HOLISTIC COMPREHENSIVE APPROACH TO CONQUER ALLERGY - ALLERGIC RHINITIS WITH HOMOEOPATHIC MODALITY

 ABSTRACT 

Allergic rhinitis is a common disorder that is usually a long-standing condition that often goes undetected in the primary-care setting. The classical manifestation of the disorder are nasal congestion, nasal itch, rhinorrhea and sneezing. A thorough history, physical examination and allergen skin testing are important for establishing the diagnosis of allergic rhinitis. Rhinitis is classified into one of the following categories according to etiology: IgE-mediated (allergic), autonomic, infectious and idiopathic (unknown). Although the focus of this article is allergic rhinitis. This article provides an overview of the aetiology, diagnosis, and appropriate general & homoeopathic management of this disorder.

 

INTRODUCTION

Allergic rhinitis, also known as hay fever, is a type of inflammation in the nose which occurs when the immune system overreacts to allergens in the air. In the past, allergic rhinitis was considered to be a disorder localized to the nose and nasal passages, but current evidence indicates that it may represent a component of a systemic airway disease involving the entire respiratory tract .Common symptoms include sneezing, stuffy nose, watery eyes, and a sore, scratchy throat. An allergen is a normally harmless substance that causes an allergic reaction. Allergic rhinitis, or hay fever, is an allergic response to specific allergens. Pollen is the most common allergen. People with allergic rhinitis generally experience symptoms after breathing in an allergy-causing substance such as pollen or dust. In the fall, a common allergen is ragweed. In the spring, the most common triggers are grasses and pollen.

AETIOLOGY

An allergen is something that triggers an allergy. When a person with allergic rhinitis breathes in an allergen such as pollen, mold, animal dander, or dust, the body releases chemicals that cause allergy symptoms. Plants that cause hay fever are trees, grasses, and weeds. Their pollen is carried by the wind. Flower pollen is carried by insects and does not cause hay fever. Types of plants that cause hay fever vary from person to person and from area to area. The amount of pollen in the air can affect whether hay fever symptoms develop or not. Hot, dry, windy days are more likely to have a lot of pollen in the air. On cool, damp, rainy days, most pollen is washed to the ground.

Hay fever and allergies often run in families. If both of parents have hay fever or other allergies, child is likely to have hay fever and allergies, too. The chance is higher if mother has allergies.

RISK FACTORS

Allergies can affect anyone, but you’re more likely to develop allergic rhinitis if your family has a history of allergies.

Some external factors can trigger or worsen this condition, including: cigarette smoke, chemicals, cold temperatures, humidity, wind, air pollution, hairspray, perfumes, colognes, wood smoke, fumes

CLINICAL MANIFESTATIONS

Common symptoms of allergic rhinitis include: sneezing, a runny nose, a stuffy nose,

an itchy nose, coughing, a sore or scratchy throat, itchy eyes, watery eyes, dark circles under the eyes, frequent headaches, eczema-type symptoms, such as having extremely dry, itchy skin that often blisters, hives, excessive fatigue

Usually feel one or more of these symptoms immediately after coming into contact with an allergen. Some symptoms, such as recurrent headaches and fatigue, may only happen after long-term exposure to allergens. Fever isn’t a symptom of hay fever.

Some people experience symptoms only rarely. This is highly likely when you’re exposed to allergens in large quantities. Other people experience symptoms all year long.

INVESTIGATIONS 

Allergy testing may reveal the pollen or other substances that trigger your symptoms. Skin testing is the most common method of allergy testing.

If your doctor determines you cannot have skin testing, special blood tests may help with the diagnosis. These tests, known as IgE RAST tests, can measure the levels of allergy-related substances.

A complete blood count (CBC) test, called the eosinophil count, may also help diagnose allergies.

PREVENTION

Stay indoors when pollen counts are high, Avoid exercising outdoors early in the morning, Take showers immediately after being outside, Keep windows and doors shut as frequently as possible during allergy season, Keep mouth and nose covered while performing yard work, Try not to rake leaves or mow the lawn, Bathe dog at least twice per week to minimize dander, Remove carpeting from your bedroom if you’re concerned about dust mites.

MANAGEMENT

 

The conventional treatment of allergic rhinitis is to keep giving anti-allergic medicines or antihistaminics like Cetrizine or Levocitrizine. In fact these anti allergic medicines are used to treat all sorts of allergies, whether nasal or skin. They tend to provide temporary relief. Anti histaminic may be fine for some hours. The sneezing stops and the running nose stops. The itching in the nose and eyes disappears. But the effect lasts only for some hours. Once the effect wears off, the problem returns in full force. These anti histaminics are sleep inducing and often people tend to feel sleepy or dizzy during the daytime, which can be dangerous at times. The easy availability and low cost makes these anti allergic medicines easily accessible. In fact they have become sort of home remedies for allergies and people just keep taking them without even a prescription from a qualified doctor.

 

Home Managements

· A high intake of soy and isoflavones may be associated with a reduced prevalence of allergic rhinitis.

· Intake of eicosapentaenoic (EPA) and docosahexaenoic acids (DHA) from fish may be associated with a reduced prevalence of allergic rhinitis.

· Black cumin alleviates symptoms of allergic rhinitis.

· Peppermint may be clinically effective in alleviating the nasal symptoms of allergic rhinitis.

· High dietary intake of seaweed, calcium, magnesium, and phosphorus may be associated with a decreased prevalence of allergic rhinitis.

· Raw milk consumption (relative to boiled) is inversely associated to asthma, atopy and hay fever.

· Rose extract exhibits antiinflammatory, antiallergic and painkilling activities.

· Butterbur exhibits protection against chemically induced nasal responsiveness in seasonal allergic rhinitis.

· Lactobacillus acidophilus can alleviate the symptoms of perennial allergic rhinitis.

· Propolis may be effective in the relief of symptoms of allergic rhinitis through inhibition of histamine release.

· An extract of the medicinal mushroom Agaricus blazei Murill can protect against allergythrough reducing Th2 relative to Th1 cytokine levels.

· Supplementation of mothers and their babies with the probiotic Lactobacillus reuteri reduces IgE associated eczema and may reduce respiratory allergic disease later in life.

· Curcumin attenuates the development of allergic airway inflammation and hyperresponsiveness.

· Vitamin D deficiency is higher among children with asthma, allergic rhinitis, atopic dermatitis, acute urticaria, and food allergy.

· Onion exhibits antiallergic, antihistaminic, antiinflammatory, and antioxidant properties.

· Indian Oyster mushroom may be effective in the relief of symptoms of allergic rhinitis through inhibition of histamine release.

· Peach extract inhibits mast cellderived allergic inflammation.

· Spirulina consumption significantly improves the symptoms of allergic rhinitis.

· Exclusive breastfeeding during the first 3 months after birth protects against allergic rhinitis in children, both with and without a family history of atopy.

HOMOEOPATHIC MANAGEMENT

Homoeopathy treats the person as a whole and tries to find a constitutional remedy with the aim of strengthening the organism generally. This means looking at not only the patient’s symptoms, but also his or her general health and way of reacting to the environment, as well as what drives him or her on an emotional level. But homoeopaths can also treat symptomatically, meaning treating the rhinitis symptoms specifically. Usually aim for constitutional treatment but sometimes combine the two approaches, giving a more symptomatic nasal remedy for flare ups, while treating the person as a whole with a constitutional remedy.

There is a special mention about allergic diseases in Homoeopathic literatures under the heading IDIOSYNCRASY. Dr Samuel Hahnemann, founder of Homoeopathic system of medicine defined idiosyncrasy 200 years ago in his famous book Organon of Medicine as “Idiosyncrasies by which are meant peculiar corporeal constitutions which although otherwise healthy, posses a disposition to be brought into a more or less morbid state by certain things which seem to produce no impression and no change in many other individuals”.

Manifestations of allergic reactions and idiosyncracies are same. Both are hypersensitive reaction. An idiosyncratic individual is oversensitive to one or few things which doesn’t require treatment as the person in healthy, but allergic disorders are due to morbid susceptibility.

Successful Homoeopathic prescribing demands a detailed case taking to find out the evolution of disease, relation with life situation, also to find out characteristic symptoms. According to Hahnemann it is the constitution of an individual that becomes sick first. The objective of treatment should be the improvement of the constitution, so that sensitivity, which has gone bad, is corrected or brought within normal range. It has been proved, verified and confirmed that if a proper indicated constitutional treatment is given to the child for sometime, it improves the constitution. In due course, the attacks become lesser in frequency and severity.

By constitutional approach we can prevent the recurrence of the complaint by modifying the altered susceptibility. Miasmatic remedy can help to remove any miasmatic block obtained from the familial background, past history of patient and also the presentation. Acute prescriptions are required during acute flare-ups.
Thus the concept of totality of symptoms and principle of individualization together enables the homoeopathic physician to perceive the disease in its whole content to make a suitable prescription

 

Indicated Remedies	Indications
Allium cepa.	For frequent sneezing, a lot of irritating nasal discharge and tearing eyes. This candidate tends to feel thirsty
Arsenicum album.	For stuffiness with copious, burning nasal discharge and violent sneezing. An appropriate candidate for Arsenicum feels restless, anxious, and exhausted.
Apis mellifica	stuffy nose due to a pink edema of the nasal mucous membranes, swollen eyelids. Fresh air unblocks the nose. A reliable homeopathic nasal decongestant.
Arsenicum iodatum	sneezing and excoriating watery rhinitis, nighttime asthma attacks during peak pollen season. Hay fever symptoms are improved by moderate temperatures.
Dulcamara	stuffy nose in rainy and foggy weather, followed by postnasal drip; hay fever at the end of August and in the fall. Dry cough and asthma in damp weather.
Euphrasia.	For nasal discharge, with stinging, irritating tears. A suitable person for this remedy has worse nasal symptoms when lying down.
Galphimia	burning discharge from eyes and nose, swollen itchy eyelids, sneezing, skin rash. Its efficacy in allergic rhinitis is proven by many scientific studies. That is why it is a common ingredient in most complex medicines for hay fever.
House Dust	House Dust is a homeopathic dilution used to desensitize individuals against dust allergies, commonly managing symptoms like sneezing, itchy eyes, and respiratory issues. It acts on the immune system to reduce sensitivity to house dust and mite allergens, particularly when symptoms are triggered by dust in the home
Histaminum	Histaminum is a homeopathic dilution commonly used to manage allergic rhinitis symptoms, including sneezing, nasal congestion, itching, and hives. It is believed to act as a "natural antihistamine" by modulating the body's response to allergens, aiming to provide relief without the drowsiness associated with conventional medicines.
Kalium iodatum	very profuse watery discharge from nose and eyes, swollen red eyes and nose; constricting pain at the root of the nose. The copious coryza blocks the sinuses, triggering a frontal headache and allergic sinusitis.
Nux vomica.	For stuffiness with nasal discharge, dry, ticklish, and scraping nasal sensations with watery nasal discharge and a lot of sneezing. An appropriate person for this remedy is irritable and impatient.
Arundo	There is a lot of burning and itching in the nose, the eyes and the roof of the mouth. Sense of smell becomes diminished. the episode begins with intense itching in the palate and the nose,
Merc Sol	There is a lot of sneezing and watery discharge from the nose. The patient is worse even in damp or wet weather. Increased sweating is another indication for this medicine. There is profuse salivation in the mouth. At times the salivation is so much that it keeps the mouth wet most of the time. Despite this increased salivation, the patient keeps on feeling thirsty. There may be foul smell from the mouth.
Natrum Mur	there is a lot of sneezing and in fact, the symptoms start with sneezing only,  There is intense dryness of the mouth and the mucous membranes. The discharge from the nose is thin and watery and resembles the white of an egg. There is an increased desire to eat salt or salty food.
Pothos Foetidus	An excellent remedy for sneezing that is caused specifically by exposure to dust.
Sabadilla	Used for long, intense sneezing fits, itching in the nose, and watery eyes.

 

Conclusion

Homoeopathic medicines stimulate the immune power to act against the disease. So homoeopathic medicines acts well in cases of Allergic rhinitis. Homoeo medicine helps to reduce the symptoms without producing any side effect. Homoeopathic medicines stimulate the immune power to act against the disease. So homoeopathic medicines acts well in cases of Allergic rhinitis. Homoeo medicine helps to reduce the symptoms without producing any side effect. Homoeopathy is highly effective in the treatment of allergies and fully capable of stimulating the organism to heal to the point of complete relief from all allergy symptoms.

MULTI-DIMENSIONAL APPROACH TO UNADAPTED UNDERACTIVE THYROID & CONQUER HYPOTHYROIDISM WITH HOMOEOPATHY

 ABSTRACT   

Hypothyroidism happens when the thyroid gland doesn't make enough thyroid hormone. This condition also is called underactive thyroid. Since the main purpose of thyroid hormone is to “run the body’s metabolism”, it is understandable that people with this condition will have symptoms associated with a slow metabolism. This article provides an overview of the aetiology, diagnosis, and appropriate general & homoeopathic management of underactive thyroid.

INTRODUCTION

Underactive thyroid is a very common medical condition and statistics suggest that 1 in 50 women and 1 in 1000 men will develop symptoms of hypothyroidism. It is more common in older women and can also occur more frequently during pregnancy. Thyroid is a small butterfly-shaped gland, in the front of the neck. The function of the thyroid gland is to convert iodine found in many foods into thyroid hormones triiodothyronine (T3) and thyroxine (T4). Only the thyroid gland has cells that can absorb iodine. The thyroid takes the iodine from foods, supplements and iodized salt and combines it with the amino acid tyrosine to produce T3 and T4. T3 and T4 travel throughout the body through the bloodstream and help cells convert oxygen and calories into energy. The pituitary gland produces the Thyroid Stimulating Hormone (TSH). TSH stimulates the thyroid gland to produce more T3 and T4 hormones. If the levels of T3 and T4 thyroid hormones in the blood increase, the pituitary gland responds by reducing the production of TSH. The hypothalamus gland is located in the brain, it produces the TSH Releasing Hormone (TRH) which communicates with the pituitary gland which in turn stimulates the thyroid gland by producing and releasing TSH.

CLASSIFICATION

Hypothyroidism is often classified by association with the indicated organ dysfunction

Primary - The most common forms include Hashimoto's thyroiditis  (an autoimmune disease) and radioiodine therapy for hyperthyroidism. It’s due to dysfunction of thyroid gland.

Secondary - Occurs if the pituitary gland does not create enough thyroid-stimulating hormone (TSH) to induce the thyroid gland to produce enough thyroxine and triiodothyronine. Although not every case of secondary hypothyroidism has a clear-cut cause, it is usually caused by damage to the pituitary gland, as by a tumor, radiation, or surgery. Secondary hypothyroidism accounts for less than 5%or 10% of hypothyroidism cases.

Tertiary - Results when the hypothalamus fails to produce sufficient thyrotropin-releasing hormone (TRH). TRH prompts the pituitary gland to produce thyroid-stimulating hormone (TSH). Hence may also be termed hypothalamic-pituitary-axis hypothyroidism. It accounts for less than 5% of hypothyroidism cases.

CAUSES

There are several potential diseases and conditions that can cause Hypothyroidism.

Iodine deficiency is the most common cause of hypothyroidism worldwide.  In iodine-replete individuals hypothyroidism is frequently caused by Hashimoto's thyroiditis, or otherwise as a result of either an absent thyroid gland or a deficiency in stimulating hormones from the hypothalamus or pituitary.

Factors such as iodine deficiency or exposure to iodine-131 from nuclear fallout, which is absorbed by the thyroid gland like regular iodide and destroys its cells, can increase the risk.

Hypothyroidism can result from postpartum thyroiditis, a condition that affects about 5% of all women within a year of giving birth, the first phase is typically hyperthyroidism; the thyroid then either returns to normal, or a woman develops hypothyroidism. Of those women who experience hypothyroidism associated with postpartum thyroiditis, one in five will develop permanent hypothyroidism requiring lifelong treatment.

Radiation therapy – Radiation used to treat cancers of the head and neck can affect thyroid gland and may lead to hypothyroidism. 

Medications – A number of medications (such as lithium which is often used for psychiatric disorders) can contribute to hypothyroidism

As a Consequence of treatment for hyperthyroidism – People who suffer from hyperthyroidism are often treated with radioactive iodine or anti-thyroid medications to reduce their thyroid function. When the function is reduced too much, hypothyroidism can result. 

Stress is known to be a significant contributor to thyroid dysfunction; this can be environmental stress as well as lesser-considered homeostatic stress such as fluctuating blood sugar levels and immune problems. Adrenal insufficiency can also result in hypothyroid symptoms without affecting the thyroid itself.

 

CLINICAL MANIFESTATIONS

Early symptoms are Hard stools or constipation, Increased sensitivity to cold, Fatigue or feeling slowed down, Heavier menstrual periods, Joint or muscle pain, Paleness or dry skin, Sadness or depression, Thin, brittle hair or fingernails, Weakness and Weight gain. Unexpected weight gain and difficulty losing weight may be one of the first noticeable signals that struggling with hypothyroidism (a sluggish thyroid) or subclinical hypothyroidism. 

Late symptoms, if left untreated: Decreased taste and smell, Hoarseness, Puffy face, hands, and feet, Slow speech, Thickening of the skin, Thinning of eyebrows

A physical examination may reveal a smaller-than-normal thyroid gland, although sometimes the gland is normal size or even enlarged (goiter). The examination may also reveal: Brittle nails, Coarse features of the face, Pale or dry skin, which may be cool to the touch, Swelling of the arms and legs, Thin and brittle hair

Uncommon clinical manifestations are Impaired memory. Impaired cognitive function (brain fog) and inattentiveness, A slow heart rate with ECG changes including low voltage signals. Diminished cardiac output and decreased contractility, Reactive (or post-prandial) hypoglycemia, Sluggish reflexes, Hair loss, Anemia caused by impaired haemoglobin synthesis (decreased EPO levels), impaired intestinal iron and folate absorption or B12 deficiency from pernicious anemia, Difficulty swallowing, Shortness of breath with a shallow and slow respiratory pattern, Increased need for sleep, Irritability and mood instability, Yellowing of the skin due to impaired conversion of beta-carotene to vitamin A (carotoderma), Impaired renal function with decreased glomerular filtration rate, Acute psychosis (myxedema madness) (a rare presentation of hypothyroidism), Decreased libido in men[18] due to impairment of testicular testosterone synthesis, Decreased sense of taste and smell (anosmia), Puffy face, hands and feet (late, less common symptoms), Gynecomastia, Deafness, Enlarged tongue.

DIAGNOSIS 

The only validated test to diagnose primary hypothyroidism, is to measure thyroid-stimulating hormone (TSH) and free thyroxine (T4).[40] However, these levels can be affected by non-thyroidal illnesses.

High levels of TSH indicate that the thyroid is not producing sufficient levels of thyroid hormone (mainly as thyroxine (T4) and smaller amounts of triiodothyronine (T3)). However, measuring just TSH fails to diagnose secondary and tertiary hypothyroidism, thus leading to the following suggested blood testing if the TSH is normal and hypothyroidism is still suspected:

§ Free triiodothyronine (fT3)

§ Free thyroxine (fT4)

§ Total T3

§ Total T4

Additionally, the following measurements may be needed:

§ Free T3 from 24-hour urine catch[41]

§ Antithyroid antibodies — for evidence of autoimmune diseases that may be damaging the thyroid gland

§ Serum cholesterol — which may be elevated in hypothyroidism

§ Prolactin — as a widely available test of pituitary function

§ Testing for anemia, including ferritin

§ Basal body temperature

GENERAL MANAGEMENT

Diet –

· The thyroid gland needs an array of nutrients to function optimally. Add essential fatty acids to diet. Cold water fish such as salmon and cod as well as flaxseed, walnuts and almonds are great sources. Another option is to take a daily supplement such as fish oil. Seaweed, chlorella and algae should also be consumed frequently. They are rich in iodine and essential nutrients that maintain thyroid function balance.

· Another important thing to keep in mind when it comes to a natural diet for hypothyroidism is that there are also foods that actually slow down thyroid function. These include broccoli, Brussels sprouts, cauliflower, kale, spinach, turnips, soy, beans, and mustard greens. Also, take care to avoid overly processed food and limit dairy, sugar, artificial sweeteners, caffeine, and alcohol intake.

· Natural remedies and herbs can also be used to support optimal thyroid function. Bladder wrack (Fucus vesiculosus) is a natural source of iodine, essential for healthy thyroid function. Shilajeet-Asphaltum puniabiunum is one of India’s most prized herbs and is considered a ‘wonder drug’ by many due to its high mineral content. Makandi (Coleus forskohlii) has been studied extensively for its use in supporting thyroid function. Clinical trials have shown that forskolin (a chemical found in coleus) may help to support thyroid hormone secretion.

· Supplements of Vitamin C, E, Riboflavin, Zinc, Niacin, pyridoxine might also helps boost thyroid hormone production.

Exercise  

· Aerobic exercise for 15 – 20 mins a day is excellent for maintaining good thyroid function. It may boost the metabolism thus promoting good health.

 

HOMOEOPATHIC MANAGEMENT:

Homoeopathy considers a disease to be the result from emotional distress and frustration, which blocks the life force energy into various different organs or glands. Homoeopathy considers thyroid problem as one such autoimmune glandular dysfunction. Homoeopathy offers better chances of a cure since the treatment is based on the person's individual constitution. Conventional treatment of thyroid dysfunction relies mainly on drugs and surgery, whereas homoeopathic treatment improves the function of the thyroid gland through natural means. Homoeopathic remedies work by stimulating the body's own healing power. Homoeopathic remedies stimulate the body to reactivate the hormone secretions, replenish and restore the thyroid tissue through the pituitary and other glands as a whole allowing the body to heal itself. Another striking thing about homoeopathy is that it has no side effects. People on multiple medications can safely take homoeopathic medicines. Homoeopathic drugs are non-habit forming and have no addictive characteristics. Homeopathic remedies stimulate the body's own immune system and offer a long lasting cure rather than giving temporary relief 

Homoeopathy offers good prognosis to cases of hypothyroidism. Medicines like Calcare phos, Calcarea carb, Lapis alb, Iodium, Thyroidinum, Spongia, Lycopus, Calcarea iod etc are often found indicated in cases of hypothyroidism.

 

 

Indicated Remedies	Indications
Thyroidinum	stimulate the functioning of thyroid gland. It is suitable for persons who have a puffy face and complain of weight gain. They get tired easily and want to lie down all the time. They are over-sensitive to cold and their hands and feet remain cold. Thyroidinum also addresses skin problems arising out of an underactive thyroid.
Calcarea Carbonica	next most important medicine used very frequently in cases of hypothyroidism. Its use is highly recommended when there is excessive weight gain as a consequence of thyroid issues. Next, it is prominently recommended when there is increased sensitivity to cold.  It also works well when there is marked weakness, which gets worse while walking or climbing upstairs. This medicine can also help in relieving constipation in hypothyroid patients – the peculiar feature needing it is that initially, stool is hard followed by soft stool.
Iodum	is indicated in cases especially where there are symptoms of hyper or hypo thyroidism, according to Dr. William Boericke in the "Materia Medica and Repertory." The person needing Iodum may feel very hot, agitated, and shaky with trembling hands and heart palpitations. There may be an increased appetite, with a desire to eat all day long, resulting in obesity; however, the individual may also have an increased metabolism and not be able to gain weight. Given in controlled doses and the correct potency, Iodum may help regulate the thyroid and the pituitary gland, the source of thyroid stimulating hormones.
Natrum Mur	It proves effective in managing certain specific complaints linked with hypothyroidism. Firstly, it manages depression. Those needing it have marked sadness and weep often. Secondly, it is a very good medicine for dealing with hair thinning and hair fall in persons suffering from hypothyroidism. Thirdly, it can be given when there is frequent exhaustion. There is tiredness and a sleepy feeling all the time.
Sepia Officinalis	The patients requiring this medicine are very weak, have a pale yellow face, and extremely sensitive to cold. They feel cold even in a warm room. This medicine can help in treating menstrual complaints in patients with hypothyroidism where menses are too early and are heavy. The patient feels as if the pelvic organs will come out through the vulva, therefore always sit cross-legged.
Graphites	mainly recommended for those patients with hypothyroidism who are very obese and over-sensitive to cold. It can also be administered to treat persistent constipation where the stool is hard and passes with great difficulty in lumps. There is a feeling of fullness in the abdomen due to gas. Persons requiring this medicine are very depressed, sad and start crying without any reason. Skin complaints, prominently dry rough skin, can be wonderfully managed with this medicine.
Fucus vesicelosus,	power to stimulate the thyroid and pituitary gland, helping to adjust the amount of thyroid stimulating hormones, and boost metabolic processes. helping with weight loss, reducing sluggishness and fatigue. It may alleviate headaches; muscle pain and joint discomfort, as well as overcome many other unwanted symptoms of thyroid dysfunction.
Kali carbonicum	individuals who suffer from a slow metabolism, often seen in hypothyroidism. The remedy may relieve symptoms of coldness and chilliness, pain in the back, chronic constipation, indigestion, flatulence, belching and a sour taste in the mouth. The person needing this remedy may be aggravated in general by drinking icy-cold drinks, which may produce nausea and vomiting.