Excessive flatulence

Chief Complaint 39 year old male With excessive flatulence with Constipation since 6 months K/c/o DM & htn taking metformin 500 BD, Atrovas & Telma OD On examination P/A soft Non tender No hepatomegaly Prakriti kapha vata Agni madhyam Jihva sama Mala sama

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Advise for Anulomana Chikitsa Avipattikar Churna + Shiva Kshar Pachana Churna + Shankh Bhasma = at bed time with luke warm water Advise for Luke warm water throughout the day

रोगी अम्ल पित्त से पीड़ित है। चिकित्सा संबंधी योग,,,, अविपत्तिकर चूर्ण 5 ग्राम, शंख भस्म 4 रत्ती सुखोष्ण जल से सुबह शाम सेवन कराएं।

It could be because of metformin. Tablet arogyavardhini and chitrakadi is advisable.

Suggest LFT USG abdomen and pelvis Rx Gandharvahasthadi kashayam 15 ml bd bf with 45 ml lukewarm water with gantharvahasthadi eranda thailam 1 tsp Arogyavardini vati 2 bd af Hinguvachdi gutika 1 TD af

China 200

Carbo veg 200/3dose weekly

Try to find the cause of agni madhya ..check if it is due to metformin he is having this symptoms. Lasunadi vati 1bd before meal Laghusutshekar ras 2 tds after neal Panchsakar churn 2gm with panchtikta ghrut 5gm rat me Erand tail virechan once in week. Give yog basti kram if no relief. Follow proper pathya and yogasan.

Lycopodium , Nux vomica , China can be use for the case

Rx Nux vom.

Nux vomeka

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