Patient Details: A 50 year old, male patient came for consultation on 6/07/2017. Patient Complaints:Patient had a history of severe radiating pain from loin to groin and lower back since 3 months. Blood mixed urine rarely since 3 months.Burning sensation while urinating since 3 months.Urgency for urination since 2 months.Reduced appetite and vomiting sensation since 1 month.On examination:Pallor- AbsentIcterus- AbsentEdema- AbsentClubbing-AbsentCyanosis-AbsentLymph nodes- Not enlargedPersonal history- Appetite: Reduced due to vomiting sensationBowel: Clear and normal once/dayMicturition: Burning sensation and severe painSleep: NormalOn palpating the abdomen, there was tenderness on deep palpating the kidneys. No other positive signs on examination. Investigation and Examination: USG abdomen,pelvis done on 8th July,2017 revealed – Left kidney showed mild hydroureteronephrosis due to an 11 mm calculus at UV junction.
The patient was treated with the following oral medicines for two months-
Pashanabheda di Kwatha: Freshly prepared pashanabheda di kwatha was given to the patient, 30 ml three times a day, morning and evening.
Stonex capsule: 2 capsules, two times a day with water, after food
Styplon tablet: 1 tablet two times a day after food with water.
Diet and lifestyle changes:
Patient was advised not to take food with high calcium content.
Water intake was increased significantly.
Patient was told to take Sugarcane juice frequently.
Patient was advised to avoid more of coffee/tea/anything caffeinated.
Result after two months–
Repeat USG abdomen,pelvis done in November 2017 shows: Both kidneys show 1-2 calculus of 3-4 mm size each. No sign of hydronephrosis seen (the 11 mm calculus had gone).
Changes in symptoms and signs- Patient was comparatively comfortable with marked reduction in radiating pain from loin to groin. There was also complete absence of blood mixed urine or burning sensation while urinating.
Summary
Ayurvedic therapy is very effective in the management of urinary calculi with only oral medications. Even when the size of the stone (11 mm) was a complete indication for surgery, this particular case was managed completely by oral medications of Ayurveda with strict lifestyle changes. Another feather on the cap was, there was a repeat USG done in August 2018 just for the confirmation of whether the calculi was gone and it showed- Absolutely no evidence of calculi.
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