DIAGNOSIS:
Diagnosis is made by thyroid function test (TFT) which measures the concentration of thyroid stimulating hormone (TSH), triiodothyronine (T3), and tetraiodothyronine (T4) in blood.
Homoeopathic system of medicine treats patient based on the ―law of similia‖. A careful review of homoeopathic literature describes the scope in management of hypothyroidism with homoeopathy. Most of the time constitutional defects leads to the development of endocrine disorders like hypothyroidism. Conventional treatment for hypothyroidism includes thyroxine given in a dose of 1.6 μg/kg in adults orally as single daily doses. Average daily dose for adults is 0.1-0.2 mg of L- thyroxine sodium.1 In aphorisms, it is mentioned that no real cure of a disease can take place without a strict individualization of each case of disease which is possible by studying the individual, characteristic symptoms produced by the patient. Homoeopathy plays a role in such conditions because the remedy selection depends on individual totality.4
CASE REPORT
This is a case report of a male patient aged 32 years, working for IT based company at Bangalore who presented to the outpatient department of Government Homoeopathic Medical College and Hospital on 04.11.2022 with the complaints of gradual weight gain and increasing hair fall since almost a year.
The patient was apparently healthy till last year after which he gradually started gaining weight (almost 8-9 kg in past 1 year) and eventually started noticing bunches of hair falling off from root. He also corroborates this incidence with development of his symptoms like increased mental sensitiveness and getting angered easily. The onset and progression of complaints has been gradual.
PAST HISTORY
Used to frequently get headaches during childhood
Known Case of- Hypothyroidism – diagnosed 1 week back- not under any medication
FAMILY HISTORY
Father- Apparently healthy
Mother- Hypothyroidism for 15 years
Brother- Apparently healthy
PERSONAL HISTORY
Diet- Mixed
Appetite- Reduced
Thirst- Thirsty
Desire- Nothing specific
Aversion- Nothing specific
Micturition- 4-5 times/ day; 1time/ night
Bowel- Regular, Satisfactory.
Sleep- Refreshing
Dreams- Nothing significant
Perspiration- Generalized, No odour, no staining
Thermals- Chilly
LIFE SPACE INVESTIGATION
Patient belong to good socioeconomic status. His childhood was uneventful, has always been good at studies. He got married at the age of 28 years. Wife has always been dominating. He couldn‘t speak against her because he was scared of ruining their relationship. A year back there was an issue at home between his wife and his brother where he felt his opinion wasn‘t considered and his wife blamed him for not being supportive in spite of, he trying his best to be there for her. He was very hurt by this comment, but then tried moving on. Every small argument at home has started to make him very angry then on, but never really tried showing it as he felt he would again lose in argument. He still feels if he would have tried stopping his brother from getting into argument with his wife then, today he wouldn‘t have been blamed by his wife this way.
GENERAL PHYSICAL EXAMINATION
No signs of pallor, cyanosis, clubbing, icterus, oedema and lymphadenopathy.
Nails-pink.
Height-5 feet 7 inch.
Weight-72 kg.
Tongue-clean, moist.
Skin-No abnormalities.
Hair-Falling of hair from root. Thinning of hair was seen and hair was dry and rough in texture.
VITAL SIGNS
Temperature- afebrile at the time of examination.
Pulse- 72 beats /min.
Respiratory rate- 18 cycles/ min.
Blood pressure- 122/80 mm Hg.
SYSTEMIC EXAMINATION
Respiratory system- NVBS audible, no added sounds
Cardiovascular system-S1, S2 heard, no murmur
GIT-Bowel sounds heard, per abdomen soft and tender
LOCAL EXAMINATION
No swelling or lobe enlargement seen
No local tenderness
INVESTIGATION
28.10.2022 : TSH- 204.217; T3- 0.55; T4- 2.0
PROVISIONAL DIAGNOSIS
Hypothyroidism
EVALUATION OF THE CASE