Dyspepsia from 12 yrs

27 yrs male patient came to me with heart burn , sour water brash , nausea , heaviness of head and drowsiness of eyes daily 4 pm to 8 pm from 12 yrs . Complaints start with burning of whole abdomen, after 1 hour it disappeared and go through chest and throat , becomes irritate > belching and drinks cold water . Heavyness of abdomen with rumbling sounds caused by irregular bowel movement from morning 1-2 days interval . Backache from working in stooping position from 6 months > sitting for a while . Fissure in ano after passing hard stool with burning with trace of blood for 15 minutes from 6 months . Mind extrovert , religious . Chilly patient ++ Sleep ++ , lying on left side Craving for salty foods + , fish and hot food , spinach causes diarrhoea , thirst + , eating fast . Sweat + on face , urine + , stool mostly constipated .

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Looks like GERD with lumbago Ailments from to be elicited USG abdomen and X-ray spine alongwith regular blood reports. Alum, lyco, hell, mag-m, nux m, sulph can be thought of Advise proper posture and reverse exercises alongwith proper diet and lifestyle modification.
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A digestive disease in which stomach acid or bile irritates the food pipe lining. This is a chronic disease that occurs when stomach acid or bile flows into the food pipe and irritates the lining. Acid reflux and heartburn more than twice a week may indicate GERD.
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For the gastric complaints advise the patient to take more of fibrous diet and also go for walk after the food.
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pulsatilla 200/3dose weekly Nitric acid30 tds
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Lycopodium,chelid,acid sulph,Asculus hip.
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? hiatus hernia. Adv - endoscopy.
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CAUSTICUM 200 ONCE
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Advice Endoscopy
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Puls and Nux vom
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Lyco can work
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