Today's Case. a 65 yr old male came to opd for following complaints. 1).abdominal discomfort with heaviness and burning since 10 yrs. 2).indigestion. goes 5 to 6 times for defecation . 3).itching with above type of lesions (tinea crusris)since 2 months. 4). as soon as he eats something an urge comes to go for toilet. 5).General weakness. 6). tingling after long time sitting in hands.. . constitution normal gait slightly overweight. eyes are large and prominent. . Neither HOT nor CHILLY. Occupation:-farmer. Appetite:-good. Thirst ++.for cold water. desire onion and it's food stuff. stool:- offensive,hard,containing mucous. incomplete evacuation though goes for 5 to 6 times. BURNING IN WHOLE ABDOMEN AFTER STOOL. . perspiration;-scanty. sleep good. no dreams. Addicted to heavy smoking. no any family history. or past illness. . mentals. *gets angry easily. *mind his own business. ALL THE INVESTIGATIONS ARE NORMAL. including endoscopy and ct ABDOMEN. . taken all the formats of treatment before but no permanent relief . . kindly suggest management. and further evaluation.

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Sir Irritable bowel syndrome......its have many causes... Autoimmune Ulcerative colitis Crohn diseas Amebios Infection Enzyme defficiency Pancreatitis Unhygenic U T I Glutamine intolerance etc. Symptom... Bloating Sometime constipation and sometime diarrhoea Cramps in belly region Sometime smeelly bowels Heart burn etc First Rule out cbc, stool examination for ascess infection, rft, lft,uti , usg or endoscopy ..... Tt... Panchamritaparpati vati Trifal guggulu vati Sanjeevani vati Pancharistha Takradiristha Spazyme syp.. Ayurvedic drug Panchasakar churna... if have constipation only Mulberine syp... For improving hb level.. Its also ayurvedic drug... And tottaly avoid d aggravated factor for such kind of disease.

DD ARE IBS IBD GLUTEN SSENSITIVITY COELIAC DISEASE Better to evalaute cause and 0lan rx CBC. ESR. LFT. CRP.IGA TOTAL. IGA TTG. SCOPY FALLOWED BY BIOPSY.
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D/D:: *Intestinal Amebiasis *Irritable Bowel Syndrome Here mind is more irritated than gut. Try to get more mental symptoms. Remedial D/D: *Nux vom *Sulph @Dr. Akshay Ingole Sir

Thank you sir. I gave him nux 200 single dose. Let's see more mentals on next follow up.
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Panchakarma Shodhan Chikitsa is needed to get desirable results.... You can add Panchanimbadi Tailam and Mahamarichyadi Tailam for local application along with your homeopathic management @Dr. Akshay Ingole sir

IBS Grahani in Ayurveda Kutajparpati vati Panchamrutparpati vati Gandharvharitaki Sanjeevani vati Agnitundi vati /agnikumar Suvarnsutashekhar Shanka vati Praval , mouktik, shankha

Dear Dr, It is a clear case of Amoebic dysentery. Where the occupationally he is farmer, so dysentery and tinea infection is very common.... So habitat is factor. Management... Drink only boiled water in stainless steel pot at least 6 months. Devoid of leafy vegetables. Use covered shoe when he farming. Medicines... Merc Sol 6 one dose bd.. Chellidonium M 30 one dose bdac Both continues for first one month then stop for 7 days , again continue in same manner. Thank you

Is AD long lasting for 10 yrs?
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Acc. to ayurved it is a clinical symptoms of GRAHANI disease

Tell@us more
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Take normal water empty estamuch with 100 mg haldipowder,erly mornings then others, at night take800 mg Triphala churn with warm water, kamdudha Ras 2 BD Arogyabardhani bati2 BD Sutsekhar Ras 2 BD.

Triphala ras 30ml bd .
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Kindly do Thyroid profile test, Lipid profile, BSL and echo cardiogram. These may reveal some clue. His age, smoking and upset digestion all indicate towards any of these. Ask him to stop spicy and irregular food habits too.

TFT,LIPIDS BSL WNL. 2d echo not yet done.
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Firstly for abdominal discomfort heaviness burning = this might be due to hyperacidity as ct abdomen and ugi are normal. Secondly for indigestion you can give antibiotics which is prescribing for only abdomen. 5 -6 time defecation this is called travellers stool. And for this not ugi is required but colonoscopy is required. Tingling is due to lumbar spondylosis and for lesions you can give antihistamines nd fungal treatment. I guess this becomes very lengthy.

I think SULPHUR is helpful medicine,after that Parth will be clear

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