Dr. Subhashkumar Bharti @Dr. Vijay Nagaonkar A 30yr/F with k/c/o thalassemia minor not on any Regular tretment c/o blood in stool .increased frequency of stool since 45days diagnosed as ulcerative proctitis....want treatment for bleeding which not stoping since ,10 day treatment please post ur view T

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You can advise for Kamdudha Rasa 1 tab BD Bolbhadra Rasa 1 tab BD Praval Panchamrita Rasa 1 tab BD Drakshasava 20ml TID with equal quantity of water Sarivaddhasava 20 ml BD when bleeding stops and symptoms disappears then start Dhatri Avaleha 1tsf BD and Shatavari Kalpa 1 tsf BD with milk

Thank sir

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Dr. Pradip Patil sir, Your dignosed case is continuous bleeding per rectum for last 10 days. Proctoscopy with section biopsy confirmed ad PROCTITIS. Proctitis is an inflammation of the lining of lower end of descending colon,pelvic colon(Part of large intestine) the rectum and anal canal. Hence ulcerative proctitis is a mild form and continuation of ulcerative colitis thus pathogenesis closely related with chronic inflammatory bowel disease. Caused by:----- ※Sexually transmitted disease producing organisms like..... ● Gonorrhoea. ●Chlamydia. ●Herpes Simplex Virus 1&2. ●Syphilis. ※Non-STD infections...... Infections those are not sexually transmitted also can cause proctitis. Salmonella and Shigella are examples of foodborne bacteria that can cause proctitis. Streptococcal proctitis sometimes occurs in children who have strep throat. ※Anorectal trauma..... Proctitis can be caused by trauma to the anorectal area from anal sex or the insertion of objects or harmful substances into the rectum, including the chemicals in some enemas. ※Ulcerative colitis and Crohn’s disease. Two forms of inflammatory bowel disease (IBD can cause proctitis. Dietetic restriction:----- Need perfect food choice for scientific diet approach. Some items are common troublemakers for people with UC including:---- ◎Alcohol. ◎Caffeine. ◎carbonated drinks. ◎Dairy products, specially for lactose intolerant. ◎Dried beans, peas, and legumes. ◎Dried fruits. ◎Foods that have contain sulfur/sulfide like onion, garlic,cabbage,cauliflower ◎Foods high or rich in fiber especially insoluble fiber. Intake soluble fiber rich food like oats. ◎Plenty of water. Further investigations:--- * Follow -through GI Endoscopy with urease test. * Blood for VDRL. Hb% * Sigmoidoscopy. Take care about:----- ★ Unusual intake of counter medicine especially non steroidal anti-inflammatory drugs(NSAID). ★ Anti coagulant drugs like ecosprin, clopidogrel,heparin etc. ★ Follow up Hb% if anaemia occurs take care immediately.

Thank u sir..

Dear @Dr. Pradip Patil Sir! K/c/o Thalassemia Minor with ULCERATIVE PROCTITIS More or less, reports finding are within normal limits. Good sign. Take care of Anaemia. Dr! Unless and until you try, you can't believe that homeopathy can help this lady very much. Homeopathic medicines Merc Sol, Phosphorus and Nux Vomica are recognised as top grade cures for ulcerative proctitis. *Merc Sol will show best results where the symptoms include loose stool with blood and marked tenesmus. *Homeopathic medicine Phosphorus will work best in case of loose stool with blood attended with marked weakness. *Nux Vomica is an excellent choice of medicine where stool is scanty and there is an ineffectual urge to pass stool (tenesmus of rectum). Select according to symptoms similarity. You will get result. General Management: *Reducing stress levels and avoiding certain foods can work wonders on ulcerative proctitis. Therefore,advice the patient to invest in a meditation, exercise, yoga class or take regular walks to bring down stress and stay calm. A high-fiber diet and plenty of water is helpful. *The food products that need avoiding are spicy foods, alcohol, caffeine, dairy products and high fiber diet. In ruling these out of the diet, one is essentially preventing the symptoms from flaring up as often as before. *It needs mention here that stress can increase these flare-ups manifold and must be avoided at all cost.

Thank u sir

Dr patil G. diagnosed ulcerative procititis . But homeo complete case taking must. mainly:- desire aversion stool character colour of discharge blood modality time felling constipated or nor sensation etc g management:- avoid all fast & oily food. bed rest avoid drink & tobaccos. proper water drink. maintained hb% & lft

Bolabaddha rasa250mg tid Lajjalu swarasa 2 tsf tid Pravalapancamrt panchamrita 250 mg tid Chandanasav15 ml tid The above course to becontinued till the bleeding in stools stops,then on observation to be continued with corresponding dosage,till the desired result is observed.

Dear Dr. Pradip Patil, Advice for your patient, Durva ( Dub) swaras 10 ml BD. Vasa swaras 10 ml BD. For SOS Tab. Shonitargal ras. Avoid spicy food.

kaamdudha ras 500mg Bolbadh ras 500mg twice daily Kankayan gutika 2tab twice after meals jatyadi taila pichu give six weeks

I agree treatment with@Dr. Hemant Adhikari

I agree with Dr Hemant Adhikari

स्वर्ण गेरिक 4 रत्ती,मुक्ता पिष्टी 1 रत्ती, पीपल वृक्ष की लाख 4 रत्ती शहद में मिलाकर सुबह-शाम सेवन कराएं। मृत्युंजय रस स्वर्ण युक्त 1 रत्ती, सत गिलोय 4 रत्ती शहद में मिलाकर सुबह-शाम सेवन कराएं। निश्चित रूप से लाभ होगा योग परिक्षित है पिछले 40 वर्ष से प्रयोग कर रहा हूं।

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