsis

· Absence of all desire to defecate is a strong contraindication to use Nux

· Uneasiness in rectum

· Associated with flatulent distension and chilliness

(15) Plumbum met-

· Black, lumpy stools

· Frequent urging and spasms of anus

· Impacted stools with sensation as if anus is drawn upwards with constriction

· Associated with colicky pains radiating to all body parts

· Neuralgic pains in rectum

(16) Sulphur-

· Fears defecation on account of severe burning pains

· Unsuccessful desire to defecate frequently but passes small quantity every time

· Marked redness around anus with itching and burning

· Oozing hemorrhoids

· Good appetite or total loss of appetite; all gone sensation about 11am is frequent concomitant

· Feels as something is alive in abdomen

· Milk leads to constipation spells