BACKGROUND
- Vocal cord polyp are benign lesions with a variety of causes such as voice overuse (teachers, coaches, recurrent shouting, salesperson etc), acute episode of excessive shouting, gastroesophageal reflux, allergies, smoking (and inhaling other such irritants and chemicals), thyroid problems.
CASE
- PRESENTATION- A teacher came with irritation on throat and chronic hoarseness of voice. She had to constantly hawk and clear and would not be able to even speak at the end of the day. She had been to an ENT specialist and who found a vocal cord nodule on laryngoscopy. She was advised complete rest to voice and a vocal cord surgery to remove the nodule. She did not want to undergo surgery due to feared complication of paralysis of cords. She had no comorbidity and other complaint.
- TREATMENT- She was started on PICRIC ACID 200 once in 5 days, 6 such doses for a month as she could not stop the work (i.e. constant talking, as she was a teacher). A follow up after a month revealed much improvement in her hoarseness but remnants remaining. The dosage was reduced to once in 10 days, so she took another 3 doses the following month.
- OUTCOME- Starting of the 3rd month she underwent laryngoscopy at her own accord as she felt completely normal and came with the result. It showed complete resolution of the polyp. The medicine was stopped. A 2 year follow up did not show any relapse of the complaint.
- BASIS of PRESCRIPTION- PICRIC ACID was chosen on basis of overuse of the vocal cords, and the exhaustion that she felt after speaking much.
- D/D of MEDICINES- other medicines that came close to the case were STANN MET, ARGENTUM MET and ARUM TRYPHYLLUM.
- MM PICRIC ACID- https://drshivangihomoeopathy.com/?s=picric+acid
DISCUSSION
- Traditionally patients are asked to maintain speech hygiene and the underlying cause is identified and treated. When conservative treatment does not help a surgical removal is advised as was in the case above.
- The presented case clearly showed complete removal of her subjective complaints symptomatically with objective laryngoscopic evidence of resolution, highlighting the efficacy of individualised homeopathic prescriptions in treatment.
Aude Sapere
Shivangi Jain
BHMS, MD, PGDMLE, PGDHHM
drshivangijain79@gmail.com
https://drshivangihomoeopathy.com/