A case of pica treated with

homoeopathy

SANDIPVAGHELA245@GMAIL.COM
Case history

→ Preliminary Data:-

→ Name: AQ

→ Age: 7 years

→ Sex: Male

→ Occupation: Student

→ Status: Unmarried

→ Religion: Hindu / Maratha

Chief complaints
Patient was brought by his mother with the complaints of:-

Bedwetting, He passes urine atleast 2 times in night.

• Frequent abdominal pains, cramping type, on and off since 1-2 months.

• Constipation, passes stool irregularly sometimes once in 2-3 days.

• Appetite decreased.

• Eats soil, wall paint and putty/ clay, whenever mother scolded him not to eat it, he
listened to, but when she was not present, he used to eat it, and when asked, used to lie that
he did not eat it.
Past history:

→ Blood in stools, although scanty, once 20 -25 days before, but it was
treated with home remedies and he became alright.
Physical generals
→ decreased appetite,

→ desire for chocolates, sweets, soil, wall paint, and clay/ putty,

→ aversion to chapatti, vegetables, and rice,

→ child only used to eat the above desired food.

→ Stools were irregular, unsatisfactory, once in 2-3 days, urine frequency was 11-12 times
a day.

→ The perspiration was profuse, over head and face staining yellow, sleep was
unrefreshing.

→ He was thermally a chilly patient.

Life space investigations:-
Patient’s father was in service, mother was housewife, and he had one younger sister.
The patient was well dressed, with lax body, having tendency to obesity, was chubby with
anxiety on face.
His behaviour was agitated but cooperative, changing mood from hilarious to low. He was
having good comprehension but paid less attention / concentration.
His memory was poor and forgetful, remembered what was taught but had to memorise a
lot.
His judgement was also poor.
→ The built of patient was obese, chubby, with lax musculature. His height
was average, nutrition was poor. There was no abnormality detected in
pallor, oedema, cyanosis, icterus, or lymphadenopathy.
→ Systemic examination:-

→ Respiratory system - AEBE, clear

→ Investigations:

→ Advised blood examination of serum calcium level and serum alkaline phosphatase

→ Final diagnosis:-pica
CASE PROCESSING:
1. Analysis of symptoms:-

Mental generals:

a. Poor concentration

b. Memory poor/ forgetful.

c. Mood changeable from hilarious to low.

d. Tells lie ( for eating pica).

e. Obstinate.
→ Physical generals:

→ Enuresis (Bedwetting)

→ a. Appetite decreased.

→ b. Stools - irregular and unsatisfactory

→ c. Perspiration profuse on head and face staining yellow.

→ d. Sleep - unrefreshing

→ e. Desire for soil, chocolate, sweets, wall paint and clay.

→ f. Aversion to vegetables and wheat/ chapattis.

Particulars:-

a. Abdominal pain, cramping.

b. Constipation.
Evaluation of symptoms:
→ Probable remedies:

→ 1. Sulphur

→ 2. Nux vomica

→ 3. Belladonna

→ 4. Phosphorus

→ 5. Natrum muriaticum

→ 6. Calcarea carbonica
→ Miasmatic analysis:-

→ Fundamental:- Psora

→ Dominant:- Sycosis

→ Susceptibility :- Moderate
→ Prescription

→ Calcarea carbonica 1M/ 1 dose stat

→ S.L 200/2-2-2/ 15 days

→ Calcarea phosphorica 6X/ 4-4-4/ 1 month

Justification for selection of remedy:

a. Although Calcarea carbonica didn’t come first in  repertorisation but the patientwas chilly while Sulphur is
a hot patient, so 1st remedy is void.
b. Patient had poor memory, obstinate, pica was there along with constipation suggestive of Calcarea
carbonica .
c. Calcarea carbonica was chilly and patient was more constitutionally obese, chubby and obstinate.
d. Even serum calcium level before treatment was 6.6mg/dl (8.4-10.4 mg/dl), even desire
for calcium like non-edible materials suggested Calcarea carbonica.
e. Calcarea phosphorica 6X is given as it is for calcium deficiency, and biochemic medicines overcome
deficiency disorders immediately in paediatric age group. (Schussler’s Materia
Medica).
Follow up:
Thank you
PREPARED BY:- VAGHELA SANDIP K.

YEAR :- 4TH