EPIGASTRIC PAIN AND ITS HOMOEOPATHIC TREATMENT



Gnawing, pungent, twisting, drawing, epigastric pains which last day and night, with abdominal burning and heat that are propagated from one side to the other of the pelvis and hypochondrium. The epigastric pain appears and disappears suddenly.

AGGRAVATION – Through touch, movement, noise, lying down and at midnight.

IMPROVEMENT – By heat, repose, being half erect and without any pressure upon the body.

CLINICAL INDEX – Acute gastritis. Duodenitis and periduodenitis. Spasms of the diaphragm. Vesicular colic. Acute cholangitis. Cholecystitis and cholelithiasis with or without peritoneal propagation. Epigastralgia. Acute or chronic appendicitis. Colitis. Rectocolitis with association of acute gastritis. Metro peritonitis and acute ovaritis.

Cocculus Indicus – Marked repugnance to food. The patient craves cold drinks, especially beer. Bitter or metallic taste of the mouth with offensive belchings of air. Hiccough with spasms of the diaphragm. Nausea and dizziness which leads to syncope. nausea, vomiting and vertigo from riding in a car, air plane or boat with unilateral cephalalgia, cramps of the epigastrium. Spasmodic colic with shooting pains. Great abdominal distention with an epigastric sensation of emptiness which alternates with constrictive and oppressive pain that obstructs the breathing.

Spasmodic colic with appears at midnight; the release of gases does not relieve the epigastric pain which becomes worse upon coughing. Pains with rupture of the inguinal rings.

AGGRAVATION – By eating, drinking, smoking in open air, riding in a car and after emotional upsets.

CLINICAL INDEX – Dyspepsia due to fermentation. Acute dilatation of the stomach. Diaphragmatic, umbilical and inguinal hernia. Epigastralgia of a spasmodic form. Acute gastritis with vertigo and instability. Nervous dyspepsia. Spasms of the transverse colon. Dyspepsia of intestinal fermentation. Seasickness on a boat and in a car.

Chelidonium Majus – Hepatovesicular troubles, bitter taste in the mouth, tongue with teeth imprints. Epigastric pain which spreads to the right scapula. Sharp pain in the epigastrium with anxiety and oppression. The epigastric pain is propagated to the umbilical region, the abdomen feels contracted as if it were tied with ropes or quite hard and distended.

AGGRAVATION – On the right side, through movement and change of weather and in the morning.

IMPROVEMENT – The patient feels temporarily better after eating, by pressure and hot drinks.

CLINIC INDEX – Obstructive jaundice. Cholangitis. Cholecystitis cholelithiasis. Catarrhal gastritis. Epigastralgia due to intestinal fermentation. Acute hepatitis. Reflex dyspepsia due to chronic cholecystitis, colitis and constipation through hepatic insufficiency. Toxic, autotoxic and gravidic jaundice. Lithiasic and catarrhal jaundice. Familial cholemia. Hepatic congestion and hepatitis. Vesicular dyskinesia.

China Officinalis – Great debility due to loss of vital fluids. Bitter taste in the mouth. The food has a salty taste. Sensation of hunger and thirst for cold water. Epigastric pain with sensation of weight and fullness after eating the very least quantity of food. Slow digestion with great distention of the stomach. The patient can not bear drinking. Pains that go across the epigastrium. Bitter belchings with regurgitation of food that do not produce improvement. The epigastric pain spreads to the right with great abdominal tympanism and relief is found on leaning forward. Pain in the gall bladder region which radiates to the epigastrium and colic due to lithiasis or inflammation of the biliary ducts that extends over the epigastrium. Duodenal pain. Hiccough. Epigastric and abdominal distention which becomes better with movement.

AGGRAVATION – After eating food, fruit, drinking beet, at night, though the slightest touching and on every third day.

IMPROVEMENT – By leaning forward, intense pressure, in the open air and through warmth.

CLINICAL INDEX – Anorexia. Gastroenteroptosis in weakened, anemic subjects or after malaria. Gastric atony. Acute dilatation of the stomach. Nervous and reflected dyspepsia of hepatovesicular origin. Acute and chronic gastritis. Reflected genital dyspepsia. Cholecystitis and cholelithiasis. Obstructive jaundice. Cholecystoatony.

Dioscorea Villosa – A dry mouth with bitter taste in the morning; a coated tongue without thirst. Epigastric pain which is propagated to the sternum and arms. Colic with great distention of the stomach and abdomen; pyrosis; regurgitation; sour, bitter or insipid belchings that produce no improvement. The epigastric pain is paroxysmal, intermittent radiating t the abdomen and becomes better upon leaning backward or resting on the back.

The epigastric or abdominal pain begins from the fingers of the hands or from the toes of the feet and spreads upward. Abdominal gurgling with gastric distention and gases which are eliminated in an explosive form.

AGGRAVATION – On going to bed, in the afternoon and on leaning forward.

IMPROVEMENT – By pressure, on walking, especially on leaning backward and resting on the back, on remaining erect, through movement, in the open air.

CLINICAL INDEX – Dyspepsia of fermentation. Epigastric pain with irradiations to the gall bladder, duodenum and kidneys. Biliary and renal lithiasis. Atonic and reflex hepatovesicular dyspepsia. Hypochlorhydria. Gastric crisis. Dyspepsia of the hysterics. Cholecystitis. Postoperative acute dilation.

Chamomilla – Nervous children and adults. Dry lips. Mouth with metallic or sweet taste. A coated tongue, yellowish and dry. Pressive epigastric pain with a sensation as of a stone placed in the stomach; the patient becomes worse after eating or drinking coffee. Dilatation of the stomach which compresses the costal arches obstructing breathing. Colic that is propagated from the epigastrium to the abdomen ad umbilical region, with regurgitation, invading both sides. A distended and painful abdomen, sensitive to the touch; the pain is propagated to the back and is accompanied with belchings having the taste of rotten eggs.

Aversion to hot drinks; Regurgitation of food with a sour taste in the mouth. Epigastric pain that is propagated to the duodenal region and gall bladder.

AGGRAVATION – By heat, wind, after a quarrel, in the open air, and at night.

IMPROVEMENT – In wet and warm weather.

CLINIC INDEX – Acute gastritis and gastroduodenal spasms of emotive origin. Infantile and adult dyspepsia of hyperchlorhydric or fermentative form. Colic of the gall bladder. Noncalculous cholecystitis. Spasm of the colon and infantile gastrocolitis.

Lycopodium Clavatum – Melancholic subjects afraid of being alone. Halitosis. Dry tongue, without thirst. Excessive hunger with an aversion to eating meat, bread and farinaceous substances. Pain of pressure in the epigastrium after eating, with a sour taste in the mouth, great distention and fullness even upon eating small quantities of food. A hungry sensation at night. The patient craves sweet food and does not tolerate shellfish, especially oysters. The food leaves a sour taste in the mouth and produces hyper acidity. Hiccough. Regurgitation and incomplete burning. Belchings which are left in the pharynx for several hours.

Immediately after taking food the patient feels the stomach and abdomen distended, full of gases and fermentations which oblige him to loosen the clothes. Vomiting of food or bile, slow digestion with epigastric pain and great sensitiveness to touch.

AGGRAVATION – Right side, from 4 to 8 p.m., warm room and bed, hot air.

IMPROVEMENT – Through movement, on belching and expelling gases, after midnight, on taking hot drinks or hot food, on taking off the clothes.

CLINICAL INDEX – Hyperchlorhydric and fermentative dyspepsia. Atonic and pre-ulcerous dyspepsia. Spasm of the pylorus. Chronic gastric. Spasmodic colitis. Cancer of the pylorus. Hepatitis. Laennecs atrophic cirrhosis with predominance of gastro intestinal symptoms. Cholelithiasis. Obstructive jaundice. Hepatic chloasma of the face and abdomen

Nux Vomica – Cephalalgia with vertigo and slight loss of consciousness when the patient awakes. Disagreeable, bitter or bad taste in the mouth with loss of appetite; nausea after eating with bitter belchings and retching. Epigastric pain with distention of the stomach and the sensation of a stone remaining in it for several hours after a meal. Great epigastric sensibility; pyrosis with flatulence. Sometimes gnawing h hunger with a craving for fat, alcohol, chilli, etc., which are well tolerated. Difficulty in expelling the gases, impulse to vomit without obtaining it. Sour or very bitter belchings. Hernia of the diaphragm.

AGGRAVATION – In the morning when awakening, after meals, dry weather and intellectual work.

IMPROVEMENT – Through resting, wet weather and at night.

CLINICAL INDEX -Abuse of toxic drugs and alcohol.Anorexia.

Atonic and hypotonic dyspepsia. Acute and chronic gastritis of alcoholic origin. Hyperchlorhydric and nervous dyspepsia. Epigastralgia with pyrosis. Nausea and vomits of pregnancy. Hepatic insufficiency. Simple familial cholemia.

Higinio G. Perez