intermittent pain in abdomen and nausea

59/y/o male patient with intermittent pain in abdomen and nausea since 1 year. He recently had 1 episode of bloody vomiting. On Examination Thin & lean man Temp 98.8 F, RR 16/min, Pulse 110/min, BP 108/76 Skin examination- no rash or lesions. No palpable lymphnodes. HEENT - crusted blood on face and in oropharynx but without visible trauma or mucosal abnormalities TMs are normal. CHEST - clear. P/A soft nontender without hepatosplenomegaly; no ascites

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? APD .. ? ENTERITIS.. ? INTESTINAL PATHOLOGY..

Radiological and Pathological investigations Needed.

Irritable bowel syndrome (IBS)

Nux 200

Rx Nux vomica 30 tds for one week Adv Endoscopy

ARS ALB 200C

Rx Colocynth , MP , Ipecac.

Drakshadi kashayam Stop IBS Vilva gutika

Thorough clinical examination n investigation is to be. made for treatment..

Nux vomica 30 TDs

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