Bristol Homeopathic Hospital

Stones lodged in the narrow lower part of the ureter can lead to acute abdomen often necessitating urgent surgical intervention. In routine medical practice, the classic manifestation of acute renal colic includes intermittent, colicky flank pain that may extend to the lower abdomen or groin. This discomfort is frequently accompanied by nausea and vomiting. The homeopathic remedy Lycopodium clavatum is notable for exhibiting symptoms characteristic of nephrolithiasis, as well as prominent hepato-biliary symptoms. This case report shows evidence of expulsion of the calculi, prompt relief in gastrointestinal symptoms, and a reduction in gallbladder inflammation in a 28-year-old female with significant ureteric calculi, cholelithiasis, and lower urinary tract symptoms.

Introduction: The burden of hernia is disproportionately high in low-to-middle-income countries, due to the lack of fundamental resources needed to effectively diagnose and manage cases. The patterns of hernia, the haematological profile, and the predictive ability of blood cell indices were all investigated in this study. Methods: Fifty-four subjects: 27 hernia patients and 27 healthy controls were included in this single-centre, unmatched case-control study. Hernia was diagnosed using physical examination and ultrasound scan. Haematological indices of each subject were measured with an automated blood cell counter. Results: Herniae recorded were 92.59% inguinal, and 3.27% each epigastric and uterine prolapse. Hernia was prevalent in males (85.2%, p=0.008) and older subjects ≥53 years (48.1%, p=0.004). HgB (p=0.006), MCHC (p≤0.001), and RDW-CV (p=0.042) levels were significantly elevated in strangulated than non-strangulated hernia and controls respectively, while Abs GRAN (p=0.024) was decreased in non-strangulated than strangulated hernia and control groups respectively. MCHC (AUC=0.947 [0.895-0.999], p≤0.001) was the most sensitive predictor for herniation followed by age (AUC=0.750 [0.610-0.889], p=0.002); HgB (AUC=0.718 [0.580-0.857], p=0.006); and RDW-CV (AUC=0.700 [0.559-0.840], p=0.012). Also, MCHC (AUC=0.831 [0.723-0.938], p≤0.001); HgB (AUC=0.738 [0.590-0.887], p=0.005); and RBC (AUC=0.671 [0.502-0.840], p=0.045) respectively, were significant predictors of strangulation. Conclusion: Gender and age were significantly associated with hernias. Inguinal hernia and strangulation were common in the study setting, especially, among males. Also, there were significant variations in erythrocyte- and leucocyte indices across the groups, but not platelets. Erythrocyte indices were significant predictive biomarkers for hernia and strangulation. The CBC is a useful test for the early detection of herniation and strangulation. Doi: 10.28991/SciMedJ-2022-0401-1 Full Text: PDF

Introduction: Continuum theory states that suppression of efficient acute inflammation is one of the mechanisms responsible for the onset of chronic low-grade inflammation, and in the presence of chronic inflammation, an organism is not capable of an efficient acute inflammatory response to pathogenic stimuli. Materials and methods: We investigated medical records from a large clinical database to assess whether chronic and acute inflammation were mutually exclusive. To evaluate this question, we gathered data on age, current diagnosis, comorbidities and last high fever. Results: A total of 927 cases of chronic inflammatory diseases were investigated. A strong association was found between increasing age and a reduction in concurrent acute and chronic inflammation (chi-squared statistic 51.26; p< .00001). Twenty-one individual cases were examined for the pattern of acute and chronic inflammatory diseases. In most cases, there was a clear increase in acute inflammatory conditions as chronic diseases improved. Conclusions: This retrospective study showed a strong association of decreasing concurrent acute and chronic inflammatory states with increasing age, and a possible mutual exclusivity of efficient acute and chronic inflammation was indicated. Since ageing is a low-grade chronic inflammatory process, it is possible that chronic inflammation precludes efficient acute inflammation, which indicates that there is a need to reconsider the manner of handling of acute inflammation in the population.

Background: Ectopic pregnancy (EP) is a leading cause of pregnancy-related death in early pregnancy increasing in incidence worldwide. Ovarian ectopic pregnancy (OP) comprises 0.15% of all pregnancies and 1% to 3% of ectopic gestations. Case Report: A patient who was detected with OP was treated with laparoscopic surgery is described. The patient was admitted through emergency or outpatient department and managed by laparoscopy. The diagnosis of ovarian pregnancy was based on history, clinical symptoms, physical examination, a positive serum B-human chorionic gonadotropin (B-HCG), and transvaginal ultrasonography. Patient was informed pre-operatively about the surgical procedures. In the patient, ovarian wedge resection was performed to restore and preserve the ovarian tissue. There was no further therapeutic intervention in the follow-up course. Postoperative recovery period was normal. Conclusion: Primary OP may occasionally occur in patients with a suspected EP. Signs and symptoms suggestive of extrauterine pregnancy, TVS, and serum ?-hCG dynamics can be a useful adjunct to allow the preoperative diagnosis of OP prior to the use of the diagnostic gold standard, diagnostic laparoscopy. Preservation of ovarian tissue should be the therapeutic goal to maintain ovarian reserve and preserve fertility in young women with OP. DOI: http://dx.doi.org/10.11593/bje.2013.0102.0016 Bangladesh Journal of Endosurgery Vol.1(2) May 2013: 39-42