Case of gastritis related to menses in a k/c/o hiatus hernia and gastric ulcer.
A 25yr old female, k/c/o hiatus hernia with severe acidity and gastric ulcers (confirmed endoscopically) came for recurrent episodes of vomiting just before menses. She would start having pain in epigastrium 2 days prior to menses with vomiting that would have blood streaks in it. She could not eat anything and had severe nausea till the period started.
She was hot and thirstless.
She was given ipecac 200 TDS/ 3 days, starting 3 days prior to her menses. On taking ipecac, the nausea and vomiting reduced markedly. She had only one vomit with no blood and could eat well next day without gastritis.
The next period she was well without any gastric trouble.
Where no antacids helped her in such severe pathology (which she was taking past few years), she was helped by few doses of IPECAC.
(Dd- amelioration on appearance of menses- LACHESIS, ZINC etc. Lachesis came very close in this case; even Knerr Repertory mentions attack of cardialgia before menses; however, the severe nausea allowed the selection of IPECAC with wonderful results.)
Aude Sapere
Shivangi Jain
BHMS, MD, PGDMLE, PGDHHM
drshivangijain79@gmail.com
https://drshivangihomoeopathy.com/