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a case of toxic megacolon
A chronic case of Ulcerative Colitis was operated for Appendicitis 1mth before which was followed by fullness of abdomen and fever with chills.All possible investigations confirmed the diagnosis of ULCERATIVE COLITIS complicated into TOXIC MEGACOLON in 7-8 days.
3rd generation Antibiotics and other conversative treatment failed to give result and patient was deteriorating day by day.
The team of Doctors, Gastroenterologist, Surgeon and Physician discussed the case and after putting this query on Internet 35 Expert opinion replied that it should be operated within 24hrs.
Patient presented with pain in abdomen ameliorated by bending forward and aggravated after defeacation. He was suffering from diarrhoea several time a day with offensive, reddish stool aggravated sp. at night.and after food. Abdomen was totally bloated with tremendous pain. Complaints were periodical on every second day. He was waking from sleep with frightful dreams.
He was prescribed a china 30 1dose. Next day he reported slight fever with pain in abdomen and diarrhoea reduced, offensiveness of stool decreased and vomitting completely stopped.
After 3 days diarrhoea stopped, vomitting stopped, pain in abdomen decreased and patient was feeling much better.
This is miracles of homeopathy.There are number of diseases which are labeled as 'surgical', where homeopathy works curatively and can avoid surgery. Some such ailments are: Septic recurrent Tonsillitis, Piles,fissure in ano, Fistula, Appendicitis (except gangrenous), Chronic ear discharge,Vocal cord nodules, Polyp in nose-ear, Kidney & Biliary (small) stones, small size Uterine Fibroid, Ovarian Cysts,warts,corns etc.
Dr.sabadra
http://drsabadrahome.com
Dr.Sabadra on 2010-04-16
This is just a forum. Assume posts are not from medical professionals.
Toxic megacolon (megacolon toxicum) is a life-threatening complication of other intestinal conditions. It is characterized by a very dilated colon (megacolon), accompanied by abdominal distension (bloating), and sometimes fever, abdominal pain, or shock.
Toxic megacolon is usually a complication of inflammatory bowel disease, such as ulcerative colitis and, more rarely, Crohns disease, and some infections of the colon. Other forms of megacolon exist and can be congenital (present since birth, such as Hirschsprung's disease).
Signs and Symptoms
Abdominal pain
Abdominal bloating
Abdominal tenderness
Fever
Tachycardia (rapid heart rate)
Dehydration
There may be signs of septic shock. A physical examination reveals abdominal tenderness and possible loss of bowel sounds. An abdominal radiography shows colonic dilation. There is usually an elevated white blood cell count. Severe sepsis may present with hypothermia or leukopenia.
Prognosis
If the condition does not improve, there is a significant risk of death. In case of poor response to conservative therapy a colectomy is usually required. This may involve all or part of the colon being removed, with the resulting option of anastomosis or colostomy. Colostomy carries far less risk of infection and post-operative complications because the risk of deterioration of sutures within the intestinal tract (as a result of anastomosis) is not present. The risk of death and shock has been reported to be lower in children, however most children required colectomy in one case-control study.
Dr.sabadra
http://drsabadrahome.com
Toxic megacolon is usually a complication of inflammatory bowel disease, such as ulcerative colitis and, more rarely, Crohns disease, and some infections of the colon. Other forms of megacolon exist and can be congenital (present since birth, such as Hirschsprung's disease).
Signs and Symptoms
Abdominal pain
Abdominal bloating
Abdominal tenderness
Fever
Tachycardia (rapid heart rate)
Dehydration
There may be signs of septic shock. A physical examination reveals abdominal tenderness and possible loss of bowel sounds. An abdominal radiography shows colonic dilation. There is usually an elevated white blood cell count. Severe sepsis may present with hypothermia or leukopenia.
Prognosis
If the condition does not improve, there is a significant risk of death. In case of poor response to conservative therapy a colectomy is usually required. This may involve all or part of the colon being removed, with the resulting option of anastomosis or colostomy. Colostomy carries far less risk of infection and post-operative complications because the risk of deterioration of sutures within the intestinal tract (as a result of anastomosis) is not present. The risk of death and shock has been reported to be lower in children, however most children required colectomy in one case-control study.
Dr.sabadra
http://drsabadrahome.com
Dr.Sabadra last decade
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