Individualized Homeopathic Treatment in Hydronephrosis of Pediatric Patient: A Case Report

Abstract

Hydronephrosis is defined as dilatation and distension of the renal collecting system of one or both kidneys due to obstruction of urine outflow distal to the renal pelvis (i.e., ureter, urinary bladder, and urethra). This case report examines the role of homeopathy in a patient diagnosed with hydronephrosis. It documents the clinical presentation, diagnosis, treatment, and follow-up of a 5-year-old girl presenting with frequent urination, exacerbated in the evenings, for the past 2 months. The diagnosis of hydronephrosis was established based on clinical features and ultrasound findings. A beneficial result was obtained by individualized homeopathic treatment with Phosphorus. Symptomatic improvement was observed clinically within 4 weeks of individualized homeopathic treatment, while the patient was followed up for 12 months and the objective improvement was confirmed through ultrasonography. Causal relationship between the improvement and the given intervention was established using the modified Naranjo criteria for homeopathy (MONARCH) framework. This case underscores the potential of homeopathy as a supportive therapy in managing hydronephrosis.

Keywords

hydronephrosis - individualized homeopathic medicine - modified Naranjo criteria

Authors' Contributions

H.J. contributed in manuscript drafting, literature search, and treatment of patient. S.S. contributed to the literature search, study concept, data evaluation, and drafting of the manuscript.

Patients' Consent

The patient's parents consented to share images and other information regarding the case. Written informed consent was obtained from the parents as the patient is minor. The patient's identity has not been disclosed.

Publication History

Article published online:
24 July 2025

• References

• 1 Thotakura R, Anjum F. Hydronephrosis and Hydroureter. Treasure Island, FL: StatPearls Publishing; 2023
• 2 Rasouly HM, Lu W. Lower urinary tract development and disease. Wiley Interdiscip Rev Syst Biol Med 2013; 5 (03) 307-342
• 3 Grasso M, Caruso RP, Phillips CK. UPJ obstruction in the adult population: are crossing vessels significant?. Rev Urol 2001; 3 (01) 42-51
• 4 Rasmussen PE, Nielsen FR. Hydronephrosis during pregnancy: a literature survey. Eur J Obstet Gynecol Reprod Biol 1988; 27 (03) 249-259
• 5 Sinha A, Bagga A, Krishna A. et al; Indian Society of Pediatric Nephrology. Revised guidelines on management of antenatal hydronephrosis. Indian Pediatr 2013; 50 (02) 215-231
• 6 Lim DJ, Park JY, Kim JH, Paick SH, Oh SJ, Choi H. Clinical characteristics and outcome of hydronephrosis detected by prenatal ultrasonography. J Korean Med Sci 2003; 18 (06) 859-862
• 7 Onen A. Grading of hydronephrosis: an ongoing challenge. Front Pediatr 2020; 8: 458
• 8 Kasper D, Fauci A, Hauser S, Longo D, Jameson JL, Loscalzo J. Harrisons Manual of Medicine. 20th ed.. New York, NY: McGraw-Hill Education; 2019
• 9 Szavay P. Laparoscopic pyeloplasty for ureteropelvic junction obstruction. J Laparoendosc Adv Surg Tech A 2021; 31 (10) 1214-1218
• 10 Er DV, Silpa D. A case of urolithiasis impacted at vesico ureteric junction successfully treated with individualised homoeopathy. Int J Homoeopathic Sci. 2021; 5 (03) 172-176
• 11 Nayak C, Manchanda R, Khurana A. et al. Clinical trials of homeopathy in urological disorders: a systematic review. J Complement Integr Med 2020; 18 (01) 23-28
• 12 Mind Technologies Pvt Ltd. Complete Repertory. Zomeo Acute PRO. Version Mumbai, India: Mind Technologies Pvt Ltd.; 2022
• 13 Allen HC. Keynotes and Characteristics with Comparisons of Some of the Leading Remedies of the Materia Medica. 9th ed.. New Delhi: B Jain Publishers (P) Ltd; 1986
• 14 Boericke W. Manual of Homoeopathic Materia Medica and Repertory. Augmented Edition Based on the 9th ed.. New Delhi: B. Jain Publishers (P) Ltd; 2000: 450
• 15 Hahnemann S. Organon of Medicine. Translated from the 5th edition with an appendix by R.E. Dudgeon; With additions and alterations as per 6th edition, translated by William Boericke and Introduction by James Krauss. New Delhi: B Jain Publishers; 2010: 32
• 16 Lamba CD, Gupta VK, van Haselen R. et al. Evaluation of the Modified Naranjo criteria for assessing causal attribution of clinical outcome to homeopathic intervention as presented in case reports. Homeopathy 2020; 109 (04) 191-197
• 17 Allen JH. The Chronic Miasm with Repertory. New Delhi: B Jain Publishers (P) Ltd; 2003: 130-140
• 18 Sonny R, Ghosh DS. Homoeopathic dilution of Berberis vulgaris and urinary calculi: a case series. Int J High Dilution Res. 2024; 23 (cf): 272-284
• 19 Sumithran P. A case of multiple urinary calculi. Ind J Res Homeopath. 2016; 10 (02) 142
• 20 Rai S, Vineetha K. A 15-mm urinary calculus expelled with homoeopathic medicine: a case report. Indian J Res Homoeopathy 2021; 15: 155-161
• 21 van Haselen RA. Homeopathic clinical case reports: development of a supplement (HOM-CASE) to the CARE clinical case reporting guideline. Complement Ther Med 2016; 25: 78-85