Case of Acute Otitis Media (AOM) by homoeopathic approach.

📋 Case of Acute Otitis Media (AOM)

Patient Details:

  • Name: R.K.
  • Age: 7 years
  • Sex: Male
  • Date of Admission: 02/09/2025
  • IPD No.: 1025

Chief Complaint:

  • Severe right ear pain since 2 days
  • Fever since yesterday
  • Irritability and crying at night

History of Present Illness:

  • Child developed coryza with watery discharge 4 days back.
  • Pain started in right ear, worse at night, child cries and pulls ear.
  • Fever developed with restlessness and sleeplessness.
  • No ear discharge yet.

Past History:

  • Recurrent colds and sore throat.
  • No history of TB, diabetes, or major illness.

Family History:

  • Father: Allergic rhinitis
  • Mother: Hypertension

Physical Examination:

  • General: Irritable, cries on touching ear.
  • Vitals: Pulse 110/min, Temp 101°F, Resp 24/min, BP 100/60 mmHg.
  • Ear Examination:
    • Right tympanic membrane congested, bulging.
    • Tenderness on tragus pressure.
    • No discharge.
  • Throat: Congested tonsils.

Systemic Examination:

  • RS: Clear, no added sound.
  • CVS: S1 S2 heard, no murmur.
  • Abdomen: Soft, non-tender.

Provisional Diagnosis:

Acute Otitis Media (Right ear)

🧾 Repertorization

Rubrics Selected:

  1. Ear – Pain – night
  2. Ear – Pain – right
  3. Ear – Inflammation – tympanum
  4. Ear – Pulling ears – children
  5. Mind – Irritability – children – in
  6. Fever – with ear complaints

Repertorial Result (Synthesis Repertory):

Remedy Totality Score
Chamomilla 18
Belladonna 16
Pulsatilla 14
Hepar sulph 12

🎯 Final Prescription:

  • Chamomilla 200C, single dose, dissolved in water (for acute irritability, unbearable pain, child cries, wants to be carried).
  • Follow-up after 24 hrs.

Follow-up:

  • Next day: Pain reduced, child slept better, fever subsided.
  • After 3 days: No pain, tympanic membrane less congested.
  • After 7 days: Complete recovery.

✅ Justification:

  • Chamomilla is indicated in otitis media with severe intolerable pain, child irritable and wants to be carried, worse at night.
  • Belladonna could have been given if fever with marked congestion and throbbing pain predominated.
  • Pulsatilla for mild, clingy children with ear pain better in open air.


Comments

Post a Comment

Popular posts from this blog

Common Homeopathic Remedies for Pimples:

Homeopathy can effectively manage pimples (acne) by addressing the underlying causes, such as hormonal imbalances, oily skin, or digestive issues. Remedies are chosen based on the individual's specific symptoms and overall constitution. Common Homeopathic Remedies for Pimples: 1. Sulphur: For red, inflamed, and itchy pimples. Suitable for those with oily skin and a tendency to have clogged pores. 2. Pulsatilla: For pimples caused by hormonal changes, such as during menstruation or puberty. Helpful for sensitive and mild-natured individuals. 3. Calcarea Sulphurica: For pus-filled, yellowish pimples that are slow to heal. Useful for those prone to recurring acne. 4. Hepar Sulphuris: For painful, pus-filled pimples that are sensitive to touch. Effective for treating acne with a tendency to form boils. 5. Natrum Mur: For oily skin with acne, especially on the forehead and cheeks. Useful when pimples are accompanied by excessive sweating and emotional stress. 6. Silicea: For deep, cysti...
Read more

7 Day Diet Plan To Lose 2 Kgs In A Week

7 Day Diet Plan To Lose 2 Kgs In A Week ​This diet plan will help you lose about 2kg of weight We all at some point have wanted to drop some extra kilos. Losing weight can be a challenging journey, but with a well-structured meal plan, we can shed those extra kilos efficiently. Here's a 7-day diet plan that can help us lose up to 2 kg in a week. This plan includes both vegetarian and non-vegetarian options, ensuring a balanced and nutritious diet. This 7-day meal plan focuses on portion control, nutrient-dense foods, and a balanced intake of proteins, fats, and carbohydrates. Following this plan can help us achieve our weight loss goals while enjoying delicious and wholesome meals. ​Day 1: Starting with a clean slate Breakfast: Begin the day with a bowl of oatmeal topped with fresh fruits like bananas, apples, and berries. Oatmeal is rich in fibre, which keeps us full for longer periods. Mid-morning snack: Have a handful of almonds or walnuts to keep our energy levels up. Lunch: En...
Read more

ALLIUM CEPA.

  Allium Cepa. Onion (Liliaccae) Acute catarrhal inflammation of mucous membranes, with increased secretion. Catarrhal dull headache, with coryza; < in the evening, > in open air; < on returning to a warm room (compare, Euph., Puls.). Headache ceases during menses; returns when flow disappears (Lach., Zinc.). Eyes: burning, biting, smarting as from smoke, must rub them; watery and suffused; capillaries injected and excessive lachrymation. Coryza:  profuse, watery and acrid nasal discharge , with profuse, bland lachrymation (profuse, full of acrid tears, bland and fluent coryza, Euph.). Acrid, watery discharge dropping from tip of nose (Ars., Ars. iod.). Spring coryza: after damp northeasterly winds; discharge burns and corrodes nose and upper lip. Hay fever; in August every year; violent sneezing on rising from bed; from handling peaches. Nasal polypus (Mar. v., Sang., Sang. nit., Psor.). Catarrhal laryngitis; cough compels patient  to grasp the larynx ; seems as...
Read more