INDIVIDUALIZED HOMOEOPATHIC APPROACH IN LEFT SIDED URETERIC STONE ALONG WITH HYDRONEPHROSIS AND CYSTITIS: AN EVIDENCE BASED CASE REPORT

Abstract

Background: Ureteric stones represent a significant clinical problem within the spectrum of Urolithiasis, contributing substantially to patient morbidity and healthcare burden worldwide. The migration of calculi into the ureter often leads to acute obstruction, producing severe flank pain known as renal colic, along with complications such as haematuria, infection, and impaired renal function. In this case a 40 years old woman visited our clinic for the complaint of pain in the region of urinary bladder and pain back from jarring which was diagnosed to be left ureteric calculus along with hydronephrosis and cystitis on USG. Methods: After detailed case taking and repertorization, the individualized homoeopathic medicine, Thuja occidentalis 0/1 was given and thereafter other drugs as per the indication were given. Within about 1 year and 3 months of homoeopathic treatment, the patient started improving and continues to be free from her complains at the time of last follow up visit in our clinic which was also corroborated on USG demonstrating a positive role of individualised homoeopathic treatment in a case of left ureteric calculus along with hydronephrosis and cystitis. Results: Modified Naranjo Criteria for Homoeopathy tool was used to assess the causal relationship between homoeopathic intervention and clinical outcome. The MONARCH score (+9) suggested that the clinical improvement was likely attributable to the homoeopathic treatment. Conclusions: This case study shows the utility of individual homoeopathic treatment in case of left ureteric calculus. More studies and evidenced based clinical verification is required to establish the efficacy of homoeopathy in such cases.