Browsing by Author "Nahar, Laijun"
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Item Individualised homoeopathic treatment for pilonidal sinus(Central Council for Research in Homoeopathy, 2024) Paliwal, Sumit; Nahar, Laijun; Paliwal, RachnaIntroduction: Pilonidal sinus is a very common inflammatory disease of the gluteal region. The most common site of occurrence is the natal cleft. It can cause discomfort, absence from work and social embarrassment. There is no single, widely accepted therapy available for this condition. In most cases, the treatment option for this disease is surgical intervention, but recurrences following surgery are common. Case Summary: A 15-year-old male patient reported discharge from the sinus cavity in the natal cleft along with pain and discomfort. Nitric acid, a homoeopathic medicine, was prescribed during the initial consultation and the patient was followed up for four months at regular intervals. The Visual Analog Scale and the Outcome Related to the Impact on Daily Living (ORIDL) scale were used to assess the patient’s subjective improvement. The signs of objective improvement were documented through photographs. The score for Modified Naranjo Criteria for Homoeopathy (MONARCH) was +8, which supports the causal attribution of the individualised homoeopathic medicine Nitric acid to the success of this case.Item Laryngopharyngeal reflux disease with vocal cord oedema treated with individualised homoeopathic medicine(Central Council for Research in Homoeopathy, 2024) Pal, Partha Pratim; Nahar, LaijunIntroduction: The diagnosis of laryngopharyngeal reflux disease (LPRD) is still ambiguous due to limited and cumbersome diagnostic standards. To achieve regression of both symptoms and laryngeal findings due to LPRD, it typically requires more vigorous and sustained treatment. In certain patients with chronic acid or non-acid reflux, surgery may be helpful. Case Summary: This is the case of a 68-year-old man who was diagnosed with LPRD and had vocal cord oedema. individualised homoeopathic medicine, Natrum sulphuricum, was prescribed, and the patient improved steadily in terms of signs and symptoms and had no further complaints at the end of 16 months. The patient’s improvement was assessed using the outcome related to the impact on daily living scale (ORIDL). Clinical improvement was correlated with objective evidence from the laryngoscopy report. The Modified Naranjo Criteria for Homoeopathy score (+8 on the ‘−6 to +13’ scale) determines if the patient’s progress can be attributed to the homoeopathic treatment. This case report implies that homoeopathy may be an appropriate choice for treating LPRD with vocal cord oedema cases. This is the rare instance of a documented LPRD case report associated with vocal cord oedema followed by a successful therapeutic homoeopathic treatment. For further conclusion regarding the disease, more studies are warranted.