Individualised Homoeopathic Treatment In Case Of Adult Female Ibs: A Case Report

Abstract

Irritable Bowel Syndrome is defined as a group of symptoms that can have a major negative effect on a person's quality of life ^[1]. This cryptic illness affects the large intestine and can cause a variety of extra-intestinal and gastrointestinal symptoms ^[2]. Its diagnosis is based on clinical findings and ROME criteria is widely used for the diagnosis^.[3]It is believed that visceral hypersensitivity, altered motility, dysfunction of the gut-brain axis, and the complex interaction of genetic predisposition and environmental factors contribute to the pathogenesis of IBS, characterized by chronic evolution, requiring maintenance treatment, in some cases for years^.[4,12,13]The distinction among its types—IBS-D (diarrhoea predominant), IBS-C (constipation-predominant), IBS-M (mixed), and IBS-U (unclassified)—highlights the diverse clinical presentations^.[5,12,13]The burden of the disease includes both physiological and psychological impacts on the patients. Population-based studies estimate the prevalence of irritable bowel syndrome (IBS) at 10%-20% and the incidence of irritable bowel syndrome at 1%-2% per year. ^[4].The occurrence of IBS is noticeably influenced by gender, with women being diagnosed with the condition at a greater rate than males ^[11].The prevalence of IBS within the community is between 10% and 25%. the ratio of females to males in India is 1:3. In a study, prevalence of IBS in India was seen in 12.27% of the study population with male-to-female ratio of 1.44:1. The prevalence rates of IBS was maximum in 45–50 years age group. ^[5] Stress in professional and personal life, anxiety, and sleep quality are factors that may affect the disease's susceptibility and severity. Thus, a holistic approach toward the case is ideal, that would encompass the individual lifestyle, and the impact on the quality of life. This case report entails the description and result of individualised homoeopathic treatment of an adult female suffering from IBS with Diarrhoea with Pulsatilla in higher centesimal potencies.