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76 years old male patient, Mr. N. G. P (Patient ref. no.:
S5187) was brought to the clinic for complaints of
decreased appetite since the last 2-3 months. This had got
still worse in the last one month. He also complained of
generalised weakness due to the same. He had suffered from
a stroke (lacunar infarct) about 4 months back. He had
started developing recurrent episodes of hypoglycaemia
recently whereby his blood sugar level would go below
30mg/dl and he would develop unconsciousness due to the
same. He had been hospitalised 6 times for such episodes
and all investigations done were normal. There was no
evidence of any pancreatic tumour or adrenal tumour on
investigating. His diabetologist declared this as a case
of Idiopathic Hypoglycaemia.
He also complained of bowel disorder since one month
whereby he would alternately get diarrhoea or
constipation. He would also have dull aching pain in the
abdomen that would be more localised to the region of the
epigastrium.
He was fond of sweets although he wouldn’t even take
sweets since the onset of complaints. His thirst was
normal and he no complaints in relation to urination. His
sleep had decreased markedly and he was very anxious due
to this.
He stayed with his son, daughter-in-law and grandchildren.
He had some dispute with his daughter-in-law and they
could never get along with each other. He constantly felt
lonely and sad in general. He had loathing for life and he
said he was not afraid of death. He also felt nervous due
to these complaints that he was developing.
Based on the above history, he was prescribed Phosphorus
200 along with a single dose of Carcinosin 50. His family
was advised to keep a daily check on his blood sugar
levels. 2 weeks later, he reported to us with slight
improvement in his appetite. His blood sugar levels
remained on average between 40 to 80 whenever checked.
During this span of 2 weeks he did not get any episode of
hypoglycaemia at all. The medication was continued after
adding Baryta Carbonicum 200 to his regular medicines. He
maintained to have a poor appetite for some time and he
did get hypoglycaemic episodes about twice in the next 2
weeks. The potency of the medicines was stepped up and
there was further improvement in his health. He got just 1
hypoglycaemic attack in the next 2 weeks after which he
did not have any further episodes. His blood sugar levels
continued to improve and maintained on about 75mg/dl
thereafter. Another few months of medication saw
improvement in his appetite and his blood sugar levels had
also stabilised by now. The generalised weakness that he
would constantly feel was also much better than before.
The treatment was concluded after some time.
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