Concluded Case

Bulky uterus and bilateral bulky overies

36 year old female patient coming with the C/O burning and pain during passing urine Since 6-7 months Severe itching in vaginal part After itching she bleeds out and Pain. Mental status is very worried about himself and family. Painful coition Weakness and dizziness Headache in frontal region Disturb sleep Thirst decrease She is HTN also. History Family history . No Vitals Bp - 150/90 HB - 9 gm% Physical Examination PV - shows swelling and redness are present In vaginal part Investigations USG abdomen Diagnosis Bulky uterus and bilateral bulky overies Management .Sepia 200-tds .Fraxinus Americana Q-tds for one month .Nat Mur 1m 3 dose weekly once in 3 week

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Concluded answer

Follow up - she getting feeling well. itching and burning is stopped in this month menstrual cycle is normal. general weakness+ I advised china 30 TDS kreosotum 200

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If vagina is dry think about Lycopodium, because itching, painful coition, bulky uterus etc. are indicating Lyco. Oter two medicines Medorrhinum and Nitric acid may be needed later

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Rx Punarmavashtak qwath BD Kanchnar guggul 2bd Galo ghan tab 1bd for 4 to 6 weeks,

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Lycopodium 1m one dose

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Sulphur 200ch OD for 1week Review after 2 weeks and add constitutional remedy

Rx Constitutional remedy with PQRS

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Sepia 200 Pulsatilla 200

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Sepia 1 M single dose Cantharis 30 TDs Calendula Q external use

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Follow up - she getting feeling well. itching and burning is stopped in this month menstrual cycle is normal. general weakness+ I advised china 30 TDS kreosotum 200

Sepia/1 m single dose, repeat after 15 days, frexinus Q,Cal c

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Lycopodium 30 and apis mel 30 will be very helpful

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