Vomiting in 6 years old
Male child of age 6 years come in opd with compalin of abdominal pain and vomiting since five days Chief Complaints Abdominal pain epigastric and pubic region History History of taking medication Fexofenadine and montelukast since five days for finger infection and syrup linezolid since 15 days for Abdominal infection from somewhere else No history of fever Vitals On examination soft p/a Weight:18kg Temprature 96.8 Physical Examination Weak Diagnosis ??? Management Need to be discussed
means infection in the finger has disseminated . linezolid shouldnt b used as first choice drug in such cases . should only b reserved for vrsa cases . though i see even quacks prescribing it freely in viral rti too . linezolid is bacteriostatic alone its not so effective has to b combined with a cephalosporin for bactericidal action . add inj cefotaxime n other supportive treatment . do cbc crp blood c/s even urine r/e n c/s .
DDS,??R/O viral hepatitis( Urinalysis,Sr.bilirubin, SGPT), ??drug induced gastritis ,??vesical caliculus (USG-Abdomen) ,UTI Depending upon reports, Rx.
Adverse reactions of FEXOFENADINE Abdominal pain due to Dyspepsia Or Gastritis. Tab.Drotin SOS. Tab. Lanzol 15 mg OD X 10 days. Sy. Xymex 5ml BDPC Susp. Bifilac 5 ml ODPC Electral /ORSL Stop Linezolide..
Fexofenadine is known to cause dyspepsia . D/d- Acute gastritis. T/t- Lanzol - 30 mg OD
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75 M. Not a K/c/o DM or HT. H/o Gastritis. Came for Retrosternal burning sensation since two days. Not aggravated by walking. Opinion on ECG findings and management.
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Castor root benefits Of all the substances capable of aphrodisiac and Vata balancing effects, castor root is the best. Udavartahara – relieves bloating, gas distension in abdomen Pleehaghna – useful in spleen disorders, splenomegaly Gulmahara – useful in abdominal tumors Bastishoolahara – relieves bladder pain Antravruddhinut – useful in hernia Shonita Vikara – relieves blood imbalance disorders Shoshahara – relieves emaciation, dehydration Shoolaghna – relieves abdominal colic pain Margashodhana – cleanses gut Shwasahara – useful in treatment of asthma and chronic respiratory disorders. Kasahara – useful in cough and cold Anahahara – relieves gas, fullness of abdomen, bloating Kati Basti Rujahara – relieves pain in lower back and bladder region. Shiroruji – relieves headache Mehahara – useful in urinary tract disorders and diabetes Amavatahara – useful in rheumatoid arthritis Shothahara – relieves swelling, edema, anti inflammatory Eranda Phala – Castor fruit uses: Svaadu – sweet in taste Sakshara – slightly alkaline, strong in nature Laghu – light to digest Ushna – hot Bhedi – purgative Vatajit – Balances Vata Dosha Castor leaf benefits: Vataghna – Balances Vata Dosha Kaphahara – Balances Kapha Dosha, Krimihara – antimicrobial, useful in worm infestation Mutradoshahara – useful in urinary tract infection Pitta Prakopi – increases Pitta Gulmahara – useful in abdominal tumors Bastishoolahara – relieves bladder pain Vruddhi – useful in hernia Mutrakrichrahara – Relieves dysuria, urinary retention, acts as diuretic In case of snake bite, once after the treatment is properly done, to remove remnant poison from the body, young castor leaf shoot is made paste with water, filtered. That water is given for drinking. It is also used in treating Aconitum and opium toxicity. Castor fruit uses: Atyushna – It is very hot Katu – pungent taste Gulmahara – useful in abdominal tumors Shoolahara – relieves abdominal colic pain Anilapaha – Balances Vata Dosha Yakrut hara – useful in liver disorders Pleehahara – useful in spleen disorders, splenomegaly Udarahara – useful in ascites, enlargement of abdomen Arshanut – useful in piles, haemorrhoids Deepana – improves digestion strength Kaphavatahara – Balances Kapha and Vata Dosha Castor seeds without the hull are used for birth control, leprosy, and syphilis. The hull (the seed cover) is poisonous and not used orally. Castor flower uses: It balances Vata Dosha but may worsen bleeding disorders. Since all parts of castor useful to balance Vata dosha, they are used in treating paralysis, sciatica, neuropathies, neurological pains etc. External application of castor leaf and root – Castor leaf is dipped sesame oil and heated till it becomes hot. This is applied over blunt injuries, arthritis, painful joints to relieve pain. Castor oil leaf and root is made paste with sesame oil or castor oil, slightly heated and applied externally to relieve migraine, low back ache, sciatica pain, arthritis pain, mastitis and skin disorders associated with pain. Root bark has emetic & purgative action & cures lumbago skin diseases, dysponea, hydrocele, flatulance, piles, cough, head ache, leprosy, arthrities, calculus & dysuria, fever, swelling, mental diseases, painful micturation & the seeds cure hepatities & plenities. Tender leaves allay pains in the bladder. The roots are sweet, acrid, astrigent, thermogenic, carmative, purgative, anthelmintic, emollient, diuretic, aphrodisiac, galactagogue, sudorific, expectorant & depurative. Which cures gulma, amadasa, constipation, inflammations, fever, ascitis, strangury, bronchities, cough, leprosy, skin diseases, vitiated conditions of vata, colic, coxalgia & lumbago. Root bark used for emetic & purgative purpose, benificial in lumbago & skin diseases. Castor Leaves are diuretic anthelmintic & galactagogue cures burns, nyctalopia, strangury, vitiated conditions of that is rheumatoid arthrities, urodynia & anthralgia. Leaves externally applied to boils & sores in the form of poulties. Castor Flowers cures urodynia & glandular tumors. Castor Seeds are acrid, thermogenic, digestive, cathartic & aphrodisiac cures dyspepsia. Oil obtained from seeds is slightly bitter, acrid, sweet, antipyretic, thermogenic & viscous. The white variety is specially used in fever & red variety is used in swelling, pallor, & mental diseases.
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Role of Homoeopathy in the treatment of Hepatitis and other liver problem Homeopathy provides a very effective and safe treatment for Hepatitis and other liver disorders. It relieves the discoloration of the skin, mucous membrane, and sclera. These medicines strengthen the liver and metabolic system. The aim of homeopathy is not only to treat Hepatitis infection but It works by treating the underlying cause and not just the symptoms. The treatment is gentle and the relief obtained is usually long term. There are many homoeopathic medicines that have the potential to cure Jaundice. Out of them, few are – Andrographis Paniculata - Useful in resistant jaundice. Useful in Hepatitis B and C. It is found useful when Chelidonium Majus does not help. Arsenic Album - Where hepatitis results from bad food or food poisoning, Arsenic Album is the best Homeopathic medicine. There is burning pain in the liver which gets better with warm drinks. Aurum Metallicum - Very effective for jaundice during pregnancy. Distension of epigastrium with increased thirst and appetite, followed by burning sensation and hot eructations. Carduuas Marianus - Carduus Marianus is a very effective remedy for liver cirrhosis with general edema. There is engorged and laterally swollen liver, which gets worse from pressure. Jaundice. Carica Papaya - Hepatomegaly and splenomegaly associated with fever, dyspepsia and indigestion. Constipation is marked feature of this remedy. Intolerance to milk even small amount may lead to pain. Chelidonium - Chelidonium is very effective in treating an enlarged liver with tenderness. Hepatomegaly with bilious complications. Dull, throbbing pain in the region of the liver is also best treated with Chelidonium. Jaundice due to hepatic and gallbladder obstruction. Pain aggravation on eating. Marked desire for hot food and drinks Chionanthus - Chionanthus is very effective in chronic cases of jaundice, which recur every summer. The symptoms include an enlarged liver, constipation, clay-coloured stools and very yellow skin. Crotalus Horridus - Crotalus Horridus is used to treat jaundice cases where the entire body has gone yellow. Pain in the liver, coldness, Constant nausea and vomiting. Jaundice with haemorrhagic manifestations. Atonic dyspepsia. Complications arise from a blood transfusion. Lachesis - Lachesis is very effective for liver complaints largely among alcoholics. In cases where the liver region is very sensitive and a person can’t bear anything around the waist, Lachesis is one of the most effective Homeopathic medicines for fatty liver. Sensitiveness of right hypochondrium, hazards of blood transfusion. Lycopodium - Hepatitis, the atrophic form of nutmeg liver. Shooting pain across lower abdomen from right to left. Excessive flatulence. Bread aggravates. The desire for sweet and warm things. Natrum Sulpuricum - Natrum Sulphuricum is one of the great Homeopathic medicines for liver problems like jaundice where the symptoms include a liver region that is sensitive, tender and sore to the touch. Vomiting bile is another indicator. Nux Vomica - Hepatitis associated with constipation. Liver enlarged with stitches and soreness. Alcoholic liver. Phosphorus - Acute hepatitis. Fatty degeneration of liver, cirrhosis, and jaundice associated with the pancreatic disease. Suppuration with hectic night sweats, enlargement, and marked soreness. Podophyllum - Chronic relapsing hepatitis. History of repeated jaundice. Pain in right hypochondrium. Not well since the first attack of hepatitis. Irritable temperament with suicidal tendency.
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26 yr married female with c/o pain near umbilicus and vomiting on taking food since 15 days, now pt hs fear of taking food due to repeated vomiting...reports r normal and attached ...plz guide .... usg and ct scan reports are attached also
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