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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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