EXPERIENCE
PREGNANCY WITH ENTERIC FEVER & JAUNDICE
Smt. U.kaur 26 yrs, psychiatrist at New-Delhi consulted on dated 20-12-2006 with following complaints:
1.Pregnancy of seven months duration.
2.Pyrexia since beginning of pregnancy. High
fever reaching up to 102*f. During fever red checks. Dryness mouth with thirst for large quantity during fever.
Food taste bitter during fever.
3.Hyper emesis gravidavum since beginning of pregnancy. Nausea looking at food. Because of fever and nausea taking no extra diet except fiber diet. Nausea with vomiting of food. Offensive vomiting. Nausea while, after eating amel.
4.Cough with retching and gagging since beginning of pregnancy. Nausea after cough.
5.Constipation since beginning of pregnancy. Urging for stool after eating. Every time she eats, she must evacuate.
Sleep: - Insomnia during fever. If occurred sleepless after waking.
Dreams: -Not Particular.
Appetite: - Less. Nausea looking at food.
Thirst: - dryness mouth with thirst. Thirst for large quantity.
Perspiration: - NAD.
Stool: - Offensive, semisolid sometime watery.
Urine: -Yellowish, Offensive.
Desire: - Salty, Spicy Things.
Aversion: -Milk
Tongue: -Bitter taste. Every food she eats tastes bitter.
Thermal: -Sensitive to both hot and cold.
Treatment History: - Took a/t earlier.
Mental Symptoms: -
1. Ambitious
2. Bold
3. Conscientious
4. Loquacity
5. Fastidious
6. Fast Speed
Repatriation: - 20-12-2006

On dated 20-12-2006 Phosphorous 200 one dose was prescribed followed by placebo tds. After this prescription nausea gets slightly better. Fever morning and evening high, low grade afternoon. Stool habit slightly gets better.
On dated 06-01-2007 patients improved symptoms start relapsing. Phosphorus 1M one dose was given followed by placebo tds. After raising potency few symptoms such as nausea, stool habit improved slightly.
On dated 09-01-2007 advised for routine blood tests along with Serum Billirubin and Widal test as nausea and vomiting during last trimester force me to think that must she be jaundiced?
Reports of dated 09-01-2007 confirmed my thoughts. Her serum billirubin was raised along with Widal titer positive for TO 1:160 & TH 1:320. Her hemoglobin was 8.8 gm%. (Photocopy of reports attached)
Situation was: -
1.Seven Months of Pregnancy was completed.
2. Two Months remained.
3. Well being of mother as well as fetus.
4. Dietary Restrictions.
5.Growth of fetus without solid diet.
6.Protection of fetus from complications of enteric fever and jaundice.
7. Prevention of HEMORRHAGE which is main risk factor for PREGNANCY WITH ENTERIC FEVER & JAUNDICE
Task was difficult but not impossible for a
Hahnemannian Follower Homoeopath.
First of all I must understand the cause of Jaundice. Per abdomen examination reveals the cause of jaundice. Tendency of growth of fetus was towards right side which was probably pressing the gall bladder and obstructing the flow of bile. So the jaundice in this case was Obstructive jaundice. During pregnancy obstructive jaundice sometime represent with violent itching during last trimester, sometime with nausea, vomiting, malaise and fever. In the above case latter condition was present.
Now case again repertoriesed considering obstructive jaundice.
Repatriation: - 11-01-2007