Urinary bladder and bilateral renal calculi expelled through the homoeopathic medicine Nux vomica

Abstract

Introduction: Urolithiasis is one of the most common urological problems that one comes across in a general outpatient clinic. The usefulness of homoeopathic medicines in the expulsion of urinary calculus is well-reported. However, this case is unique due to an advanced case of urolithiasis, where complications had begun to appear, as also the expulsion of all calculi using the homoeopathic medicines. Case Summary: A 34-year-old male patient was diagnosed with a large, mobile urinary bladder calculus and small bilateral renal calculi, with hydronephrosis, hydroureter, and mild oedema at ureterovesical (U-V) junction. He presented with recurrent episodes of mild to moderate dull aching pain, as well as sudden onset of severe, sharp pain on both sides of the flank and in the back. He also experienced the urge to urinate frequently. Based on the characteristic symptoms, repertorial analysis, and individualisation, Nux vomica 30C and 200C were prescribed. The treatment proved effective in facilitating the expulsion of all calculi and reducing oedema at the U-V junction. The Modified Naranjo Criteria for Homeopathy, a tool for causal attribution, was used to assess the relationship between the homoeopathic treatment and the outcome. The MONARCH score for this case was +8. This case demonstrates that a single medicine prescribed based on symptom totality was successful in the expulsion of large urinary bladder calculi which may not pass spontaneously and usually require surgical intervention. The bilateral renal calculi were expelled, and pathological changes in the urinary system were also resolved. The patient showed significant improvement in mental and physical symptoms as well.