Menorrhagia

32/y/o with menorrhagia since 2 years. Taking tab tranexa during menses but no effect Menstrual history Duration 7-8 days Cycle 30 days Flow heavy flow- using 4-5 pads/day Clots ++ Associated complaint burning sensation all over the body and back ache She is kapha prakriti with avara agni bala

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Ultrasound must be done to detect the cause if required fnac also to be done including all blood profiles then case taken and accordingly treatment started search for history and causation

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2 years menorrhagia, chronic case, loss of blood is more * please look for associated anemia and Hb level * Rule out other gynaecological problems * chronic case, needs O&G specialist

Thank you @Dr. Twara Aashish
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DD- fibroids Endometriosis Endometrial polyp Adenomyosis Or on any medications that's inducing hormonal imbalance

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Advise investigation USG to elicit the cause. Better to be diagnosed early than wait.

Thank you Dr. Mohanty and Dr. Kavita
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Rx Sulph 200/3dose Nux vom30 tds

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Take accupresher theropy

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Rx Fiscus religiosa Q.

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मर्क-सोल आर्निका

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Rhustok Thuja

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Sepia 200

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