Irregular menses with Dysmennorhea

Patient of age 32 years female is complaining of irregular menses with dysmennorhea since 8 months menses- 5-6 days pain is very strong with crushing sensation blood is bright red in the starting and then dark colour During menses, knee pain which goes with the menses no leucorrhoea Generals- Appeitite, Thirst, , Stool- normal Urine- occasional burning Desire- Sweets aversion- N.S sleep, perspiration- normal Mentals- Patient is very restless and is stressed of her studies. Talkative, Fear of height Give Suggestions Doctors

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Firstly adv USG abdomen.... Ashokaristha Tab. Chandraprabha vati Syp. M2 Tone...
Lachesis 30 TDS ....thalapsi bursa pastoris 30 tds
Rx Ashoka Q.
Sepia 200
PAINFUL MENSTRUATION IS KNOWN AS DYSMENORRHOEA... IT IS OF 3 TYPES :- 1. CONGESTIVE. 2. SPASMODIC. 3. MEMBRANOUS... CONGESTIVE DYSMENORRHOEA IS A PREMENSTRUAL PAIN SITUATED EITHER IN BACK OR LOWER ABDOMEN. OCCURRING BETWEEN 3 TO 5 DAYS OR EVEN BEFORE THE ONSET OF MENSTRUATION. IT IS RELIVED ALWAYS BY MENSTRUAL FLOW. IT'S A COMMON SYMPTOM OF SALPINGO- OOPHRITIS. PARAMETRITIS. PELVIC ADHESIONS. MYOMAS. CHOCOLATE CYST OF OVARIES. ADENOMYOMAS. ACQUIRED RETROVERSION OF UTERUS. REMEMBER SOME PATIENT DO NOT HAVE ANY ORGANIC CAUSE FOR EXAMPLE, PREMENSTRUAL TENSION. TREATMENT OF CONGESTIVE DYSMENORRHOEA:- APPROPRIATE DIET. AVOIDANCE OF EXCESSIVE CARBOHYDRATE AND STRONG PURGATIVE ANTI SPASMODIC LIKE BUSCOPAN OR PROBANTHINE. EXERCISE IS VERY IMPORTANT AS IT HAPPENS IN SEDENTARY OFFICE WORKERS.... SPASMODIC DYSMENORRHOEA :- MAJORITY FALLS IN THIS GROUP... REMEMBER IF IT'S DYSMENORRHOEA THEN IT'S SPASMODIC TYPE.... AS IN CONGESTIVE DYSMENORRHOEA IS MASKED BY DISCHARGE AND MENORRHAGIA...... IN SPASMODIC DYSMENORRHOEA, THE SYMPTOMS STARTS AFTER 2 TO 3 YEARS OF MENARCHE.... THAT IS OESTROGEN RELATED.... TYPE OF PAIN IS EXCRUCIATING, LOWER ABDOMINAL, GIVING RISE TO NAUSEA AND VOMITING.... TREATMENT OF SPASMODIC DYSMENORRHOEA:- ANALGESICS. ENDOCRINE THERAPY LIKE STERIOD CONTRACEPTIVE PILLS FOR THOSE WOMEN WHO ALSO NEED CONTRACEPTION. PROSTAGLANDIN SYNTHETASE INHIBITORS LIKE MEFANAMIC ACID 500 MG. T. I. D. INDOMEHACIN 50 MG T. I. D. NAPROXEN 250 MG. T. I. D. SURGICAL DILATATION OF CERVIX.. PRESACRAL SYMPHETECTOMY WHERE ALL OTHER MEASURES HAVE FAILED.... MEMBRANOUS DYSMENORRHOEA:- IT'S A FORM OF SPASMODIC DYSMENORRHOEA AND IS ACCOMPANIED BY THE PASSAGE OF MEMBRANES WHICH MAY TAKE THE FORM OF CASTS OF THE UTERINE CAVITY....ACTUALLY CASTS ARE STRUCTURE OF ENDOMETRIUM..... THIS IS THE DETAILED DESCRIPTION OF DYSMENORRHOEA......... FOR ALL STUDENTS OF OBG.......... DR. RAJESH GOPAL. LUDHIANA.....
Stress... needs counselling calmness symphony music, sitz bath carrots pomegranates sprouts saunf, lemon lemongrass decoction prayers orange pineapple with black pepper guava lime juice alkaline diet water sipping sunshine walknot to go out of house in menses.no sugar no nonveg diet no eggs no mushrooms no fried foods..
रोगी कष्टार्तव से पीड़ित है। चिकित्सा संबंधी योग,,,,, अशोक घृत 10 ग्राम सुबह-शाम खाने के साथ दे, रजोप्रवृधनी वटी सुबह शाम सेवन कराएं अशोकारिष्ट दशमूलारिष्ट लौहासव तीनों को मिलाकर 25 ग्राम सुबह-शाम खाने के बाद दें निश्चित रूप से लाभ होगा योग परिक्षित है पिछले 40 वर्ष से प्रयोग कर रहा हूं।
Dear Dr. Vivek Jain Sir, Advice for the case. Tab. Rajah Pravartini Vati 1 tds. Kumari Asava 30 ml BD after meal. Advice for Chandan Bala Laxadi tail for Pichu dharnartha.
Dysmenorrhoea - krichhartava Ashokarist+ desmoolarist after meal Pushy snug churan+ pradantak loha+ KApradh bhasam mor,eve with water Suparipak at bed time with milk.
IT'S A..CASE OF.. ? IRREGULAR MENSES..WITH.. DYSMENORRHEA.. ? UTERINE PATHOLOGY.. NEED'S CLINICOPATHOLOGICAL EVALUATION WITH.. USG STUDY.. CBC .. EXPERTS OPINION..
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