Ars alb 30 tds along with blatta orientallis mother tincture will 15 drops in half cup water bd will give tremendous relief after that take a thorough case with more investigation and give constitutional remedy like nat s ,,thuja , are iod which ever fits give and then wait
Tameke tu Virechanam"- Acharya charak. That will be the line of treatment i.e "Nitya Virechan" will help.
Rx 1. Shwas kuthar rasa 2. Sitopaladi Churna 3. Hingwashtak Churna
Needs pathological investigation to evaluate the cause.
Ars, ns like medicines can work i think...
Ant tart 200 Drosera 200
Arsenic alb 200
रोगी श्वांसनली शोथ से पीड़ित है। चिकित्सा संबंधी योग,,,, बसंत मालती रस स्वर्ण युक्त 1 रत्ती शीतो फलादि चूर्ण 2 ग्राम ताली शादी चूर्ण 2 ग्राम गोहदन्ती भस्म 4 रत्ती शहद में मिलाकर सुबह-शाम सेवन कराएं कनकासव द्राक्षासव दोनों को मिलाकर 25 ग्राम सुबह-शाम खाने के बाद दें। त्रिफला चूर्ण 10 ग्राम रात को सोते समय दूध में मिलाकर नियमित रूप से सेवन कराएं। निश्चित रूप से लाभ होगा। योग परिक्षित है। पिछले 40 वर्ष से प्रयोग कर रहा हूं।
Thorough case taking may help to differentiate medicines, although Nux Vom fits the details provided by you. Exactness of modalities, sensations and complaint can accurately point the remedy. Inquire the frequency of smoking, advise to reduce and stop for better quality of life.
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pt age 50 yrs f itching erutions since 2 yrs agg at rest and after scatching hot pt mind talkative, dont accept her fault rest normal tuber1m and sulphur is given less relief plz opinionDr. Vinay Mehra0 Like19 Answers
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A female patient 69 years old℅ pain in the nape of neck extends to occiput and right shoulder and left upper limb.Pain < night , < turning in bed. Restlessness.Pain in the dorsal region and and right shoulder. Trembling of the hands.Things fall from the hands. Sleepy in the morning.Sleep reading while. Dryness of lips and tongue.Thirst less ness. Anorexia. Vertigo < being the act of lying down. Eyes closed >.. At times intoxicated feeling. Head ache on vertex or forehead < night. Weakness Of lower limbs < walking. Fear of fall.H / o typhoid in childhood. Chlly patient.Desire ice cream and sweets. Menapause at the age of 55.. No sexual contact for 3 years due to body pain. Wants to wear modern cloths and ornaments. Anger easily.Always sad due to money problem. Talkative. Religious. Talkative. Her MRI brain attached here with. Please suggest treatment.Dr. K.suresh Kuzhikandathil3 Likes27 Answers
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Friends today I am discussing about DYSMENORRHEA Painful menses. Dysmenorrhea Dysmenorrhea can be literally translated as "difficult monthly flow." Although it's normal for most women to have mild abdominal cramps on the first day or two of their period, about 10% of women experience severe pain. There are two types of dysmenorrhea: Primary dysmenorrhea is menstrual pain that's not a symptom of an underlying gynecologic disorder but is related to the normal process of menstruation. Primary dysmenorrhea is the most common type of dysmenorrhea, affecting more than 50% of women, and quite severe in about 10%. Primary dysmenorrhea is most common in late adolescence and the early 20s. Fortunately for many women, the problem eases as they mature, particularly after a pregnancy. Although it may be painful and sometimes debilitating for brief periods of time, it is not harmful. Secondary dysmenorrhea is menstrual pain that is generally related to some kind of gynecologic disorder. Most of these disorders can be easily treated with medications or surgery. Secondary dysmenorrhea is more likely to affect women during adulthood. Causes Primary dysmenorrhea is thought to be caused by excessive levels of prostaglandins, hormones that make your uterus contract during menstruation and childbirth. The pain results from the release of these hormones when the lining (endometrium) is sloughing off during your menstrual period. This leads to uterus contraction and decreased blood flow to the uterus. Factors that may make the pain of primary dysmenorrhea even worse include a uterus that tilts backward (retroverted uterus) instead of forward; longer, heavier, or irregular menstrual periods; lack of exercise; psychological or social stress; smoking; drinking alcohol; being overweight; a family history of dysmenorrhea; and starting menstruating before age 12. Secondary dysmenorrhea may be caused by a number of conditions, including: fibroids – benign tumours that develop within the uterine wall or are attached to it adenomyosis – the tissue that lines the uterus (called the endometrium) begins to grow within its muscular walls a sexually transmitted infection (STI) endometriosis – fragments of the endometrial lining that are found on other pelvic organs pelvic inflammatory disease (PID), which is primarily an infection of the fallopian tubes, but can also affect the ovaries, uterus, and cervix an ovarian cyst or tumour the use of an intrauterine device (IUD), a birth control method Symptoms and Complications The main symptom of dysmenorrhea is pain. It occurs in your lower abdomen during menstruation and may also be felt in your hips, lower back, or thighs. Other symptoms may include nausea, vomiting, diarrhea, lightheadedness, headache, or fatigue. For most women, the pain usually starts shortly before or at the beginning of their menstrual period, peaks around 24 hours after the start of bleeding, and subsides after 2 to 3 days. Sometimes clots or pieces of bloody tissue from the lining of the uterus are expelled from the uterus, causing pain. Dysmenorrhea pain may be spasmodic (sharp pelvic cramps at the start of menstrual flow) or congestive (deep, dull ache). The symptoms of secondary dysmenorrhea often start sooner in the menstrual cycle than those of primary dysmenorrhea, and usually last longer. In 5% to 15% of women with primary dysmenorrhea, the pain is severe enough to disturb their daily activities and may result in missed work or school. Making the Diagnosis If you experience painful periods, check with your doctor to see whether you might have an underlying disorder that is causing secondary dysmenorrhea. You may be given a pelvic examination, and your blood and urine may be tested. A doctor may also wish to use ultrasound to get a picture of your internal organs or even use the technique of laparoscopy for a direct look into your uterus. Treatment and Prevention Your doctor may prescribe medications or other remedies depending on the cause of the dysmenorrhea. Primary dysmenorrhea is usually treated by medication such as an analgesic medication. Many women find relief with nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and naproxen.* Some doctors may prescribe hormone medications. Oral contraceptives also may also help reduce the severity of the symptoms. Nausea and vomiting may be relieved with an antinausea (antiemetic) medication, but these symptoms usually disappear without treatment as cramps subside. Implantable contraception and progesterone IUDs, which release low levels of the hormone progesterone, have also been found to be very helpful in decreasing pain. Women who do not respond after three months of treatment with NSAIDs and hormonal contraceptives may have secondary dysmenorrhea. Treatment for secondary dysmenorrhea will vary with the underlying cause. Diagnostic laparoscopy, other hormonal treatments, or trial of transcutaneous electrical nerve stimulation (TENS) are potential next steps. Surgery can be done to remove fibroids or to widen the cervical canal if it is too narrow. In addition to the above, other non-medicinal treatments for the pain of dysmenorrhea include: holding a heating pad or hot water bottle on your abdomen or lower back taking a warm bath doing mild exercises like stretching, walking, or biking – exercise may improve blood flow and reduce pelvic pain getting plenty of rest and avoiding stressful situations as your period approaches yoga You may also wish to consider alternative therapies such as hypnosis, herbal medications, or acupuncture. Be cautious with herbal medications. They may be "natural," but they are not necessarily safe or free of side effects. They can also interact with other medications you may be taking. Check with your doctor or pharmacist before trying any herbal medications. Primary Homoeopathic Remedies Belladonna Symptoms that are very intense and come and go suddenly, accompanied by a feeling of heat, often indicate a need for this remedy. The menstrual flow is typically bright red, profuse, and may have begun too early. Pain and cramping are worse from jarring and from touch, yet applying steady pressure often brings relief. Walking or bending over can make things worse, and sitting may be the most tolerable position. A woman who needs this remedy may feel restless and flushed, with pulsing or pounding sensations, and eyes that are sensitive to light. Chamomilla This remedy is indicated when the person's mood and nerves are so sensitive that pains seem almost unbearable. Anger and irritability may be extreme (or pain and cramping may come on after the woman has been angry). The menstrual flow can be heavy, and the blood may look dark or clotted. Pain often extends from the pelvic area into the thighs, and may be worse at night. Heating pads or exposure to wind can aggravate the symptoms. Vigorous walking or moving around in other ways may help relieve the pain. Cimicifuga (also called Actaea Racemosa) Cramping and pain that get worse as the flow increases, back and neck pain with muscle tension, and sharp pains like shocks that shoot upward, down the thighs, or across the pelvis, are all indications for this remedy. The woman is likely to be nervous, enthusiastic, and talkative by nature, yet feel pessimistic and fearful when unwell. Cocculus This remedy is indicated when a woman has cramping or pressing pain in the pelvic or abdominal region, along with weakness or dizziness. She may be inclined toward headaches or nausea, and parts of her body can feel numb or hollow. Feeling worse from standing up or from any kind of exertion and feeling better from lying down and sleeping are typical. (Cocculus is often indicated when a person has not been sleeping well and then feels weak or ill.) Magnesia phosphorica Painful cramps and pain in the pelvic region that are relieved by pressure and warmth often respond to this remedy. Periods may start too early, often with a dark or stringy discharge, and pain is usually worse on the right side of the body. The woman is sensitive and inclined toward "nerve pain"—feeling worse from being cold and also worse at night. Other Remedies Bovista Women needing this remedy tend to have problems with puffiness and edema during times of menstrual stress, and can feel very awkward and clumsy. Pain may be felt in the pelvic region, often with soreness near the pubic bone. Menstrual flow increases at night (and may even be absent during the day). Diarrhea occurring at the time of the menstrual period is a strong indication for this remedy. Caulophyllum thalictroides This remedy relieves menstrual cramps occurring at the onset of periods, with scanty flow. Colocynthis This remedy relieves abdominal and menstrual cramps improved by bending over, strong pressure and heat. Ipecac This relieves heavy menstruation with many clots, associated with cramps and nausea. Lachesis Women who have intense discomfort and tension before the menstrual period begins and feel much better when the flow is established may benefit from this remedy. Symptoms include a bearing-down sensation in the pelvis, flushes of heat, headache, and an inability to tolerate the touch of clothing around the waist or neck. A person who needs this remedy may feel "like a pressure cooker": intense and passionate, needing an outlet both physically and emotionally. Lilium tigrinum Indications for this remedy include great premenstrual irritability (making other people "walk on eggs") and cramping pain with a bearing-down feeling during periods. The woman may feel as if her uterus is pushing out, and may need to sit a lot or cross her legs. She is likely to feel worse from strong emotions or excitement and be better from fresh air. Nux vomica This remedy may be indicated when a woman has irregular menstrual periods with constricting pains that can extend to the rectum or the area above the tailbone. The woman tends to be impatient, irritable, and easily offended. Chilliness and constipation are also common. Mental strain, anger, physical exertion, stimulants, strong foods, and alcohol are likely to make things worse. Warmth and rest often help. Pulsatilla Delayed or suppressed menstrual flow accompanied by nausea or faintness suggests the use of this remedy. Getting too warm or being in a stuffy room make things worse. Cramping pain with a bearing-down feeling, either with scanty flow or thick, dark, clotted discharge, can also occur—symptoms that are changeable often point to Pulsatilla. The woman's moods are changeable as well, and a desire for attention and sympathy, along with a sensitive (even tearful) emotional state are typical. This remedy is indicated during many conditions involving hormonal changes and is often helpful to girls who have recently started having periods. Sabina This remedy relieves profuse and painful periods with red blood clots, and pain spreading to the root of the thighs. Sepia Indications for this remedy include painful, late, or suppressed menstruation, sometimes with a feeling that the pelvic floor is weak or as if the uterus is sagging. The woman may feel irritable, dragged out, and sad—losing interest temporarily in marital and family interactions, wanting to be left alone. Dampness, perspiring, and doing housework may aggravate the symptoms. Warmth and exercise, especially dancing, often brighten the woman's outlook and restore some energy. Veratrum album Menstrual periods with a very heavy flow and cramping, along with feeling of exhaustion, chilliness, and even vomiting and diarrhea, are indications for this remedy. The periods may start too early and go on too long. Discomfort is often worse at night and also in wet, cold weather. Warm drinks, exercise, or moving the bowels may make things worse. Small meals, cold drinks, and wrapping up in warm clothes or covers will tend to bring relief.Dr. Rajesh Gupta8 Likes7 Answers
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Friends today I am discussing about #Migraine. Migraines are severe, recurring, and painful headaches. They can be preceded or accompanied by sensory warning signs and other symptoms. The extreme pain that migraines cause can last for hours or even days. Migraines can follow an aura of sensory disturbances followed by a severe headache that often appears on one side of the head. They tend to affect people aged 15 to 55 years. Fast facts on migraines: Some people who experience migraines can clearly identify triggers or factors that cause the headaches, such as allergies, light, and stress. Some people get a warning symptom before the start of the migraine headache. Many people with migraine can prevent a full-blown attack by recognizing and acting upon the warning signs. Over-the-counter (OTC) medications can eliminate or reduce pain, and specific medications can help some people with migraine. People who have severe attacks can take preventive medicines. Triggers The cause of migraines is not yet known. It is suspected that they result from abnormal activity in the brain. This can affect the way nerves communicate as well as the chemicals and blood vessels in the brain. Genetics may make someone more sensitive to the triggers that can cause migraines. However, the following triggers are likely to set off migraines: Hormonal changes: Women may experience migraine symptoms during menstruation, due to changing hormone levels. Emotional triggers: Stress, depression, anxiety, excitement, and shock can trigger a migraine. Physical causes: Tiredness and insufficient sleep, shoulder or neck tension, poor posture, and physical overexertion have all been linked to migraines. Low blood sugar and jet lag can also act as triggers. Triggers in the diet: Alcohol and caffeine can contribute to triggering migraines. Some specific foods can also have this effect, including chocolate, cheese, citrus fruits, and foods containing the additive tyramine. Irregular mealtimes and dehydration have also been named as potential triggers. Medications: Some sleeping pills, hormone replacement therapy (HRT) medications, and the combined contraceptive pill have all been named as possible triggers. Triggers in the environment: Flickering screens, strong smells, second-hand smoke, and loud noises can set off a migraine. Stuffy rooms, temperature changes, and bright lights are also possible triggers. Treatment There is currently no single cure for migraines. Treatment is aimed at preventing a full-blown attack, and alleviating the symptoms that occur. Lifestyle alterations that might help reduce the frequency of migraines include: getting enough sleep reducing stress drinking plenty of water avoiding certain foods regular physical exercise Some people also find that special diets can help, such as gluten-free. Consider seeking further treatment if the above changes do not relieve the symptoms or frequency of migraines. The treatment of migraine symptoms focuses on avoiding triggers, controlling symptoms, and taking medicine. Surgery The last decade has seen the development of new approaches to the treatment of migraines. A doctor may administer an injection of botulinum toxin, or Botox, to the extracranial sensory branches of the trigeminal and cervical spinal nerves. These are a group of nerves in the face and neck linked to migraine reactions. Medications Migraines are often managed through a course of medication. There are many different types of migraine medication, including painkillers. Painkillers should be taken early in the progress of a migraine rather than allowing the headache to develop. Over-the-counter (OTC) medications effective for treating migraines include: naproxen ibuprofen acetaminophen Other painkillers, such as aspirin with caffeine and acetaminophen, can often stop the headache or reduce pain. Many painkillers are available to buy online, including naproxen, acetaminophen, and aspirin with caffeine. Always speak to a doctor before taking new medication. Drugs that treat nausea Some people who experience migraines will need to take medications that treat the accompanying symptoms. Metoclopramide may be used to control certain symptoms, such as nausea and vomiting. Serotonin agonists, such as sumatriptan, may also be prescribed for severe migraines or for migraines that do not respond to OTC medications. Selective serotonin reuptake inhibitors (SSRIs) and antidepressants, such as tricyclics, are prescribed to reduce migraine symptoms, although they are not approved in all countries for this purpose. Preventive medications Migraine prevention begins with avoiding triggers. The main goals of preventive therapies are to reduce the frequency, pain level, and duration of migraine headaches and increase the effectiveness of other therapies. There are several medications and supplements that help prevent migraine attacks, including: antidepressants coenzyme Q10 herbal extracts, such as feverfew magnesium citrate vitamin B-12 supplements riboflavin Many supplements can be purchased online, including vitamin B-12 and feverfew. Before purchasing, ensure that it is safe to take these supplements alongside other medication. It is worth noting that some people can experience a medication overuse headache (MOH), or rebound headache. This can occur after taking too many medications in an attempt to prevent migraine attacks. Types There are two main types of migraine. This classification depends on whether the individual experiences any disturbances of the senses leading up to a migraine. These are known as auras. Migraine with aura migraine with aura representation with blurred hue around a tree This picture is an illustration of what a person experiencing migraine with aura might see. For many people with migraine, the auras act as a warning, telling them that a headache is soon to come. The effects of an aura can include: confusing thoughts or experiences the perception of strange, sparkling or flashing lights zig-zagging lines in the visual field blind spots or blank patches in the vision pins and needles in an arm or leg difficulty speaking stiffness in the shoulders, neck, or limbs unpleasant smells If the following symptoms are unusual for the person with migraine, they should not be ignored: an unusually severe headache visual disturbance loss of sensation difficulties with speech When migraines with aura affect vision, the patient may see things that are not there, such as transparent strings of objects. They may also not see parts of the object in front of them or even feel as if part of their field of vision appears, disappears, and then comes back again. People experiencing an aura may describe the visual disturbance as similar to the sensation that follows being exposed to a very bright camera flash. Migraine without aura More commonly, a person will experience a migraine without any sensory disturbance leading up to the attack. Between 70 and 90 percent of migraines occur without an aura. Other types There are other types of migraine related to specific syndromes or triggers, including: Chronic migraine: This refers to any migraine that triggers attacks on over 15 days of the month. Menstrual migraine: This is when the attacks occur in a pattern connected to the menstrual cycle. Hemiplegic migraine: This causes weakness on one side of the body for a temporary period. Abdominal migraine: This is a syndrome that connects migraine attacks to irregular function in the gut and abdomen. It mainly occurs in children under 14 years of age, Migraine with brainstem aura: This is a rare type of migraine that can trigger severe neurological symptoms, such as affected speech. Speak to a doctor after identifying a migraine pattern in any headaches experienced. They will be able to advise the type and prescribe suitable treatment. Symptoms Symptoms of migraine can start a while before the headache, immediately before the headache, during the headache, and after the headache. Although not all migraines are the same, typical symptoms include: moderate to severe pain, usually confined to one side of the head but capable of occurring on either side of the head severe, throbbing, or pulsing pain increasing pain during physical activity or when straining inability to perform regular activities due to pain feeling sick and physically vomiting increased sensitivity to light and sound, relieved by lying quietly in a darkened room Some people experience other symptoms such as sweating, temperature changes, stomach ache, and diarrhea. Migraine vs headache It is important to know the difference between a migraine attack and a headache. Headaches can vary a great deal in how long they last, how severe they are, and why they happen. They may not occur in a recognizable pattern as migraine attacks do. MIgraine attacks will present as moderate-to-severe headaches on one side of the head that occur with other symptoms, such as nausea and vomiting. Migraine and non-migraine headaches are different and can indicate different causes. To help identify a migraine headache, it can be useful to keep a diary of symptoms noting the time of onset, any triggers, the duration of the headaches, any noticeable signs or auras leading up to a migraine attack, and any other symptoms. A headache diary should ideally be used for a minimum of 8 weeks and record: the frequency, duration, and severity of headaches any associated symptoms all prescribed and OTC medications taken to relieve headache symptoms possible triggers the relationship of headaches to menstruation The International Headache Society recommends the "5, 4, 3, 2, 1" criteria to diagnose migraines without aura. This stands for: 5 or more attacks with a duration of 4 hours to 3 days At least two of the following qualities: Occurring on one side of the head, a pulsating quality, moderate-to-severe pain, and aggravation by routine physical activity At least one additional symptom, such as nausea, vomiting, sensitivity to light, or sensitivity to sound. During the initial diagnosis of migraines, the doctor may suggest a range of tests to exclude any other causes of a headache. These can include electroencephalography (EEG), CT, and MRI scans, or a spinal tap. Primary Homoeopathic Remedies Belladonna This relieves headaches with the feeling of head fullness, and sensitivity to noise and light. Bryonia This remedy can be helpful if a person has a heavy or "splitting" headache, with steady pain that settles over one eye (especially the left) or spreads to the entire head. Pain is worse from any motion, even from moving the eyes, and the person wants to lie completely still and not be talked to or disturbed. Nausea with a heavy feeling in the stomach and vomiting may occur. The person can have a very dry mouth and usually is thirsty. Gelsemium This remedy relieves congestive headaches at the base of the head, as well as headaches around the eye, caused or aggravated by stress. Glonoinum This remedy relieves sudden headaches, with fullness of head and feeling of heat, and aggravated by heat. Ignatia This remedy is helpful for migraines in sensitive people, especially headaches after emotional upsets or caused by grief. The headache is often focused on one side of the head, and may feel as if a nail is driven in. Twitching in the face or spasms in the muscles of the neck and back frequently occur. The person often sighs or yawns and may sometimes weep or seem "hysterical." Iris versicolor Intense migraines with blurry vision and pain that extends to the face and teeth, along with vomiting and a burning feeling in the throat and stomach, can often be relieved with this remedy. The person feels worse from resting and better from motion. Natrum muriaticum Migraines (often on the right) that are worse from grief or emotional upsets, worse from too much sun, or occur just before or after the menstrual period, are likely to respond to this remedy. The headache feels like "a thousand little hammers were knocking on the brain" and is often worse from eyestrain. The person may have numb or tingling feelings in the lips or face before the headache starts, and the eyes are very sensitive to light. The person often feels better lying in the dark and after sleeping. Nux vomica This remedy relieves nausea and digestive troubles associated with overindulgence in food or alcohol. Sanguinaria Right-sided migraines with tension in the neck and shoulder, extending to the forehead with a bursting feeling in the eye, are often relieved with this remedy. Jarring, light, and noise aggravate discomfort. The headaches improve after vomiting, as well as from burping or passing gas, and are often better after sleep. A person who needs this remedy often comes down with migraines after missing meals, and also has digestive problems and allergies. Sepia Left-sided migraines with dizziness and nausea, worse from missing meals, and worse near menstrual periods or during menopause, often responds to this remedy. Pain may come in shocks or jerks, and the person feels worse indoors and from lying on the painful side. A person needing Sepia feels weary, cold, and irritable, wanting no one to make demands on them. Silicea (also called Silica) Migraines that come on after mental exertion or near the menstrual period may indicate a need for this remedy—especially in a nervous person who is very chilly. Headaches are usually right-sided, starting in the back of the head and extending to the forehead, and are worse from drafts or from going out in the cold without a hat. The person may feel better from lying down in a dark, warm room and also from covering the head. Other Remedies Cimicifuga This remedy is often indicated for migraines with throbbing pains ("as if the top of the head would fly open") or shooting pains in the eyes. Headaches are often associated with the menstrual period or come on after long-term study or worrying. The muscles of the neck are usually involved in the headache, feeling very stiff and painful. The person (normally talkative and energetic) feels mentally dull and gloomy, or even fearful, during a migraine. Pain is worse from motion and sometimes improved by eating. Coffea cruda This remedy relieves headaches and sleeplessness with agitation and overactive thoughts. Cyclamen Migraines that start with flickering in the eyes, dim vision, or dizziness suggest a need for this remedy. Pain is often right-sided and may involve the ear—which can also ache or itch. The person feels very weak and sick (the nausea is often worse from fatty food) and is thirsty, very sensitive to cold, and worse from open air. People who need this remedy are sympathetic and emotional; they often have an anxious or remorseful feeling that they may have neglected some responsibility. Kali phosphoricum This remedy relieves symptoms from intellectual overwork. Lachesis Left-sided migraines with congested, pulsing pain that is worse from pressure or tight clothing may respond to this remedy. The person's face looks deeply flushed or blotchy. Headaches are often worst before the menstrual period and better once the flow begins. The person feels worse from sleeping (either in the daytime or at night) and is usually worse from heat. Lycopodium This relieves headaches caused by delaying meals, with desire for hot food and candy. Spigelia Excruciating headaches on the left side of the head, with violent throbbing, or stitching pains above or through the eyeball, may respond to this remedy. Pain may extend through the face and is worse from motion, touch, position changes, and jarring. The person may feel better from lying on the right side with the head supported, and keeping still.Dr. Rajesh Gupta5 Likes5 Answers
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Young cyclist vs car collision at low velocity. Patient walks to ER and has chest and pelvic radiographs. He is told he has a few rib fractures and a broken clavicle, then discharged with advice to take regular analgesics. He re-attends after 2 days complaining of breathing problems. What has gone wrong in this narrative?Dr. Diksha Bhardwaj2 Likes22 Answers