Loose Watery stool

A 48 y/o female admitted with an acute exacerbation of chronic diarrhea. The patient had peptic ulcers diagnosed by endoscopy 5 years ago. 18 months ago she began having 4-5 loose watery stools per day without blood. Yesterday had 10 loose watery stools in 1 day with 3 episodes of vomiting & extreme weakness and lightheadedness. PMH was positive only for the peptic ulcer disease. History negative for smoking and alcohol use. Lab showed increased creatinine and blood urea nitrogen levels. She is being treated with intravenous fluids Appetite, thirst- normal Desire- sweets, sour, non-veg Aversion- no Thermals- hot Stool,urine- normal She is talkative, extrovert anxious in closed spaces feels suffocated works in a private job Suggest treatment Doctors. What you think is the diagnosis and how to proceed?


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) 'piyushavalli ras' 2 bd with jeeraka churnam and honey before food 2) 'mustarishtam' 25 ml with equal water bd after food 3) 'kutajavalehyam' 1 teaspoonful bedtime with luke warm milk 4) plan for 'picha vasthi' 5) if still the patient's condition is not improving then advice for 'surgery'.
For a start .. liquid diet fruits vegetables beans...no nonveg diet no sugar no eggs, supplement dehydration...curds apples,elaichi,jaiphal
Dear Dr. Nipun Roy Sir, Advice for the case. Bilazyl Lehyam 1 tsp tid. Tab.Kutaj ghan vati 1 tds. Tab. Livotreat 1 tds.
U S G Abdomen Needed.More investigations Needed. Specialists Opinion Needed. Patients Hosptaligation Needed.
Gastroenterologist opinion needed. Prevent the body from dehydration. @Nipun Roy
China 200/3dose Ars.alb30 give frequently few doses then qds for 1 week
रोगी का होल एब्डोमिन अल्ट्रासाऊड कराएं ताकि उचित परामर्श दिया जा सके।
एपिस 30 एपोसाईनम 30 ऐसेटिक एसिड 30 लियेट्रिस सपाईकोटा Q
Arg. Nit. On the basis of presenting complaints
Advise for Admission with Modern management
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