Pain in abdomen

32/y/o female with severe pin in abdomen since last few weeks There is history of 1 episode of vomiting Her menstrual cycles were regular. Vitals normal. Appetite decreased On Examination Tenderness in the right iliac fossa with guarding. USG Pelvic done today morning showed a normal uterus & ovaries with slight accumulation of fluid within the Douglas pouch. An ovoid hypoechoic cystic structure of 3 × 2 cm adjacent to the right ovary was visualised as paraovarian cyst. Prakriti kapha pitta Agni madhyam Mala sama Jihva sama

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रोगी परिणाम शूल से पीड़ित है। चिकित्सा संबंधी योग,,, अविपत्तिकर चूर्ण 5 ग्राम, शंख भस्म 4 रत्ती सुखोष्ण जल से सेवन कराएं। शूतशेखर रस स्वर्ण युक्त 1 रत्ती मुक्ता पंचामृत रस 1 रत्ती शहद में मिलाकर सुबह-शाम सेवन कराएं। योग परिक्षित है। पिछले 40 वर्ष से प्रयोग कर रहा हूं।

Needs blood investigation LFT, THYROID PROFILE , BS(F) PP. CT SCAN FOR ABDOMEN rule out the confirme diagnosis. Other wise consult with a Gynaecologist for the better treatment and management.

? PID .. ? PCOD.. NEED'S.. CLINICAL CORELATION.. FURTHER EVALUATION.. EXPERTS OPINION..

Blood investigation As there fever?? Ct abdomen sos

rule out ectopic pregnancy get UPT done get doppler for ovarian cyst

Active Antacid 10ml b.d before meal Kanchnar guggle 2b.d +vradhivardhika bati 2b.d. Dasmoolarist +ashokarist +drakchharist b.d. For pain shoolvargini bati sos

Needs pathological investigation also to evaluate the cause.

China 200

pelvic infection PCOD

Varunadi kadha Vranapahari rasa Saptavimshati guggulu or Kanchanara guggulu Gandhaka rasayana Cruel cap

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