Retrosternal pain & burning sensation with upper backache

32 years old male with complain of Retrosternal pain & burning sensation & upper backache Daily at night time since 3 weeks No h/o any systemic disease Examination of back & chest no visible abnormality Auscultation of chest b/l equal clear air entry He is kapha prakriti with madhyam agni

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Agree with dr Nihar Ranjan mohanty sir...further investigations needed in this case for conform the dx...

D/D Pancreatitis gall stone Peptic ulcer Acid peptic disease

Thank you @Dr. Hiral Maliwad
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We can correlate with Amlapitta and its Anubandha Vedana Start with Maha Shankh Vati 1 tab BD Kamdudha Rasa 1 tab BD Soot Shekhar Rasa 1 OD Amlapitta Mishran before every meal Advise to avoid Pitta Vardhak Ahar Vihar Advise to have meal on time Must avoid stress Must maintain healthy weight Avoid Diwa Swapna Must drink adequate quantity of water

रोगी आमाशय व्रण से पीड़ित है। चिकित्सा संबंधी योग,,,,, प्रथम रोगी को यवागु एवं विलेपी पर रक्खे। अविपत्तिकर चूर्ण 5 ग्राम, शंख भस्म 4 रत्ती, सुखोष्ण जल से सुबह-शाम खाने से पहले दें। द्राक्षासव कुमारियासव दोनों को मिलाकर 25 ग्राम सुबह-शाम खाने के बाद दें। योग परिक्षित है। पिछले 40 वर्ष से प्रयोग कर रहा हूं।

रोगी अम्लपित्त से ग्रसित हैं अवित्तिकर चूर्ण ... 60 gm + मौक्तिक कामदुधा रस 40 गोली मोती पिष्टी 5 gm गिलोय सत्व 10gm सभी को मिलाकर 40 भाग.... एक भाग दिन में दो बार खाली पेट....with. madhu अम्लपित्तांनतक मिसरण. 10. ml... Tds

Amla pitta related Give 1) Dalimb Avaleha 2tsp early in the morning with warm water half cup n at night before sleeping. 2) Shankha vati 2vati before lunch and dinner 15min it can b taken as chweable or with warm water.

Drumstick soup flaxseed oil for pain cold pressed coconut oil massage and in naval lime juice pineapple with black pepper sprouts kalijeeri.... alkaline diet water sipping sweet potato

Gastric ulcer/peptic ulcer. May be due to aspirin {NSAID} Take full history.

PUD Avipattikar churna Kamdudha rasa Kushmandak aveleha Syp zymnet

Rx Lachesis1m/3dose Carb veg30 tds

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