Mrs. U. M. (Patient reference number L7311), a 66 years old lady with a history of oral Lichen Planus for one year, reported to our clinic for treatment. She had a history of dental treatment and initially, she had attributed the pain to the friction caused by the new dentures.
She complained of severe burning pain while eating and masticating, the pain was more severe while eating spicy, chilly, and warm food. On examination there was a blackish-whitish discoloration on the oral mucosa, there was the redness of the oral mucosa and palate.
She also complained of severe pain and stiffness in the left shoulder for the last 20 years for which she was on painkillers. She was diagnosed as having a frozen shoulder.
She also suffered from chronic acidity, sour belching, and flatulence. She also had a chronic complaint of allergic rhinitis.
The patient had not responded to the conventional treatment and was on steroids for her oral LP. She was on tab Betnesol 5 mg per day, and ointment Kenacort and ointment Tacroz. The steroids further increased her acidity.
She had an average appetite for a craving for sweets. She had average perspiration. She could tolerate heat and cold equally.
She was a bold lady, irritable but did not express her anger usually. She was weepy and sentimental, by nature. She was an adjustable person, would mix easily with others; she was loving, caring, sympathetic, and helpful. She was very attached to her children and would get anxious about their well-being.
She had not suffered from any major illness in the past but she had a strong family history of Hypertension; all her first relatives had Hypertension.
Her treatment was started on 22-10-2005. She has been prescribed a dose of Carcinosin 200 along with Aurum Muriaticum 200. Intermittently when her pain would increase, she would be prescribed Capsicum 200 for the burning. Steroids and painkillers were tapered after the first few weeks of the treatment itself and she was of these medicines for some time.
Her complaints continued to improve and her follows-up on 27-10-06 was as under:
Oral Lichen Planus better by 70-80 %, now very occasional burning after eating spicy food, especially green chilly. All oral lesions showed significant improvement. She had no pain in the left shoulder. Her acidity had reduced significantly. She did not require any steroids or painkillers anymore. Her Allergic colds had become infrequent now.