The term dysentery means frequent passage of loose stools with plod, pus and mucus associated with tenesmus. Contamination of food by careless handling is the main source of infection. The amoebic dysentery is caused by a parasitic Entamoeba histolytica. Onset is acute usually but there may be very mild diarrhoea with gradual onset. Patient passes loose stool for first few days and then loose stool is mixed up with blood, pus and mucus. There is marked tenesmus and colicky abdominal; pain with nausea and vomiting. There may be moderate high fever, weakness, and patient complains of thirst and dryness of tongue, oliguria, at times anuria. When the case of dysentery is severe, there may be intense headache due to meningismus, backache, muscle pain and sometimes coma and convulsion are present.
Patient suffering from dysentery is toxic, pulse shows tachycardia, blood pressure is low, temperature is raised, eyes are sunken due to dehydration. The tongue and mouth of the patient are dry, abdomen shows diffuse tenderness, particularly over the whole of colon. Especially the pelvic colon is very tender. Sometimes there is splenomegaly. Auscultation reveals hyperperistaltic sound. It is usually a self –limited disease. Sometimes peripheral neuritis, Guillan-Barre syndrome, septicaemia may develop. Cough, chest pain, sputum and pleurisy, reiter’s syndrome with arthritis, conjunctivitis and urethritis may also be present. In rare cases of dysentery haemolytic uremic syndrome may take place associated with leukaemoid reaction.
In chronic cases of dysentery the colitis is a common syndrome. Patient suffering from colitis pain[/caption]The inflammation of the wall of colon is called colitis. There are different types of colitis. The amoebic or amoebic dysentery is caused by parasitic Entamoeba histolytica. The mucous colitis is a chronic disorder of the colon in which there is passage of mucus, constipation or diarrhoea and spasm of the walls of colon. The most common colitis is the ulcerative colitis. The ulcerative colitis shows wide-spread ulceration of walls of colon accompanied by diarrhoea with blood and pus, fever and weight loss. This disease is chronic with acute attacks occurring at intervals.
Some complications may occur to the patient suffering from dysentery if proper care is not taken early. The complications are :-
1) Severe haemorrhage and anaemia.
3) Rectal Prolapse
5) Peripheral circulatory failure.
6) Toxic carditis.
7) Renal failure.
8) Peripheral neuritis.
11) Toxic non suppurative arthritis (usually involving the weight bearing joints).
12) Cutaneous haemorrhages.
15) Imbalance of electrolyte.
It is a condition of dysentery caused by Entamoeba histolytica in the human body with or without clinical manifestation. In most individual this condition remains in a carrier state in intestine. When the parasites invade the bowel wall clinical manifestations occur which is called amoebic dysentery. When other organs are affected it is referred to as extra intestinal or metastatic amoebiasis. Liver and brain are common sites for such lesion. Types of Intestinal amoebiasis are as follow:-
1) Acute dysentery.
2) Chronic dysentery
3) Acute diarrhoea.
4) Amoebic typhlitis.
5) Amoeboma formation.
6) Intestinal carrier.
After proper study of the syndromes and maintain the proper case taking process homeopathic remedy should be selected. Some important remedies are Arsenic alb, Ipecac, Rhus tox, Merc Cor, Terminalia Chebula, Merc sol, Aloe soc, Capsicum, Aegle folia, sulphur, etc. After careful homeopathic medicine selection Magnetic therapy also be taken in consideration. Magnetised water should be taken. In the morning two strong magnets should be applied to the soles of feet following local application at the painful region of the abdomen.