Pain in abdomen after passing stools

54/y/o with complain of pain in abdomen after passing stools since 3 months. Nature of pain severe & spasmodic Aggravation after passing stools Relief by walking for a while or resting, sometimes needs pain killer medicine No h/o any systemic disease On examination There is mild tenderness around umblical region No organomegally Appetite reduced Thirst normal Bowel hard stools

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Usg abd. Needed 1. Jatyadi tail 15 ml + nirgundi tail basti basti 2. Shankh vati 1 bd

Firstly adv some needful investigation like CBC and USG abdomen....

Guava ginger figs apricots carrots pomegranates sprouts kalijeeri green leafy vegetables dates sleep on ground,water sipping sunshine walk prayers no sugar no nonveg diet no eggs no mushrooms no fried foods, muskmelon walnuts blue berries velocity immune booster ....

It is no where connected to amashaya the problem is in the anal region , look for any fissure,shanka vati is not suitable here,if he is having constipation then u can go with triphala ,eranda...

Advice USG abdomen Rx Saptasaram kashayam 15 ml bd bf With Hinguvachadi gutika 2 Gantharvahasthadi eranda thailam 1 tsp with milk at bed time Also external application lower abdomen

kutjarishat 2 tsf b.d with water mahashankh vatti 2tab b.d.kapal bhanti should be done.jaggery [ gurh ] after meales should be taken.

Diagnosis:?IBS Rx Merc cor 200/daily 5pills tds x 1week Usg abdomen and pelvis must Stool ova,cyst exam must

Trifala churan 1ts Swadisht virechan churan rat ko garam dudh ghee k sath subah sam Avoid fast food

Dear Dr. Ramesh Bhat Sir, Advice for the case. Tab. Maha Shankh Vati. Lavan Bhaskar Churna.

Require USG abdomen and other investigative procedures to rule out underlying pathology

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