Homeopathy Tips for 4/16/13 More on the Importance of Diagnosis

I recently had a client that reported severe left testicular pain. My first thought was that there may be a testicular torsion or orchitis. After asking more questions the pain extended to his groin area in the inguinal crease. I investigated a possibility of hernia also and sure enough he had been doing some heavy lifting two days before. Without a diagnosis I was left to go only by guiding symptoms. This is the basis of the homeopathic prescription anyway but without a diagnosis I was still only guessing what the problem really was.

Feeling that the cause of the discomfort was from a possible strained muscle or hernia I prescribed one dose of Staphysagria 200c. Staphysagria matched his overall presenting symptoms and was specific for the pain in the testes extending to the abdomen.   I also asked that we communicate the very first thing the next day to see how he was feeling.

As scheduled we spoke at 8AM the following morning and his condition was now worse. His pain had gone from a number 6 to a number 8 with times of shooting pain that approached a 10. Clearly he was not improving and a diagnosis was necessary. I sent him to the emergency room immediately.

Once at the emergency room the doctor asked similar questions about lifting etc. and performed the standard cough test. To his surprise he did not feel a hernia. He then ordered an ultrasound of the testicles to see if there was anything unusual that might be associated with swelling or torsion. Torsion is a twisting of the testicle and cords that will possible cut off blood supply and cause tissues to die. My original concerns were verified by the doctor. The results of the ultrasound came back and they were negative also. No hernia, no torsion or orchitis.

The previous day I had asked if there was fever and he had replied that no he felt no fever. Unfortunately he was not in my office for the initial visit and I trusted his report. At the emergency room the first scan for fever reported no fever. This was performed with a wand across the forehead. The second time his temperature was taken reported a fever of 103 degrees just an hour later. Now the plot had thickened. He was experiencing some kind of infection.

Blood tests were taken, and yes, his white blood cell count was higher than normal. Clearly the first idea of hernia was wrong and the first remedy was of no real benefit. There was clearly an infection happening that was causing the pain. The next test the emergency room doctor performed was a CAT scan of the abdomen to look for any abnormalities and the cause of the pain/infection.

After another hour had passed the results were finally in. It had been six hours already in the emergency room and the diagnosis was confirmed. This was an acute infection of the diverticuli. Diverticulitis is usually a disease of much older persons and was not a first thought for the emergency room doctor or myself. This is a condition where the colon ulcerates and forms a pocket. This most often becomes irritated and can cause pain or discomfort but not usually infection. Infection in the diverticuli is a much more serious condition. This can lead to sepsis or rupture of the pocket. Like any internal infection the doctor prescribed antibiotics. At this point I did not blame the client for the decision to take them. He was clearly in acute pain and very sick.

The doctor wanted to hospitalize him for further observation and monitoring but the client refused. After this report of the emergency room visit and a diagnosis I insisted we talk again the following morning. He then reported that he felt only mildly better but at that time had been on the antibiotic only around 12 hours. Now the real investigation into his case was beginning. The first remedy was based on the symptom and the idea of hernia. Now there was an acute inflammation happening and it was related to his digestion and had nothing to do with the hernia, connective tissues or the testes.

So I began looking for a remedy that affected the colon or digestion and inflammation/infection. The major guiding clues were all emotional. He had been feeling powerless in his work and was unhappy. He also reported that he felt like he was at work all of the time. Even when he was at home and with family he felt responsible to his work yet at the same time very unsatisfied and unappreciated. The rubric I used was, Mind: Delusions; duty, he has neglected his. This led to the remedy Lycopodium 12C two times per day that has helped tremendously. After just a few days on the remedy his spirits have improved. Yes, his physical symptoms are improving also with antibiotics but even after feeling a bit better physically it is the mental shift that is indicating the healing. Prior to the Lycopodium he was depressed, unhappy and powerless. Now he is much more optimistic and feeling as though he can make his life situation work.

So the lesson that is reinforced here is the importance of the diagnosis. When a client comes with an acute condition it is good to think of all of the possibilities. Staphysagria was a good prescription but it did not work. When the client is getting worse, then searching for more remedies without a diagnosis can be futile and even dangerous. I am very glad that I sent him to hospital when I did. Had he gone another day without  either the right remedy or a positive diagnosis it could have been a very dangerous situation. We must know when it is necessary to utilize the expertise of western medicine and hospitals. In the end they may very well have saved his life.

4 comments so far

  1. Sandy S on

    Thanks, Robert. Great tip and case to remind us to work in concert with the allopathic community.

  2. rabia jehangir on

    yes it was nice tools of diagnostic technique should be used where required.

  3. Dr. Ehtisham-ul-Haq Makhdoom on

    Robert you have done a very good job Congratulations on the success of your case. but plz. always keep in mind in acute case and for the vital organ always prescribe a poly crest remedy instead of constitutional one. your first selected remedy (Staphysagria) was also good but it was not for the acute case i think that you had to be started by Aconite 6 with the repetition of every half an hour to get better results. anyhow thanks to share your case

  4. Sarfaraz on

    Really very useful article and a guideline.We must an option of hospitalization in certain cases..

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