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.



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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