Right-sided lower abdominal pain

29/y/o female right-sided lower abdominal pain associated with 1 episode of vomiting and decreased appetite. Menstrual history Normal Vitals normal. On examination Tenderness in the right iliac fossa with guarding. USG Lower Abdomen showed a normal uterus, unremarkable 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. UPT- negative. She is pitta kapha prakriti with samanya agni bala.

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Other test liver function test and kidney function test and other normal CBC esr to be advised and trans vaginal usg is to be advised for exact diagnosis then u advise your treatment gynecological opinion also required

Examine the fluid in puch of Douglas It might be peritoneal fluid. Tenderness, muscle guarding indicates peritoneal inflammation.

Dx -probably Appendicitis Rx -Lachesis 1m/3dose Iris Tenax 30 /tds MP6x tds

Expert opinion needed

Thuja 200

रोगी परिणाम शूल से पीड़ित है। चिकित्सा संबंधी योग,,,, अविपत्तिकर चूर्ण 5 ग्राम, शंख भस्म 4 रत्ती खाना खाने से पहले सुखोष्ण जल से सेवन कराएं। अश्वगनंधारिष्ट द्राक्षासव दोनों को मिलाकर 25 ग्राम सुबह-शाम खाने के बाद दें। योग परिक्षित है। पिछले 40 वर्ष से प्रयोग कर रहा हूं।

Dear Dr. Anu Parmar, Advice for the case. Tab. Kanchanar Guggulu 2 tds. Tab. Shankh Vati 1 BD.

Ashwagandha churan Chanderparbhavati

Panchhsakar churan Drakshadi kashayam

Gynecologist opinion needed...

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