Recurrent UTI
1. PRELIMINARY DATA
- No.: 238/2026
- Patient's Name: EFG
- Address: Flat 2402, Diamond Heights, Pune.
- Occupation: Housewife (frequent household work, hygiene issues)
- Religion: Hindu
- Date: 25/08/2026
- Age: 38 Years
- Sex: Female
- Education: B.Sc.
- Status: Married
2. CHIEF COMPLAINTS AND ASSOCIATED TROUBLES
| LOCATION | SENSATION & PATHOLOGY | A/F & MODALITIES | CONCOMITANTS |
|---|
| Bladder & Urethra | Recurrent burning urination, frequent urge, cloudy urine, pelvic pain, occasional fever | < After intercourse, < Cold weather, < Holding urine, < Spicy food, > Warm drinks, > Frequent voiding, since 7 years (4-5 episodes/year, urine culture positive E.coli repeatedly) | Low back ache, fatigue, irritability, vaginal discharge |
| General | Weakness after episodes | < Stress | Anxiety about kidney damage, low mood |
3. PERSONAL PAST & FAMILY HISTORY
- Past History: Recurrent cystitis post-marriage; suppressed with antibiotics; frequent douching/irritants; suppressed vaginal candidiasis; diabetes screening normal; irregular menses.
- Family History: Mother has recurrent UTI. Sister has cystitis. Father has kidney stones.
- Developmental Landmarks: All milestones were reached at the appropriate age.
4. PATIENT AS A PERSON (PHYSICAL CHARACTERISTICS)
A. Physical Characteristics
- Appetite: Normal
- Desires: Warm drinks (+++), Sour food (+)
- Aversions: Cold food/drinks
- Thirst: Increased during episodes
- Elimination:
- Urine: Frequent, burning
- Stool: Regular
- Perspiration: Scanty
- Sleep: Disturbed by urgency; wakes to urinate
- Thermal State: Chilly patient (prefers warm)
B. Reactions - Physical Factors
- Weather: Aggravation in cold weather
- Position: Better lying with knees flexed
5. MENTAL STATE (Psychodynamic & Life-Space)
- Nature: Irritable, anxious, worried
- Anxiety: About recurrent infections, family health
- Fear: Fear of kidney damage, fear chronic illness
- Dreams: Burning, pain, being helpless
- Other: Suppressed frustration, feels unclean
6. PHYSICAL GENERAL EXAMINATION
- Wt: 66 kg | Ht: 160 cm | Temp: 98.6°F
- RR: 18/min | Pulse: 80 bpm | B.P.: 126/82 mmHg
- Face: Tense
- Tongue: Clean
- Nails: Normal
- Skin: Dry
7. SYSTEMIC EXAMINATION
- Genitourinary: Suprapubic tenderness, no flank pain
- CVS: S1, S2 Normal
- Respiratory: Clear
- GIT: Normal
8. ANALYSIS AND EVALUATION OF SYMPTOMS
- Mental General: Irritability, anxiety about health, fear damage (Grade 3)
- Physical General: Chilly, desire warm drinks, frequent burning urine (Grade 3)
- Particular: Recurrent UTI with burning/frequency, < cold/holding, > warm drinks/voiding (Grade 2)
9. SELECTION OF REPERTORY WITH REASON
- Repertory: Kent’s Repertory of Homoeopathic Materia Medica
- Reason: Chronic recurrent urinary infection with strong Mental Generals (anxiety, fear) and Physical Generals (thermal, urine symptoms) dominating; Kent suits bladder/urethra rubrics for UTI.
10. TOTALITY OF SYMPTOMS FOR REPERTORISATION
- Irritability and anxiety
- Fear kidney damage
- Desire warm drinks
- Chilly patient
- Urine burning frequent
- Pelvic pain
- < Cold, holding urine
-
Warm drinks, frequent voiding
- Low back ache
- Recurrent E.coli
- Family UTI history
11. CONVERSION INTO REPERTORIAL RUBRICS
| SR. NO. | SYMPTOMS | RUBRICS WITH SUB-RUBRICS | PAGE NO. (Kent) |
|---|
| 1 | Anxiety health | Mind; ANXIETY; health, about | 6 |
| 2 | Fear disease | Mind; FEAR; disease, of | 44 |
| 3 | Desire warm drinks | Stomach; DESIRES; warm drinks | 486 |
| 4 | Bladder urination burning | Bladder; URINATION; burning | 668 |
| 5 | Bladder urination frequent | Bladder; URINATION; frequent | 668 |
| 6 | Chilliness | Generalities; COLD; agg. | 1348 |
| 7 | Perspiration scanty | Perspiration; SCANTY | 1297 |
12. SELECTION OF REPERTORIZATION (NUMERICAL ORDER)
| SR. NO. | REMEDIES | RUBRICS COVERED | TOTAL MARKS |
|---|
| 1 | Cantharis | 7/7 | 22 |
| 2 | Apis Mellifica | 6/7 | 18 |
| 3 | Staphysagria | 5/7 | 15 |
13. MIASMATIC INTERPRETATION
| PSORA | SYCOSIS | TUBERCULAR | SYPHILIS |
|---|
| Burning urine, irritability, chilly | Recurrent infection, inflammation | Family urinary issues | Destructive fear damage |
Dominant Miasm: Sycotic-Psoric
14. FINAL STEPS
- Provisional Diagnosis: Recurrent Urinary Tract Infection
- Differentiation of Remedies: Compared Cantharis with Apis. Apis has more stinging pain, thirstless; Cantharis matches intense burning/urgency/frequency, chilly, desire warm drinks, pelvic pain, irritability/anxiety. Staphysagria more suppressed anger/history of abuse.
- Selection of Remedy (Materia Medica): Cantharis matches recurrent UTI with burning/urgency/frequency, pelvic pain, chilly patient, irritability (Ref: Allen’s Keynotes, Boericke).
- Selection of Potency: 200C (Chronic recurrent infection miasmatic case, sensitive constitution)
- Actual Prescription:
- Cantharis 200 — single dose (one dose only, wait & watch)
- Placebo — 4 pills twice a day for 8 weeks
15. FOLLOW-UP'S TABLE
| DATE | COMPLAINTS | REMEDY | ADVICE |
|---|
| 20/09/2026 | Episodes reduced, burning milder, frequency less | Placebo | Hydration, hygiene, avoid irritants |
| 20/01/2027 | No recurrence in 5 months, urine normal, energy better | Placebo | Continue hygiene, report symptoms |