Acute urinary retention and gastroparesis due to self-medication in an elderly male

An eighty-five years old man complained of difficulty in swallowing for relatively dry food items and water with occasional episodes of vomiting. He was a diabetic and hypertensive patient on treatment for long, suddenly reported pain and discomfort in the abdomen with inability to pass urine. All the parameters were within normal limits except prostate being 70 ml enlarged. He was catheterized with diagnosis of BPH with chronic urinary retention. TURP was advised but the case did not consent for it. On close scrutiny of detailed history, it was observed that the patient was on self-medication of homeopathic drugs which were causing smooth muscle relaxation of bladder and GIT, causing difficulty in deglutition and constipation. On discontinuation of drugs, these effects disappeared and the case did not need any further catheterization, concluding that the acute urinary retention was caused by self-medication induced constipation. It is hence inferred that self-medication with homeopathic medicines should be avoided specially by elderly as aging effects and co-morbid condition often coexist.

Spectrum of Behavioral Disorders Among Children Aged 5-15 Years in Tertiary Care Hospital of Bhopal

The current study was done to determine various behavioral disorders among 5-15 years of children attendingPaediatric OPD and to determine underlying risk factors associated with behavioral disorders among children.This observational cross-sectional study was carried out among 200 children between 5-15 years of age usingDSM IV Diagnostic Criteria. Some risk factors that lead to the manifestation of the disorder were also studiedby history taking. The increasing sequence of disorders positivity was 0.5%, 1%, 1.5%, 1.5%, 2.5%, 12.5%for CD, LD, GAD, ADHD, AD and ODD, while observing 51.28% ODD cases among males, 12.5% ODDamong overall subjects, 19.5% ADHD cases, 27.02% GAD, 1% LD and 0.5% CD cases. The overall observanceof any one disorder was 39 (19.5%). Herein observed high prevalence of behavioral disorders requiresbehavioral, technical and managerial interventions and therefore is the priority intervention area in the field ofpublic health globally, nationally and locally.