A case of prostate cancer with bilateral grade 1 medical renal disease.

A case of prostate cancer with bilateral grade 1 medical renal disease.

Abstract

Prostate cancer is the leading cause of cancer in men. Only if the tumour is identified in the early stages, i.e. pre metastatic is cure more likely. This patient was treated successfully with potentized phosphorus.

PRESENT COMPLAINTS:

A 37-year-old man was acutely ill for several days with urinary problems and severe abdominal pain and a sensation of fullness with pressure in the lower abdomen. Pricking pain in the base of penis, burning micturition, severe sudden dullness with occasional vertigo <after coition. Feels better after a good sleep.

Difficulty urinating, painful frequent urination <at night and burning sensation+++<during urination, >cold bathing++. Painful ejaculation after intake of Viagra, no orgasm. Severe prostration and dullness after coition. Frequent pain in lower back and hips.

Past treatment history:

He suffered from fever for a long period; he had taken allopathic drugs without consulting the doctor. Due to the severity of the fever, he had undergone treatment with an allopathic doctor and typhoid fever was confirmed after his routine private medical laboratory-screening test. He was under treatment for 15 days with allopathic medicine. After a month of routine normal life he again struggled with stomach pain, vomiting and urinary problem. This patient was treated with allopathic medicine but in vain.

To overcome this problem he came to homeopathy consultation and treatment.

Family history:

His Father suffers from insomnia and is hypertensive. Mother is healthy.

Personal history:

Mixed diet, sexual desire+++ (erotomania) speedy emissions but want of power, non-alcoholic, ex-smoker now quit. Tendency to catch cold easily but he prefers cold.

Mental generals:

Begging me to help him, restless, hopeless, profound fatigue.

Physical generals:

Appetite: good eater, after his acute illness he prefers fruit juices and cool drinks

Thirst: +++ he prefers cold water. However, he is adjustable with availability.

Sweat: + in general sweats well after good work.

Stool: occasional constipation+, stools hard to evacuate, rarely leads to fissures and heals itself after cold spinal bath.

Urine: frequent desire for urination at night, it is painful and burning, scanty after long strain.

Sleep: disturbed by frequency of urination. Feels better after good sleep.

Dreams: lascivious

Thermal: hot

Physical examination:

Tall, fair complexion, handsome, not anemic, severe exhaustion++

Weight-59kg

Height-172cms

CVS-NAD

R.S- Localized polyphonic wheezing heard on left lower lobe

P.R. – per rectal examination done after enema with natural tap water, it shows enlargement of prostate gland.

Lab investigations:

Based on his medical diagnostic report of Ultra sonogram and his oral statement of clinical history and PR EXAMINATION, we concluded that he is suffering from prostate enlargement or may be due to Ca prostate.

Then this patient advised to go for, IMMUNOHISTOCHEMISTRY- Prostate Specific Antigen (PSA) cancer marker test to confirm prostate cancer. Moreover, periodic medical evaluation carried out with Ultrasonic scan and PSA. (Reports attached)

Results of Ultrasonic scan and PSA

Initially Ultra sonogram of abdomen and pelvis impression results show mild hepatomegaly, normal size kidneys showing bilateral grade I medical renal disease, mild pelvicalyceal system ureteric dilatation noted on both sides , no evidence of calculus was noticed and moderate prostatomegaly (prostate enlarged in size measuring 4.8 x 4 x 4 cm corresponding to a volume of 42.2cc ).In biochemical analysis PSA level was raised to75.6 ng/ml.

Over a 3 month period of homeopathic treatment , Ultra sonogram result shows that right intra renal calculus, liver, gall bladder, pancreas, spleen, left kidney , bladder, prostate (prostate size measuring 3.1x 3.7×3.7 cm corresponding to a volume of 22.7 cc) were showing normal sonographic pattern and in blood PSA level decreased from 75.6 ng/ml to 2.0 ng/ml . At the outset, within 15 days, the PSA level was reduced drastically from 75.6 ng/ml to 21.86 ng/ml and after reaching 14 ng/ml it was reduced gradually (Fig 1 and 2, Table 1) (Test report -Annexure I).

Diagnosis:

Ca prostate. With bilateral grade I medical renal disease, and hepatomegaly.

DIET & REGIMEN ADVISED:

Advised to take diet like low cholesterol foods, boiled foods with less salt & sweet, no addition of tamarind, should be strict vegetarian, recommended to take sprouts, all fruits except banana and dates, advised to avoid tea & coffee .

Life style modification:

In addition to that he was advised not to have any sexual activities during treatment period.

FIRST PRESCRIPTION 25/7/2010 (SEE Plate1)

Rx

• Ferrum picricum 30c (one dose) administered with 120ml aqueous solution 2ml for every 30 minutes each time after 10 strong succussions.
• He was advised to stop medicine if improvement starts

Follow up	Date	Complaints	Prescription	Remarks
1	27/7/2010	Feels better for few hrs WANT OF IMPROVEMENT complaints persists Urethra burning+++ dysuria+++,>sitting in cold water, wants to drink icy cold drinks.	Phosphorus 0/1 single pill with 120ml aqueous solution 5ml for every 30minutes each time after 10 strong Successions.
2	31/7/2010	Passing urine freely. improved well. Slept for long time. No burning.Generals normal	Phosphorus 0/2 single pill with 120ml aqueous solution 5ml for every 1hr each time after 10 strong succussions.	SEE Plate 2
3	9/8/2010	Complaints nothing improved well	Phosphorus 0/3 single pill with120ml aqueous solution 5ml for every 6hrs each time after 10 strong succussions.	SEE Plate 3
4	15/8/2010	Complaints nothing improved well.	Phosphorus 0/4 single pill with120ml aqueous solution 5ml for every 6hrs each time after 10 strong succussions.	SEE Plate 4
5	4/9/2010	Complaints nothing	placebo	SEE Plate 5
6	12/9/2010	Complaints nothing	placebo	SEE Plate 6
7	1/10/2010	Complaints nothing	placebo
8	23/10/2010	Complaints nothing	placebo	SEE Plate 7
9	10/11/2010	Complaints nothing	placebo
10	25/11/2010	Complaints nothing	placebo
11	10/12/2010	Complaints nothing	placebo
12	24/12/2010	Complaints nothing	placebo
13	11/1/2011	Complaints nothing	placebo	SEE Plate 8
14	14/2/2011	Complaints nothing	placebo
15	8/4/2011	Complaints nothing	Carcinosinum 1M-1d oral dry dose	SEE Plate 9
16	15/9/2011	Complaints nothing	Treatment stopped	SEE Plate10
17	6/4/2012	Complaints nothing	Treatment stoppedP.S.A review taken	SEE Plate11
18	18/4/2012	Complaints nothing	Ultra sonogram taken	SEE Plate12
19	19/4/2012	No Complaints, Everything normal, Living happily	Treatment finished	He thanked HAHNEMANN

Fig: 1. Ultra scan image of prostate enlargement before and after homeopathy treatment

Fig: 2. Reduction of PSA level during treatment –Medical lab report ATTACHED

Conclusion

Generally, I used to hesitate and avoid prescribing a rare remedy in my practice, because rare remedies are not fully proved. However, in this case, Ferrum picrium 30 c was given and it did not show effective results. I selected this rare remedy as I recalled this keynote symptom from material medica PROSTATIC ENLARGEMENT WITH PROFOUND PROSTRATION, because this patient had expressed profound fatigue and prostration with almost every complaint. However, phosphorus helped him fully. Because his totality of symptoms, miasmatic and constitutional portrait matched very well with phosphorus.

Finally, I closed this case with CARCINOSINUM 1000 to ELIMINATE cancerous cachexia and to avoid further recurrences.

I want to convey the message through this article that

Common remedies are always common. If we select a rare remedy, we will be rarely correct.

Once again, this case demonstrates that homeopathy is not an alternate medicine but an ultimate medicine.

A.P. Sivakumaran

Dr. A.P.Sivakumaran graduated from Dr. MGR. Medical University and is the founder of the Genuine Homeopathic Clinical Research Center, Tamilnadu India, where is practices classical homeopathy. Visit Dr. Kumaran’s blog: www.gnanapattarai.blogspot.com, www.homoeopat.blogspot.com