Lady 44 years c/o pain in right illiac fossa for more than one month associated with nausea and vomiting. Allopathic treatment taken but not improved. Pain < ridding. < pressure. USG report.: Mild probe tenderness in RIF. Appendix not visualized. Blood report : WBC 10400. Reports attached herewith. Please suggest Rx.

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Looks like a case of recurrent appendicitis or subacute appendicitis. A CECT abdomen is required to rule out any other D/D- like ileocaecal tuberculosis. Crohns disease

Very valuable opinion. Thank you sir
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RIF.... APPENDIX. NAUSEA. VOMITTING. RIDDING AGG. PRESSURE AGG. INFLAMMATION....RAISED WBC COUNT. ACUTE.... BRYONIA. CHRONIC....ARS ALB IS THE REMEDY SIR.

Thank you sir
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Complaint 44 yrs old Women Right illiac fossa Pain Since 1 month. Nausea &Vomiting. Dx For Patient.Appendicular Pain. Rx1.Bellodonna 3o xbd. 2.Colocynth 0.potancy 8dropsxbd. 3.Mag phos.6x 5tabxtid Daily.With light hot water. Ipe.3o&puls Remove Vomiting Tendency. Syn &SymtomApply Medicine. Dr.Ranjit Kumarporiya Homeopathy .

Thank you sir
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Advice for CT abdomen and pelvis sir. Sometimes ileo-colitis or posteriorly placed appendix may b d cause, but not visualized in usg.

Thank you dr
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What is the menstrual history? Is she obese?Even an inflamed ovary may mimic appendicitis!Any h/o TB in self or close contacts. Check the ESR,MT,TB IgG,IgM if h/o low grade fever to R/o IC Koch's.

Menses stopped 20 years back after the second delivery. TFT normal. Very valuable opinion. Thank you sir
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Better to go with CT.....

Thank you sir
1

Any rectal pathology on the rt .side, cystitis or ureteritis,any h/o of abdominal surgery may indicate infection or adhesions locally, colitis, diverticulitis etc have all to be ruled out

Appendicitis

We should also think of local bone pathology. Unless we diagnose,treatment will be confusing. Arogyavardhini vati & Trifala gugul can be given a try.

Thank you sir
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रोगी आंत्र पुंच्छ संक्रमण से पीड़ित है। चिकित्सा,, शल्य चिकित्सा से उपचार करना सम्भव है।

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