IPD Case Record – Homoeopathy appendicitis case.


🏥 IPD Case Record – Homoeopathy

1. Patient Details

  • Name: Mrs. Sunita Sharma
  • Age/Sex: 32 years / Female
  • IPD No.: 024/2025
  • Date of Admission: 21/10/2025
  • Date of Case Taking: 21/10/2025
  • Consultant: Dr. Nisha
  • Occupation: Housewife
  • Address: Jaipur, Rajasthan

2. Chief Complaints

  1. Severe pain in right lower abdomen – since 3 days
  2. Nausea with vomiting – since 1 day
  3. Mild fever – since yesterday

3. History of Present Complaints

Patient was apparently well 3 days ago when she developed sudden pain around the umbilical region.
After a few hours, pain shifted to the right lower abdomen. It gradually increased in intensity.
The pain is aggravated by slightest movement, coughing, or walking and relieved by lying still and by pressure.

She also complains of nausea with bitter vomiting and dryness of mouth.
Mild fever since last night with flushed face and throbbing headache.

No history of diarrhoea or urinary complaints. Appetite diminished.

4. Past History

  • Typhoid fever – 10 years back (recovered)
  • No history of tuberculosis, diabetes, hypertension, or surgery

5. Family History

  • Father – diabetic
  • Mother – hypertensive
  • No family history of tuberculosis or cancer

6. Personal History

  • Appetite: Decreased
  • Thirst: Less, prefers small sips frequently
  • Desires: Sour and spicy food
  • Aversions: Milk
  • Bowel: Constipated, stool hard, unsatisfactory
  • Urine: Normal
  • Sleep: Disturbed due to pain
  • Perspiration: Profuse on face during fever
  • Menses: Regular, flow normal, 3/28 days
  • Habits: Occasional tea

7. Physical Generals

  • Thermal Reaction: Hot patient
  • Build: Medium
  • Weight: 54 kg
  • Height: 158 cm
  • Tongue: Dry, white-coated
  • Pulse: 96/min
  • BP: 118/80 mmHg
  • Temperature: 100.2°F
  • Respiration: 20/min

8. Mental Generals

  • Irritable, sensitive to noise and light
  • Easily frightened by sudden noises
  • Prefers to be left alone when in pain
  • Does not like interference
  • Feels anxious about illness

9. Physical Examination

  • Abdomen:
    • Tenderness in right iliac fossa
    • Guarding present
    • Rebound tenderness positive
    • No rigidity or distension
  • Respiratory system: Clear
  • Cardiovascular system: Normal heart sounds
  • Nervous system: Intact
  • Locomotor system: Normal

10. Provisional Diagnosis

👉 Acute Appendicitis

11. Investigations

Test Result
CBC WBC count – 13,000/cmm (↑)
Urine Routine Normal
USG Abdomen Mildly thickened appendix (suggestive of acute inflammation)

12. Totality of Symptoms

  1. Sudden onset of complaint
  2. Pain shifting from umbilicus to right iliac fossa
  3. Pain aggravated by movement, touch, jar
  4. Relieved by rest and pressure
  5. Thirstless despite fever
  6. Hot patient, flushed face
  7. Irritability, aversion to company
  8. Dry mouth and tongue

13. Repertorization (Kent’s Repertory)

Rubric Remedy
Abdomen – Pain – motion aggravates Bryonia, Belladonna
Abdomen – Pain – touch aggravates Belladonna
Abdomen – Pain – pressure ameliorates Bryonia
Fever – heat with redness of face Belladonna
Mind – irritability – during pain Belladonna

Common remedies appearing:

  • Belladonna (highest score)
  • Bryonia
  • Lachesis

14. Remedy Selected

👉 Belladonna 200C

15. Prescription

  • Rx: Belladonna 200C, 4 pills every 3 hours × 6 doses
  • Sac Lac 4 pills, tds for 2 days
  • Diet: Light, non-spicy food, liquids encouraged
  • Rest: Complete bed rest

16. Follow-Up

Date Observation Medicine
22/10/2025 Pain reduced by 50%, fever subsided, appetite improving Belladonna 200C 1 dose
23/10/2025 Pain mild, no nausea, normal temperature Sac Lac for 2 days
25/10/2025 No tenderness, patient feels energetic Discharge advised

17. Final Outcome

Patient completely relieved of pain and fever.
No tenderness on examination.
USG after one week – Appendix normal.
👉 Cured.

18. Advice on Discharge

  • Avoid heavy and spicy food for a week
  • Maintain hydration
  • Follow-up after 1 month

✅ Final Diagnosis: Acute Appendicitis — Cured with Belladonna 200C


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