here my opd a female pt who suffering from sever abdominal pain . needed investigation given blow ... plz advice medical management thanks


आयुर्वेद के अनुसार रोगी परिणाम शूल से पीड़ित है। चिकित्सा संबंधी योग,,, शूतशेखर रस स्वर्ण युक्त 1 रत्ती अविपत्तिकर चूर्ण 5 ग्राम शंख भस्म 4 रत्ती शहद में मिलाकर सुबह-शाम सेवन कराएं। कुमारियासव द्राक्षासव तक्रासव तीनों को मिलाकर 25 ग्राम सुबह-शाम खाने के बाद दें। योग परिक्षित है। पिछले 40 वर्ष से प्रयोग कर रहा हूं।

-Usg suggests multiple thickened small bowel loops d/d crohn disease /ulcerative colitis / intestinal TB -UGI endoscopy reveals lax LES suggests GERD. Ad- further evaluation. -Colonoscopy -CECT whole ab pelvis -faecal calprotectin Till then Syrup Sucralfate + oxithazaine 1gm QID. Oral sulfasalazine 500mg TDS. oral ofloxacin and metronidazole. Oral pantoprazole + levosulpride. Oral melpred 8mg BD. Along with anti inflammatory symptomatic.

Thank u dr gaurav

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Multiple small bowel loops diffusely thickened- features go in favour of Crohn's disease with intestinal tuberculosis as D/D . Upper G.I endoscopy indicates a lax LES and deformed pylorus indicative of GERD and may be ulcer in pyloric antrum causing pyloric deformity. Further investigations are needed to confirm the diagnosis. 1.A colonoscopy 2.Faecal calprotectin 3.Breath test for H.Pylori . 4.A CECT abdomen. 5.Montaux test and ESR Meanwhile start symptomatic treatment .

Thanks for given valuable time .

She is having chronic severe Abdominal pain Hb 12, LFT and RFT normal USG showing thickened bowel loops Following is differential diagnosis Tuberculosis Crohn's disease Other small bowl pathology causing obstruction Plan Fecal calprotectin - positive result indicate inflammatory pathology of intestine Colonoscopy with ileoscopy, it will give visual inspection for presence of ulcers and inflammation of mucosa Biopsy to be sent for, histopathology, CBNAAT, TB culture CT abdomen to look for lymphadenopathy, intestinal obstruction causing dilatation of intestine, to look for intestinal pathology Finally Diagnostic laparoscopy with biopsy These investigations will lead us to correct diagnosis

Jejunitis IV oflox Oz BDS IV ppi In buscogard SOS If sever pain with and distention keep pt NBM 24hrs n dupliment with IV RL n gns


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