Polycystic kidneys (synonym: Congenital polycystic kidneys)’”A Rare Disease

Last modified on September 8th, 2012

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Dr. Nilanjana Basu successfully treats a case of congenital polycystic kidneys, which disease had claimed the lives of four other family members. Fully documented.

Introduction: Polycystic kidneys are hereditary and can be transmitted by either parent as an autosomal dominant trait. The disease is usually not detectable on standard imaging until the 2nd and 3rd decades of life and does not usually manifest itself clinically before the age of 30 years.

Pathology: The kidneys become enormously enlarged, the cysts giving the appearance of a collection of bubbles below the renal capsule. On histological section, the renal parenchyma is riddled with cysts of varying size containing clear fluid, thick brown material or coagulated blood. In 18% of cases there is a congenital cystic liver disease. The pancreas and lungs are occasionally affected as well. The etiology of all renal cysts is uncertain although theories abound.

Clinical features:

  • Irregular upper quadrant abdominal mass
  • Loin pain
  • Haematuria
  • Infection
  • Hypertension
  • Uraemia

Uraemia: Patients with congenital cystic kidneys pass large volumes of urine of low specific gravity (1.010 or less) which contains a trace of albumin but no casts or cells. Chronic renal failure develops as functioning renal tissue is replaced progressively by cysts. The patient complains of anorexia, headache and vague abdominal discomfort. As the symptoms are non-specific, the diagnosis may be missed until drowsiness and vomiting result from the biochemical derangement. Severe anaemia is common. Signs of end-stage renal failure often begin suddenly during middle life, and the patient is unlikely to survive without renal replacement by dialysis or renal transplantation.

Case report: A 35 years old male presenting with pain in both loins. His pain first appeared on the right side 4 years ago which was treated with some allopathic medicines and the pain subsided. There was burning in the part since then and no diagnosis was made. He had pain in left loin 11 days ago.

Past history- He had jaundice 10 years ago.

-Chicken pox 4 years ago

Family history- Mother-alive-Hypertension

Father-died-Polycystic kidney disease

Grandfather-died-Polycystic kidney disease

Uncle-died-Polycystic kidney disease

Brother -died-Polycystic kidney disease

Brother-alive-Polycystic kidney disease

Brother-alive-Renal mass

Sister-died-Polycystic kidney disease hernia

Son-alive-Bilateral inguinal hernia

Generalities:

Appetite: Good, can’t wait for food when hungry. Flatulence if he not eat for long

Desire: Salty food, eggs, very warm food

Thirst: Profuse, large quantities at a time

Tongue: Coated, moist

Sleep: Wakes due to slightest noise and lies on back

Stool: Regular, twice a day

Urine: Comes in drops

Mental generals: Irritable, consolation aggravates. Desire to travel. MISER. Does not work.

USG report  and family history suggested POLYCYSTIC KIDNEY DISEASE.

On the basis of the following symptoms:–

  • Complaint started from right side to left
  • Pain associated with flatulence >ed by flatus
  • H/o jaundice
  • Present complaint was affection of liver and kidneys
  • Desire for very warm food
  • MISER

Lycopodium was the medicine selected and was given in fifty millesimal potency three times daily on 11.10.09

Follow up:

19.10.09 – Burning in loin was relieved. Urine now comes in proper flow and quantity increased. Distension of abdomen was relieved.

Lycopodium was given in 0/2 to 0/9 and another USG was done on 24.2.10

Analysis:

Date Right kidney Left kidney
5.10.09191mm194mm
24.2.10195mm175mm

There was marked reduction in size of left kidney and complaints of the patient i.e. pain and burning in loin, scanty urination, distension and flatulence of abdomen subsided. The patient feels healthy, has a good appetite and further rapid progression of cyst formation is restricted with only homeopathic treatment, which is always evident otherwise. This case also proves the fact that constitutional treatment gives good results in rare diseases like POLYCYSTIC KIDNEY DISEASE.

About the author

Nilanjana Basu

Nilanjana Basu

Dr. Nilanjana Basu, - B.H.M.S. (C.U.) is a lecturer at Department of Surgery, Bakson Homoeopathic Medical College, Greater Noida.

25 Comments

  • Dr. Nilanjana,

    Really nice to have cases with this kind of documentation of the cure . It’s a real service to the profession. Thank you!

    Doug Brown, RSHom(NA), CCH, FNP
    Portland, Oregon
    USA

  • This article interested me because my father had Polycystic Kidney Disease. It’s a question if I have it, but if I do, I may not have any trouble until I’m older. But since it’s genetic, my children and I have this to be concerned about. I’m so happy to see how Homeopathy helped this patient.

    • Dear Razel,
      Firstly thanks for showing your interest in the case. If your father had this disease, it is very likely that you might have it too, in later age. If you are having children, start giving homoeopathic medicines of their consitutional symptoms. It will help to delay their appearance of cyst. If anyone is pregnant in your family, give the mother constitutional medicine throughout the pregnancy so that it will help the unborn child to again delay or maybe avoid this dreaded disease.

      Thank you.

  • I have just received the recent USG report of the patient. The Right kidney is now measuring 197 mm amd the left one is 204 mm as on 11.1.11. (i.e. after one year of only homoeopathic treatment the kidney size is not remarkably increased) This case is very important for homoeopathy as it is restricting further rapid formation of cysts in the kidney, which is always otherwise evident. There is no haematuria (which suggests there is no rupture of cysts) and the generalities of the patient is normal too.
    The medicine is still Lycopodium in fifty millesimal potency. Right now he is receiveing Lyco LM 17 on alternate days.

  • Nice article & case.great documentation of the reports.which i always use to called “EVIDENCE BASED HOMOEOPATHY” WHICH Creats impact by showing the results through documentation.thank you.

  • a very good presentation the positive approach to case like this and the results are purely homoeopathic.kudos to homoeopathy and you

  • It is a very nicely discussed case. My aunt is also suffering from the same disease, her age is about 42 years the size of the kidney is enlarged, while kidney function is normal. She has multiple cysts in both kidneys Kindly tell me if the same medicine can be used for the treatment of her.

    • Oh no dear Dr.Saad, the same medicine will not help. In homoeopathy the individuality of the case is very important. So your aunt might need a different remedy, depending upon the case.

      Regards
      Nilanjana

  • Dear Doctor,
    The results above show that there is a reduction in the cyst in left kidney only but not a very remarkable difference. Further, the cyst in the right kidney has rather increased in size after a treatment of four months. In my view it is not a cure. Maybe the the cyst was not measured the very first time.
    Thanks
    Pramod

    • A correction? Both the ultrasound reports show multiple cysts on 05/10 as well as on 24/02 also. So how can we say that the patient has been cured?
      Thanks
      Pramod

      • Thanks Pramod Kumar for your observation. The case is never claimed to be cured. The idea of publication of the case was to show the resistance of rapid progression of cysts with homoeopathic medicines, which is otherwise always evident. If you can kindly go through the case again you will find the later results too.
        Thanks and Regards,
        Nilanjana

  • Congrates n Thanx Dr Nilanjana …for sharing such cases ….i request if u can share your experience n knowledge of LM potency in practice….as u gave lyco in 0/2 to 0/9 ….we would like to know how n when do u shift from one level of potency to another……i surely believe LM potency is the latest n biggest gift from Dr Hahnemann to this world…

    • Thanks Dr.Mukund. I do use LM potency as and when required. The details of which is given in Organon of Medicine Aphorism 246FN.
      Regards,
      Nilanjana

  • I want to discuss with Dr. Nilanjana Basu. I am suffering from Polycystic Kidney Disease suverely. My Creatinine goes to 8.5 and Urea is 128. I want to avoid Dialysis and Transplant. Please advise. My e-mail is [email protected] and Skype id is technoplast7. If anybody else also advise, I will be thankful.

  • Hi Dr Nilanjana Basu, I am from Bangladesh, passing with a serious burning problem with left kidney stone. Mostly burning on left site sometime it happened on other portion of body. actually i did a lithotripsy from apollo bangladesh. if you suggest me for any medicine, I will very grateful. please help me, i am in serious problem.

    If you give me your email address i can contract with you and try to have treatment from you. if necessary then i will come india for treatment.

    thanks

  • Dr. neelanjan
    my name is kuldeep I am from Delhi ,I am suffering from polycystic kidney disease Regarding on this matter I want to consult you but I dont have your email id or number so can you help me .

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