Concluded Case

Abdominal koch's

24 years old of male patient suffering from severe Abdominal pain after food intake since 9 to 10 months, occasionally constipation, loss of appetite, weight 45kg, No DMT2, No HTN, LFT normal Hb%=12. 5, IgE =245. CT scan of Whole Abdomen is attached. Please suggest the line of treatment c Medicine.

(Edited)

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Concluded answer

Dear Dr. Amirul Islam Sir, Advice for the case. Advice to give Narikel Lavan.

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Mesentric lymphadenoma is suspicious of abdo kochs,kindly adv laprotomy guided LN biopsy,and start ATT accordingly.till then syp evalex p for chronic constipation

May be parinamsoola , mandagni, rasaj vikar Kalyanak kshar 250mg BD Agnitundi vati2-2-2 Chitrakadi vati2-2-2 Kumaiyasva+jirkarishta 40ml BD Erandabhrista haritaki at night. You can add as per condition

Looks to be infective origin. May be Abdo Koch's ,bacterial infection. Or possibly sarcoidosis .

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1) Swarn Sutshekhar Ras 1 tab. Shul varjini vati 1 tab Jatiphaladi vati 1 tab. Abhrak bhasm sahastaputi 125 mg. Amlapittantak Loh 1 tab Kamdudha Ras moti 1 tab 2) Hingwashtak churna 5gm b.d. 3) Kumari asava no.1 _ 1tsf bdpc Abhayarishta 1 tsf bdpc

Dear Dr. Amirul Islam Sir, Advice for the case. Advice to give Narikel Lavan.

Thank you doctor
1

Rohtikarisht,Lohasav,Guduchi Satv,Liv-52, Punarnava mandoor,amalpittantak churna, lavanBhaskar churna helpful..

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1

Yakritplihari loh.. Tapyadi loh.for livr.. Diuretic

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0

??TB

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0

? Abdominal koch's

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