2. Case of Headache and Diabetes mellitusChief Complaint: A 12-year-old male child complains of headache located in the forehead and occiput, alternating between the right and left sides. The pain is associated with nausea but no vomiting.
Aggravation: Mental and physical exertion, even mild, after about 30 minutes; thinking; during the daytime.
Amelioration: Massage, sleep, gentle pressure, caressing, playing and diversion of mind.
Urinary Complaints:
Night bedwetting, which has increased in the past one month.
During the day, he is unable to hold urine and has an urgent need to pass urine immediately.
Aggravation of urinary complaints: After 12 a.m.; Between 3–4 p.m., before waking.
Past History: Fever up to 104 F with body aches and weakness; cysts in the nape of neck at the age of 3 to 4 years.
Family History: Father and brother – HLA B27 Positive; Mother – joint disease, low platelets; Grandfather – DM; Grandmother – RA; Aunt –
DepressionLife Space: Since the COVID period, confined at home. After school reopened, a very strict teacher who punished him caused marked fear, along with fear of his parents, especially the mother. Hits in anger. Thinks that father will make him leave school.
Mind State: Highly sensitive; becomes violent when things do not go according to his wishes. Desires company. Forgetful; lying at times; wanting good clothes and eating out.
Fears: Darkness, being alone, dogs, and heights. Fearfulness has markedly increased after COVID, with excessive fear overall. At night, he fears ghosts and imagines someone looking in through the window.
Dreams: Frightful; dreams of friends chasing him with a sword.
Observations: White spots on nails. Serrated teeth. High myopia. Hairy +++.
AnalysisRx:
Medorrhinum 1M followed by
Medorrhinum LM4 O. D. for 3 days.
Follow up: Responded well to
Medorrhinum; no headaches for the past 2 months, and the bed wetting issue has improved. However, violent behaviour is still present.
Comment: In homeopathic practice, treatment is not about the first remedy or the first dose alone, but about observing what follows by focusing on the patient’s entire therapeutic journey.
Further follow ups: No episodes of headaches.
Investigations: Insulin fasting – 37.34; HbA1c – 5.9; Fasting Blood Sugar – 97; Post prandial Blood Sugar – 124. Weight – 46.3 kg. Endocrinologist Suggested glycomet 500 mg but not started yet.
Physical Generals: Appetite++, desires junk food++++; Sleep: deep, sleeps on the abdomen; scary dreams; Thermals: cold aggravation++; Perspiration: not much; Urine: increased frequency
Comment: The child has excessive junk food intake, raising the question of repeating
Medorrhinum. However, a key follow-up finding is a change of state—from hot to chilly, indicating the need to reassess the remedy.
A deeper layer reveals a very poor lifestyle: excessive screen time, disturbed sleep, overeating, weight gain, and a disrupted circadian rhythm. The dominant themes are “too much” and “restlessness”, both strong sarcode patterns, pointing toward an underlying metabolic imbalance rather than repetition of the same remedy.
Rx:
Insulinum 6C O. D. for 10 days followed by
Insulinum 30C B. D. for 7 days followed by
Insulinum 200C B. D. for 3 days. Biochemic- Schuessler tissue salt: Natrum sulph 12x for 30 days (important Schuessler salt for liver pathology & diabetes)