A Case of Prostate Cancer – with Bilateral Grade I Medical Renal Disease

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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 upDateComplaintsPrescriptionRemarks
127/7/2010Feels 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.
231/7/2010Passing urine freely. improved well. Slept for long time. No burning.Generals normalPhosphorus 0/2 single pill with 120ml aqueous solution 5ml for every 1hr each time after 10 strong succussions.SEE Plate 2
39/8/2010Complaints nothing improved well Phosphorus 0/3 single pill with220ml aqueous solution 5ml for every 6hrs each time after 10 strong succussions.SEE Plate 3
415/8/2010Complaints nothing improved well.Phosphorus 0/4 single pill with220ml aqueous solution 5ml for every 6hrs each time after 10 strong succussions.SEE Plate 4
54/9/2010Complaints nothingplaceboSEE Plate 5
612/9/2010Complaints nothingplaceboSEE Plate 6
71/10/2010Complaints nothingplacebo
823/10/2010Complaints nothingplaceboSEE Plate 7
910/11/2010Complaints nothingplacebo
1025/11/2010Complaints nothingplacebo
1110/12/2010Complaints nothingplacebo
1224/12/2010Complaints nothingplacebo
1311/1/2011Complaints nothingplaceboSEE Plate 8
1414/2/2011Complaints nothingplacebo
158/4/2011Complaints nothingCarcinosinum 1M-1d oral dry doseSEE Plate 9
1615/9/2011Complaints nothingTreatment stoppedSEE Plate10
176/4/2012Complaints nothingTreatment stoppedP.S.A review takenSEE Plate11
1818/4/2012Complaints nothingUltra sonogram takenSEE Plate12
1919/4/2012No Complaints, Everything normal, Living happilyTreatment finishedHe 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.

About the author

A.P. Sivakumaran

A.P. Sivakumaran

Doctor.Sivakumaran graduated from Dr. MGR. Medical University , P.G in psychology, prof in yoga and natural living, dietitian, and is the founder of the Genuine Homeopathic Clinical Research Center, Tamilnadu India, where is practices classical homeopathy. Visit Dr. Kumaran’s blog:http://www.doctorsivakumaran.blogspot.in www..com/bestdoctor

12 Comments

  • Could explain potencies and dosage a bit further please??
    What 0/1,0/2 correspond to? Is it lm or centesimal?
    Is the patient taking the remedy in water every 1/2 for how many doses a day?
    Thanks

    • thank you doctor, hope you all fine…

      it is 50 millesimal potency.

      Hahnemann had clearly advice about the administration of the medicine in aphorism 248, Organon 6th edn.

      * In very urgent cases, well selected medicine is to be administered every hour or oftener (i.e. in this case we may apply medicine every 5, 10, 15, 30, 60 minutes interval as necessary – S.C.)
      * In general acute cases, medicine is to be applied after every two to six hourly.
      * In long lasting diseases (i.e. Chronic diseases – S.C.) daily or every second day.

      please also check it in aphorism 265 and 273 of sixth edition of organon.

      please follow

      thank you once again.

      sivakumaran.

  • doctor, congrats. case was interesting. Do u give any acute remedies if any acute ailments prop uo in between the treatment? how do u manage?

  • thank you doctor, hope you all fine…

    no, i didn’t give any (so called acute)remedy in this particular case.

    sorry, i don’t feel such difference in my practice, like acute remedy or chronic remedy.

    even i used aconite and alliumcepa in chronic cases. also calccarb in acute cases too..

    i used to give more importance to symptoms which brings the patient to the doctor (ie) available characteristic totality , than any other shortcuts.

    i believe only available symptoms similarity with medicine. if necessary i used to change the remedy, not too hasty.

    i don’t believe inter-current remedies.. of-course these are all myths.

    it is only my experience.

    please check it in your practice as narrated in aphorism 265 and 273 of sixth edition of organon.

    please follow

    thank you once again. forgive me if you feel anything wrong in my opinion.

    sivakumaran.

  • Thanks for the article. I’ve a question, whether carcinosin needs to be repeated ? If so in what potency?

  • My congrats for your excellent success. Can you pls highlight the rubrics
    selected in this case and how you finally settled down on Phos.
    Thanks in advance,
    V T Yekkirala.

  • Dr.Siva has gone very deep in applying symptom based theory and he has shown the way how he is successful in his attempt. My sincere congrats for your valuable presentation of a case which has been treated with homeopathy. I will be grateful to you if you could bring cases like this in H.pathy com.

  • Good case , thanks for sharing.
    wish to bring to light few facts regarding PSA, it is a prostate specific antigen, but not a confirmatory test for malignancy, It is raised even in UTI, here as the pt was having burning micturition, as it is mentioned in the case –Difficulty urinating, painful frequent urination <at night and burning sensation+++ <during urination,
    THIS IS MORE OF A UTI, and not malignancy, I had spoken about this to a urologist in detail, and he told me this fact regarding PSA, so doc -keep up the good work, but pl change the diagnosis 🙂

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