Followup of Miliria Pustula case

First Part of the case is here (click and read)

This case now not doing well. Merc Sol produced no benefit. Then Few doses of Psornium given (boils caused by warmth)and this caused some relief in scalp boils mainly dried discharge and redness, but meanwhile patient developed 3-4 reddish papules on nose and eyes. Then Calc Sulph and Silicia was given to abort the process early, but sometimes it seems to do better , but again new boil come on. I also out of reach for the mother and during this time parents decided to consult allopathic doctor who gave him Amoxicillin syrup twice a day and Azithromycin syrup once a day for three days. This is the first day when I am writing this post. Calendula @ and alternate warm and cold compresses were also advised the patient, which she reports she has done for sometimes and she noticed it helps to bring the pus on surface and subsequently healing soon. The mother will see me after three days to report how she is doing

Follow-up-Fever with sever chill and homoeopathic/disease aggravation- UTI with severe chill

The patient's daughter visited me regarding his father's health. She reported that on last Saturday she went to an allopath who told her that her father may be suffering from either typhoid or UTI. He written for some lab work for to rule out these conditions and there was no typhoid fever on widal test and suggestion of UTI with elevated ESR and anemia with hemoglobin of 9.3. He started him on Oflox 200 mg bid PCM 500 mg t.i.d. and nimulac 100 mg bid and iron pills after half hour each meal. He is feeling well, but intermittently get unwell i.e. one episode of fever with chill on Wednesday afternoon after walkig about 1 mile and on Saturday morning feeling an episode of dizziness otherwise all thing is normal with weakness. She asked me about my insight about her father and I told that on PCM, nimulac, and antibiotics I can only say that he is fighting with infection from UTI and suggested some urine test to assess his renal function as PCM and nimusulide can disturb liver and renal function.

Upon questioning activities around first episode of fever and chill, the daughter told that her father and mother came here Lucknow on January 25, 2009 for visiting her. Up to 7 February, 2009 he was walking a lot visiting his old co-workers and friends in Lucknow (I got impression of dehydration from such activities) when he had an moderate attack of chill at night and she gave her some PCM and everything got okayed. On 9 February, 2009 they gone for picnic with they drink there sweetcane juice (got an idea of unhygienic food intake) and the next day morning he get second attack of fever with chill when she gave her Nux advised by me from which his condition got aggravated. After one day treatment and two day waiting his father lost faith on me and then amoxicillin 250 mg bid without PCM for three with only night fever by a medical person within the family and then finally on Saturday consulted with the allopath.

I could not understand the role PCM 500 mg t.i.d. and nimusulide 100 mg b.i.d. dosages. I believe that antipyretic therapy should not be started in early phase of fever especially in the case of children and retired old persons if possible. They should wait for at least one week with proper rest and homoeopathic treatment and other alternative mode of reatment.

Fever with sever chill and homoeopathic/disease aggravation

This case was very frightening and suprising one. I was called by one female patient of mine to advise homoeopathic medicine regarding her father who was running a low grade fever with mild shivering.

Upon questioning, the daughter reported that three days ago her father had an episode of fever with similar symptomatology i.e. fever started with severe feeling of chillness followed by shivering and light headache at night and daughter gave him paracetamol 500 mg tablets at night and one in afternoon and symptoms resolved.

Now this time, fever started in morning when patient got up from bed and was feeling completely well, gone to toilet but no stool at all so constipated, and then go for a brief walk and upon returning feel chilly and got feeling of onset of same type of fever. At this time, the daughter called me and reported these things. Due to excessive shivering and requirement of much clothing and history of taking allopathic drugs, I advised her to gave three doses of Nux Vomica 30C at 10 minute interval.

After first dose of Nux Vomica, just within 10 minutes her father got marked worsening of his symptoms and daughter got worried and called me once again, I reassured her that it might be a homoeopathic aggravation and would be settle down within 10-15 minutes and advised not to give him second dose medicine has started its work.

On afternoon, the daughter called and reported that the shivering episode was about 35 minuets and was very frightening for family members. Her father gone for frequent urination and had some nausea and tried to vomit, but was not successful. After 30 minutes, shivering was completely resolved with profuse sweating, light headache, and may be some low-grade fever. I advised daughter to wait.

On evening, daughter visited and reported all events in detail and said that he is still not feeling well with some mild fever and headache and reported that she gave her amoxicillin 250 mg capsule at the request of his father who is used to take this medication whenever he gets fever. I advised her to give one dose of Nux Vomica in the view of that it will not produce such strong aggravation and the patient would be benefited.

She gave her one dose of Nux Vomica with some water and surprisingly the patient once again got the feeling of chilliness and followed by severe shivering Not severe as morning and fever and frequent urination and at this time he vomited large amount of yellowish vomit within 30 minutes and the shivering subsided following this vomiting. Fever gradually settle down and completely resolved at 10:00 pm when the daughter reported the all event once again.

I reassured her that now everything would be now fine as he vomited for which I gave advised her. She asked about amoxicillin dose, I advise her to finish its course also and gave him at least for two days and advised her to report me on afternoon.
On afternoon, she reported she is doing fine with no fever, shivering, headache, and feeling quite well and surprising how strong shivering he got; which had never in his 67 years of life. He wonders how a few drops can cause these things, but is now afraid to try Nux Vomica at this time.

Conclusion, it was a homoeopathic aggravation, but the patient does not benefited fully due to some reasons may be some underlying significant bacteria/viral overload and low vitality