Einstein International Journal Organization(EIJO)

Acute appendicitis is a common surgical emergency, and appendectomy remains the standard of care in most settings. In carefully selected, clinically stable patients without signs of perforation or sepsis, non-operative strategies such as antibiotic-first approaches are increasingly discussed, although recurrence and delayed complications remain important concerns. This report describes a 32-year-old male with imaging-confirmed uncomplicated acute appendicitis who refused surgery and conventional medication and opted for exclusive homoeopathic management under close monitoring but with clear safety instructions regarding urgent referral for imaging or surgical intervention if the pain worsened or fever or vomiting persists.

He presented with migratory abdominal pain localised to the right iliac fossa, low-grade fever, nausea, vomiting and loss of appetite; ultrasonography showed an inflamed, non-compressible appendix measuring 12–13 mm with periappendiceal echogenic mesentery, and C-reactive protein (CRP) was 47.1 mg/L while total leukocyte count remained within the reference range. After detailed counselling about standard care, potential risks and red-flag symptoms, an individualised homoeopathic regimen was initiated: Lycopodium clavatum 1M single dose, followed by Belladonna 200 and Iris tenax 30, along with supportive dietary and lifestyle advice.

The patient felt slightly better after the single dose of Lycopodium clavatum 1M, and with subsequent Belladonna 200 and Iris tenax 30, symptoms resolved within about one week, followed by progressive objective improvement on serial investigations documented over subsequent follow-up. Pain and tenderness decreased within 24–48 hours, the patient resumed routine activities by the end of the month, serial ultrasonography demonstrated progressive reduction of appendiceal diameter to about 5 mm with disappearance of inflammatory changes, and C-Reactive Protein (CRP) normalized within six weeks. The case is structured in accordance with Case Report (CARE) and Homoeopathic Clinical Case Reports (HOM-CASE) reporting guidelines and includes Alvarado, Appendicitis Inflammatory Response (AIR), and Modified NARanjo Criteria for Homoeopathy (MONARCH) based assessment to improve transparency and authenticity of clinical documentation.

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