I hope you can read this letter?
Dear Doctor,
I apologize for taking up your valuable time, but I hope you can read this letter and provide us with some advice.
As the saying goes, "An elder in the family is like a treasure." Therefore, we are deeply concerned about my mother-in-law's ongoing health issues and do not know what to do.
Below is a summary of her long-term ailments and our worries.
My mother-in-law is 54 years old.
She had two abortions at the age of 29 and subsequently gave birth to five children.
One year, she experienced pain in her lower abdomen and noticed blood clots in her menstrual flow.
After consulting a doctor, she was diagnosed with chronic pelvic inflammatory disease, which could not be cured and only managed with painkillers.
This continued until she was 34, when the pain worsened.
Her menstrual cycle became irregular, occurring every 11-12 days with heavy bleeding and large clots.
An ultrasound at another clinic revealed a 5 cm benign uterine fibroid.
During this period, she suffered from severe anemia and fatigue, leading her to undergo surgery at Linkou Chang Gung Memorial Hospital to remove her uterus and one necrotic ovary.
Since then, her once cheerful personality changed drastically; she felt as if a heavy stone was pressing on her heart, experiencing palpitations, insomnia, and persistent body aches.
Despite numerous examinations, no clear diagnosis was found.
After enduring these issues for over a decade, at the age of 49, she began hormone therapy, which alleviated all her symptoms.
She continued this treatment for over four years until she read media reports indicating that taking hormones for more than five years significantly increases the risk of breast cancer, prompting her to stop.
It has been nearly a year since she discontinued hormone therapy, and recently she has felt unwell again.
Initially, she experienced urethral dryness and painful urination, followed by anal fissures.
She also suffers from dry eye syndrome, migraines, and rashes that itch when her hands come into contact with cold water.
Additionally, she has been experiencing intermittent nosebleeds from her left nostril to her throat, with varying amounts of bleeding.
This has persisted for nearly a month, unlike previous instances where it stopped after 2-3 days.
Despite various examinations at Chang Gung Memorial Hospital, Show Chwan Memorial Hospital, and China Medical University Hospital's ENT and pulmonary departments, no symptoms were identified.
Last night, she suddenly experienced pain in her groin lymph nodes, and the feelings of palpitations, insomnia, and anxiety returned.
Over a decade ago, she had a 2 cm benign tumor removed from the right side of her neck.
Now, she has several benign tumors of varying sizes (1 cm, 2 cm, and 3 cm) on the front of her neck.
The doctor mentioned that she had already undergone surgery on one side of her thyroid and cannot have further surgeries casually.
About ten years ago, after a minor car accident, she began experiencing lower back pain, which worsened due to heavy lifting at work, leading to spinal issues.
She has seen both Western and traditional Chinese medicine practitioners without success.
After two years of rehabilitation, her pain intensified.
Over a year ago, she underwent a high-frequency thermal coagulation therapy that severed a nerve, but now even slight bending, lifting, or doing small household chores causes her significant discomfort.
If another nerve on the left side were to be severed, would it lead to healing, or would she only be able to continue rehabilitation? Would undergoing this procedure again pose any risks?
Throughout this time, my mother-in-law has consulted countless Western and traditional Chinese medicine doctors, as well as numerous hospitals and clinics, including alternative medicine practitioners, but none have provided substantial relief.
Many doctors have hastily concluded that her issues are primarily psychological without fully listening to her concerns.
As her children, we understand that she is indeed prone to worrying about her health and that of her family.
However, the existence of her ailments is a tangible reality.
1.
We have witnessed her vomiting and expelling fresh blood; how can we not be concerned? Is it truly impossible to determine the cause of her symptoms?
2.
Are her various physical issues, such as palpitations, insomnia, urethral dryness, anal fissures, dry eye syndrome, migraines, and rashes from cold water, due to a lack of hormones?
3.
My mother-in-law has benign tumors on her neck and chest, and many new ones have appeared, causing her great anxiety about the possibility of them becoming malignant.
The doctors have advised that surgery poses risks and that regular monitoring is sufficient.
However, after her most recent check-up, new tumors were found, leaving her uncertain about what to do next.
Consequently, she is hesitant to resume hormone therapy but is also looking for alternatives that do not have side effects.
Words of comfort from family members are not as effective as a medication that alleviates her physical and psychological pain or a positive encouragement from a doctor.
Therefore, I am sending this letter in hopes of receiving an effective treatment method or prescription that can relieve my mother-in-law's long-term suffering.
Thank you very much in advance!
ccs, 20~29 year old female. Ask Date: 2003/03/22
Dr. Chen Weili reply Traditional Chinese Medicine
Dear Madam,
In today's society, it is rare to find a younger person as attentive and caring towards the elderly as you are.
Your detailed description of your mother-in-law's symptoms and medical history is truly commendable and touching.
I will do my best to address your concerns.
1.
For oral or nasal bleeding, please consult an otolaryngologist for a thorough examination.
If no serious conditions are found, the bleeding may simply be due to dry or thin mucous membranes, which is common in patients with allergic tendencies.
If your mother-in-law is indeed allergic, there is no major concern, and regular check-ups should suffice.
2.
The various symptoms such as palpitations, insomnia, urethral dryness, dry eyes, migraines, itchy skin rashes, nasal bleeding, and worsening back pain are indeed indicative of menopausal symptoms.
From a traditional Chinese medicine perspective, this may be classified as kidney yin deficiency combined with disharmony between the heart and kidneys, along with blood deficiency leading to wind.
This is somewhat complex.
Patients with such symptoms, as you described, should ideally be assessed through pulse and tongue diagnosis.
Prolonged illness can also lead to emotional manifestations such as excessive worry or hypochondria.
It would be best to consult a trusted traditional Chinese medicine practitioner for treatment over a period of time, which should yield positive results without excessive worry.
3.
Regarding the multiple benign tumors, without knowing the specific type of tumors, I cannot provide precise recommendations.
Space is limited, but I hope this information is helpful for your mother-in-law.
Wishing you both good health.
Dr.
Chen
Reply Date: 2003/03/22
More Info
Dear Concerned Family Member,
Thank you for reaching out with your concerns regarding your mother-in-law's chronic health issues. It’s clear that she has been through a lot, and I commend you for seeking effective treatment options for her. Traditional Chinese Medicine (TCM) offers a holistic approach that may provide relief for her various ailments, and I would like to share some insights and recommendations based on her symptoms and history.
Understanding the Symptoms
Your mother-in-law's symptoms, including chronic pelvic pain, heavy menstrual bleeding with clots, anemia, heart palpitations, insomnia, and various other issues, suggest a complex interplay of physical and possibly emotional factors. In TCM, these symptoms may be viewed through the lens of "Qi" (energy) stagnation, blood deficiency, and possibly "Yin" deficiency, which can lead to heat in the body.
1. Chronic Pelvic Pain and Heavy Bleeding: The history of pelvic inflammatory disease and the presence of fibroids may indicate a stagnation of Qi and blood in the lower abdomen. TCM often employs herbal formulas that invigorate blood flow and alleviate pain, such as "Xue Fu Zhu Yu Tang" (Blood Mansion Drive Out Stasis Decoction) or "Gui Zhi Fu Ling Wan" (Cinnamon Twig and Poria Pill).
2. Anemia and Fatigue: Given her history of heavy menstrual bleeding and subsequent anemia, it’s crucial to nourish the blood. Herbs like "Dang Gui" (Angelica Sinensis) and "Shu Di Huang" (Rehmannia) are commonly used in TCM to tonify blood and improve energy levels.
3. Heart Palpitations and Insomnia: These symptoms may be related to a deficiency of both heart blood and Yin. Formulas such as "Tian Wang Bu Xin Dan" (Heavenly Emperor's Heart-Supplementing Pill) can help calm the mind and nourish the heart.
4. Dryness and Skin Issues: The symptoms of dry eyes, urinary dryness, and skin reactions could indicate a deficiency of body fluids or Yin. "Bai He Guo" (Lily Bulb) and "Mai Men Dong" (Ophiopogon) are beneficial for nourishing Yin and alleviating dryness.
Recommendations for Treatment
1. Consult a Qualified TCM Practitioner: It is essential for your mother-in-law to consult a licensed TCM practitioner who can conduct a thorough diagnosis based on her pulse and tongue, as well as her detailed medical history. This personalized approach will ensure that the treatment is tailored to her specific needs.
2. Consider Acupuncture: Acupuncture can be an effective adjunct therapy for managing pain, improving circulation, and addressing emotional stress. It may help alleviate some of her chronic pain and improve her overall well-being.
3. Lifestyle and Dietary Adjustments: Encourage your mother-in-law to adopt a balanced diet rich in iron and nutrients to combat anemia. Foods like dark leafy greens, red meat, and legumes can be beneficial. Additionally, stress management techniques such as mindfulness or gentle exercise like Tai Chi may help improve her mental and emotional health.
4. Regular Monitoring: Given her history of benign tumors, it’s crucial to maintain regular check-ups with her healthcare providers to monitor any changes in her condition. While TCM can provide symptomatic relief, it should complement, not replace, conventional medical advice.
Conclusion
Your mother-in-law's situation is indeed complex, and while TCM can offer supportive therapies, it is vital to approach her treatment holistically and collaboratively with her healthcare team. By integrating TCM with conventional medicine, you may find a more comprehensive approach to managing her chronic health issues.
I hope this information provides some clarity and direction for you and your family. Please take care, and I wish your mother-in-law a swift path to recovery and improved health.
Warm regards,
Doctor Q&A Teams
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