WHAT MAY BE THE DIAGNOSIS OF THIS CASE???
A FEMALE PATIENT AGED ABOUT 58 YEARS C/0 OF DISTENSION OF ABDOMEN FROM 1 YEAR SOMETIMES ASSOCIATED WITH PAIN IN LEFT HYPOGASTRIC REGION RELIEVED BY PASSING FLATUS FEELS BURNING SENSATION IN THROAT AND ABDOMEN 1 HOUR AFTER EATING DIFFICULT IN PASSING STOOLS FROM 6 MONTHS STITCHING TYPE OF PAIN DURING AND AFTER PASSAGE OF STOOLS DURING PASSAGE OF STOOLS HARD STOOLS COMES FIRST THEN SOFT STOOLS COMES THEREAFTER NO PASSAGE OF PUS OR BLOOD HISTORY OF DIFFICULT IN DEGLUTITION AFTER SURGERY PATIENT IS DIABETIC AND HYPERTENSIVE AND USED STEROIDS FOR RHEUMATOID ARTHRITIS FOR 3 YEARS AGO.USING MEDICATIONS FOR ASTHMA. PLEASE SUGGEST THE DIAGNOSIS AND RELATIVE PATHOLOGY????
Signs and symptoms indicate 1.GERD - gastroesophageal reflux disease 2.Abdominal bloating, dyspepsia? Constipation- favour colitis , Irritable bowel syndrome. 3.Get an upper G.I endoscopy and H- pylori testing and if H.P positive- H.P kit indicated . 4.A colonoscopy may be needed to rule out inflammatory bowel disease 5 Anxiety disorder seems to be associated 6.DM and HTN needs control 7.Rheumatoid arthritis needs non - steroidal treatment
* Irritable bowel syndrome ** Inflammatory bowel syndrome Needs further investigation and evaluation to conclude.
SUGGESTIVE OF ORAL STEROIDAL INDUCED... GERD. AND I. B. S....
SAiO n dyspepsia Second option is as Dr yograj suggest
Hyper acidity & Colitis
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Common causes of abdominal pain Abdomen pain or abdominal pain is usually experienced in the area between the chest and the stomach. This kind of pain usually comes as a dull cramp that also produces shooting stabs of pains intermittently, or it may be a localised pain in one side of the stomach. This may also be accompanied by inflammation, and other diseases related to organs like intestines, kidneys, pancreas, liver, spleen and stomach. So what are the causes of stomach or abdomen pain? Read on to find out: Food Poisoning: Food poisoning can be caused due to dirty water or contaminated food. This can give rise to various infections as well as conditions like traveller's diarrhoea or loose motions. Gastro Intestinal Conditions: GERD or gastroesophaegal reflux disease and gastroenteritis, among various others can also lead to abdomen pain as a symptom along with severe acidity and nausea. Irritable bowel syndrome is another major ailment which can leave you with persistent abdominal pain. Generalised Pain: This kind of pain occurs in the overall area all around the stomach and may point at the presence of conditions like Crohn's Disease, a traumatic injury, appendicitis, flu, or even a urinary tract infection. Further, when the gas settles and tightens the stomach due to the inability to pass a motion on a normal, regular basis, this may be termed as constipation. This also leads to abdomen pain. Localised Lower Abdomen Pain: Pain that is found specifically in the lower area of the abdomen can be caused due to appendicitis, obstruction or blockage in the intestine or colon, and other ailments. This pain can also be accompanied by nausea and vomiting. Localised Upper Abdomen Pain: This kind of pain may emanate due to the presence of gallstones, liver inflammation or hepatitis, pneumonia, or even in the middle of a heart attack. Localised Centre Abdomen Pain: Pain in the centre part of the stomach or abdomen may be caused due to gastroenteritis, an injury or even the accumulation of waste products in the body, otherwise known as uraemia. Abdomen Pain and Women: For women, such localised pain may be caused due to pelvic inflammatory disease, urinary tract infection, endometriosis, ectopic pregnancy, menstrual cramps which are also called dysmenorrhoea, and fibroids. Miscarriages can also cause pain in this part of the abdomen, for women. Renal Stones: Renal stones or stone in kidney is one of the most common cause of abdomen pain. The pain caused by kidney stone is such that it can make a patient roll in bed and this pain may radiate to toward the groin as well. Persistent pain and nausea that come with vomiting and finally give rise to blood in the vomit or stool should be checked by the doctor immediately, so as to rule out any serious ailment. Imaging tests, ultrasound and an X-Ray can help in diagnosis.Dr. Dinesh Agarwal15 Likes16 Answers
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recurrent . heals by steroid but reoccurring . surprisingly no pain . what are D/D ? please helpDr. Diganta Das5 Likes49 Answers
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Castor root benefits Of all the substances capable of aphrodisiac and Vata balancing effects, castor root is the best. Udavartahara – relieves bloating, gas distension in abdomen Pleehaghna – useful in spleen disorders, splenomegaly Gulmahara – useful in abdominal tumors Bastishoolahara – relieves bladder pain Antravruddhinut – useful in hernia Shonita Vikara – relieves blood imbalance disorders Shoshahara – relieves emaciation, dehydration Shoolaghna – relieves abdominal colic pain Margashodhana – cleanses gut Shwasahara – useful in treatment of asthma and chronic respiratory disorders. Kasahara – useful in cough and cold Anahahara – relieves gas, fullness of abdomen, bloating Kati Basti Rujahara – relieves pain in lower back and bladder region. Shiroruji – relieves headache Mehahara – useful in urinary tract disorders and diabetes Amavatahara – useful in rheumatoid arthritis Shothahara – relieves swelling, edema, anti inflammatory Eranda Phala – Castor fruit uses: Svaadu – sweet in taste Sakshara – slightly alkaline, strong in nature Laghu – light to digest Ushna – hot Bhedi – purgative Vatajit – Balances Vata Dosha Castor leaf benefits: Vataghna – Balances Vata Dosha Kaphahara – Balances Kapha Dosha, Krimihara – antimicrobial, useful in worm infestation Mutradoshahara – useful in urinary tract infection Pitta Prakopi – increases Pitta Gulmahara – useful in abdominal tumors Bastishoolahara – relieves bladder pain Vruddhi – useful in hernia Mutrakrichrahara – Relieves dysuria, urinary retention, acts as diuretic In case of snake bite, once after the treatment is properly done, to remove remnant poison from the body, young castor leaf shoot is made paste with water, filtered. That water is given for drinking. It is also used in treating Aconitum and opium toxicity. Castor fruit uses: Atyushna – It is very hot Katu – pungent taste Gulmahara – useful in abdominal tumors Shoolahara – relieves abdominal colic pain Anilapaha – Balances Vata Dosha Yakrut hara – useful in liver disorders Pleehahara – useful in spleen disorders, splenomegaly Udarahara – useful in ascites, enlargement of abdomen Arshanut – useful in piles, haemorrhoids Deepana – improves digestion strength Kaphavatahara – Balances Kapha and Vata Dosha Castor seeds without the hull are used for birth control, leprosy, and syphilis. The hull (the seed cover) is poisonous and not used orally. Castor flower uses: It balances Vata Dosha but may worsen bleeding disorders. Since all parts of castor useful to balance Vata dosha, they are used in treating paralysis, sciatica, neuropathies, neurological pains etc. External application of castor leaf and root – Castor leaf is dipped sesame oil and heated till it becomes hot. This is applied over blunt injuries, arthritis, painful joints to relieve pain. Castor oil leaf and root is made paste with sesame oil or castor oil, slightly heated and applied externally to relieve migraine, low back ache, sciatica pain, arthritis pain, mastitis and skin disorders associated with pain. Root bark has emetic & purgative action & cures lumbago skin diseases, dysponea, hydrocele, flatulance, piles, cough, head ache, leprosy, arthrities, calculus & dysuria, fever, swelling, mental diseases, painful micturation & the seeds cure hepatities & plenities. Tender leaves allay pains in the bladder. The roots are sweet, acrid, astrigent, thermogenic, carmative, purgative, anthelmintic, emollient, diuretic, aphrodisiac, galactagogue, sudorific, expectorant & depurative. Which cures gulma, amadasa, constipation, inflammations, fever, ascitis, strangury, bronchities, cough, leprosy, skin diseases, vitiated conditions of vata, colic, coxalgia & lumbago. Root bark used for emetic & purgative purpose, benificial in lumbago & skin diseases. Castor Leaves are diuretic anthelmintic & galactagogue cures burns, nyctalopia, strangury, vitiated conditions of that is rheumatoid arthrities, urodynia & anthralgia. Leaves externally applied to boils & sores in the form of poulties. Castor Flowers cures urodynia & glandular tumors. Castor Seeds are acrid, thermogenic, digestive, cathartic & aphrodisiac cures dyspepsia. Oil obtained from seeds is slightly bitter, acrid, sweet, antipyretic, thermogenic & viscous. The white variety is specially used in fever & red variety is used in swelling, pallor, & mental diseases.Dr. Swati B Pawara19 Likes14 Answers
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32 year male known to have gastritis, not on regular treatment. Presented with 3 months of persistent bitter taste. Had Lt ear and nose blockage started one month back. H/O dental abscess one month back after which Lt premolar had been extracted. Had a molar that needs RCT. H/O Flu 2 weeks back .. 2 weeks back he started noticing Lt tonsil is increasing on the size with white and red spots (as in the picture). No H/O headache or coughing, nausea, vomiting or abdominal pain. CT neck and chest were unremarkable. Paranasal MRI unremarkable. His main complaint is the persistent bitter taste. How can we manage this?Dr. Nitin Jaiswal2 Likes11 Answers
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23 best foods to improve women's health timesofindia.com Aug 24, 2017 12:09 PM ￼ 20 Best foods to improve women's health (Thinkstock photos/Getty Images) It is pretty clear that there exist both physiological and metabolic differences in both men and women. Considering the fact that a woman's body is different from her male counterpart, the nutritional requirements differ, especially because her body goes through the monthly menstrual cycle for most part of her life, preparing to conceive every month and then the menopausal phase. So here we have mentioned a few foods that every woman should definitely add to her diet. Green leafy vegetables: Enriched with iron content, green leafy vegetables like spinach have natural source of calcium, which are good for your bone strength. Not just this, these leafy greens are loaded with magnesium, vitamin K, vitamin C and phytonutrients that provides a package for your bone health. Whole grains: Including whole grains such as brown rice, quinoa, bran flakes and whole-grain breads increases the fibre content in your body. Another reason you should add whole-grains in your diet is that it improves the digestive problems. If your digestive system is clean, you can prevent flatulence, constipation and even colon cancer. Nuts: This delicious food is known as the powerhouse of essential vitamins, minerals and healthy fats. They are good for your bones and make your memory sharp. Almonds are loaded with bone strengthening minerals like magnesium and are a great source of calcium too. Walnuts contain excellent source of omega-3 fats, which result in preserving and strengthening bones. Pistachios are not only delicious but are high in magnesium, potassium and vitamin B6. So, eat a handful of nuts every day and improve your overall health. Eggs: Eggs provide a source of non-dairy calcium. 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So drink at least 8-10 glasses a day and keep your digestion system intact. Report a problem ￼45￼dislikDr. Tapan Kumar Sau3 Likes8 Answers