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?? abdominal koch's

a 23 yrs female. she had suffering abdominal pain with vomiting last 2 mth
with weight loss
anorexia

usg abdominal done and shows
mild thicking (4-5mm)of bowel loops noted in rif with narrowing of lumen and dilatation of proximal loops s/o inflammatory etiology with intestinal obstruction

possibility of abdominal koch's appear likely.

no family history of any medial illness

physicial general:

menses every 19 days
red blood color
no complain

constipation last 2 mth
stool color black
during pass stool great strain

pt not answering the question perfectaly

so which medicine is help this case
 
  jilesh tank on 2013-07-13
This is just a forum. Assume posts are not from medical professionals.
write yes or no in front of the u/m symptoms.

Sudden, intense ailments from fright.
Anxiety and restlessness with complaints.
Fears that do not subside.
Faintness or dizziness upon waking up.
Sudden fever with one cheek red, the other pale
Intolerance of pain.
Painful urination with anxiety
Pains followed by numbness and tingling.
Eye pain and injuries
Throbbing headache.
Unquenchable thirst.



Emotional upset
Fear
Anxiety
Extended period of unusual or continued mental exertion
Dizziness
Diarrhea
Craving for sweets and salt. Craving for strong flavors.
Enthusiastic and suggestible, with a tendency toward peculiar thoughts and impulses.





Anxious
Anxiety associated with later stages of head cold, with sneezing
Asthma worse after midnight, fears suffocation while lying down
Fearful
Irritable
Restless
Sleepiness but insomnia
Thirsty for frequent small drinks
Weak and exhausted
Desires air but sensitive to cold
Vomiting with or without diarrhea after eating and drinking



Increased perspiration
Night sweats
Cold hands and feet
Dizziness
Nausea
Ravenous hunger
Aversion to fats
Craving for eggs
Eyes sensitive to light
Pale face
Large appetite with slow digestion





Nervousness
Apprehension
Anxiety prior to an examination or public performance
Fatigue and aching of whole body
Limbs, head, eyelids heavy
Headache
Scalp sore to touch
Sore throat
Lack of thirst
Dizziness, trembling, fatigue, dullness



Vomiting
Sensation of a lump in the throat
Chills with fever
Thirst during chills
Chills relieved by warmth
Cramping pains in the abdomen or back
Headaches that feel like a nail driven into the side of the head
Skin very sensitive to drafts
Introspective
Sad
Brooding
Tearful
Rejects company
Disappointed
Grieving
Insomnia from emotional distress
Nausea relieved by eating
Eating intensifies hunger



Exhaustion
Deep anxiety and inability to cope
Headaches
Jumpy and oversensitive
Startled by ordinary sounds
Backaches
Nervous digestive upsets

Shakes head without any apparent cause
Facial contortions
Gassy, constipation or diarrhea
Sour belching
Claustrophobia
Irritability
Digestive upsets with gas and bloating
Craves sweets, warm food and drink
Night cough
Wants to be alone
Cranky on waking
Bullying tendency
Fear of failure
Breaking down under stress


Tongue feels dry
Mucous membranes dry
Nausea
Insomnia
Claustrophobia
Migraine headache
Vomiting
Pains around eyes
Craves salt and dry foods
Weepy but won't let others see it. (Wants to be alone to cry.)
Consolation aggravates them
Angry from isolation
Fright, grief, anger
Nervous, discouraged, broken down
Depressed


Anxious
Fearful
Weak
Associated with hoarseness
Tight heavy chest
Dry rasping cough
Burning pains in stomach, abdomen, between shoulder blades
Thirst for cold drinks that are vomited
Nausea
Night sweats


Sensitive
Weepy
Wants attention and sympathy
Changeable symptoms and moods
Craves open air
Sensitive to heat
Dry mouth with lack of thirst
Rich food upsets stomach
Insomnia from recurring thought
Head colds
Loose cough, worse at night
Delayed menstrual period with scanty flow



Worry
Overwork
Headaches
Difficulty concentrating
Exhaustion,
Over sensitivity
Overreact and devote attention to tiny details
Low stamina


In addition to the above would request your wife's symptoms as under.
SENSATIONS
(Note: - Sensations are also important and should be especially noticed. For sensations of pain, of all kind see section 5. The special sensations may occur in any part of the body, or internally or in the head or extremities. Give the sensations in your own language to express it. No matter how simple or even ludicrous, it is necessary to give it.)
Examples: - It may be like a mouse or bug crawling; like wind blowing into the ears or eyes; as if someone was pulling a hair; as of a blow on the of a band or cord around the head; as though you had a cap on or hat; as a plug in the ears or some other place; as if another person lies along side of him, or that one limb is double; as if abdominal muscles were pushed out by arm of a child ;
as if boiling lead were pushing through rectum ; as if anus would fly to pieces during stool ; as if moisture, or a drop were running through the urethra back ; as if the year was grasped by an iron hand ; as if claws were grasping the bowels; as of a splinter in the throat or flesh like a string of thread on the tongue or in the throat; as if joint were dislocated; as; as if legs were made of wood.

(Note: - These are merely illustrations, a few which have occurred to other person, and are given that you may understand what is meant by sensations. Always give the locations as well of the sensations.)

BETTER OR WORSE
(Note 1 :- This section refers to each disease, each sickness and to every symptom. No matter what the trouble may be it is necessary to be refer to this section. Be sure that the aggravation or amelicration you notice is from the course given.)
(Note 2 :- The time of an aggravation or amelioration refers to the year, the month, the week, the day, the night, or the hour.)
4
- State at what time your troubles or any single symptoms, is made better or worse.
- State what season of the year, what time in the month, whether the phases of the moon cause either, what part of the week, what hour of the day or night the trouble or single symptom comes on or is made better or worse.
- Is there any position which you may assume that causes a particular trouble or any single symptom to be better or worse? It may be when you first lie down; or after lying down awhile or rising after sitting or on sitting after standing, walking; walking much; walking in the house or in the open air, or in the cold air ; or at night; running, running rapidly or slowly; when stooping over, after
stopping, or on rising from stooping; leaning the head backwards, forwards; to one side or leaning the head on the table or the hand; lying with head high or low; lying in some particular position ; crawling on the hand + knees or some other or many possible positions.

- Does anything cause the trouble or a single symptom to be better or worse ? It may be reading ,writing , music ascending or descending the stirs or a hill, biting the teeth together ,blowing the nose , before or after one of the meals, breathing, breathing deeply, when chewing food, when eating or drinking, closing or opening the eyes , looking up, down or sideways, from heat, cold, from warm or cold air heat of stove or sun, dry or moist air going into the air or going into the warm, sunlight or lamplight from excitement, fight, grief, grief, sorrow fasting, some kind of food or drink
motion or quiet, when nose is discharging or is dry, from gratification of passions , scratching, rubbing, beginning of sleep, during a storm, thunder storm, snow storm, swallowing food, drinking of saliva, talking, singing, hearing other talk or sing, music touch, turning over in bed, covering up or uncovering, wet dry, windy or cloudy weather.
(Note 3:- The above is given to impress on the mind the great importance of noticing what may seem to be little things.)
At what age did you have your first menses?
- Had you any trouble before or during the first period?
- Have you, at any time, had you menses stopped or decreased by getting feet wet, from a general wetting, from cold, fright weakness, sickness or any other cause?
- Have menses been irregular or painful at /since a particular time?
- Are your menses too frequent, too seldom, delayed, regular, early, and late? If so how often do they come?
-
- Do you have menses during the nursing of your child?
- Do you have the whites or nose bleed during menses?
- How long do menses last?
- Do excitement of exertion bring menses on?
- When does the flow increase, decrease or cease? Afternoon, day only, evening, lying down, morning, motion, at night only, walking? Mention only things that affect the flow?
- Character of the flow, describe the flow very carefully acrid, black, bright red, brown, changeable, clotted, lumpy, conspicuous, dark excoriating ( making parts sore) , fetid or foul ,greenish , gushing hot ( unduly so),membranous (shreds), milky, mucus,
- What is the odour?
- Is it pale, profuse, protracted (lasts two long) scanty, stingy, tenacious, thick, too thin, viscid, watery, dark clots to bright blood, etc. Give exact appearance and odour of the flow?
Before the menses
- Various troubles of the abdomen. Loss of a very great appetite. Troubles of the back. Difficulty in breathing. Troubles of the chest. Chill, chilliness, costiveness, cough, delirium, diarrhea, ear trouble, eructation, eruptions, eye troubles, face trouble, fainting, cold feet
24
head troubles, headache, Leucorrhoea, pain in arms or legs, swelling, itching and soreness of the breasts, mental changes Nausea or vomiting, bleeding of nose, ovarian troubles, pain restlessness, sexual excitement, urinary trouble, great weakness or weakness, Describe all such troubles, and others as directed in various sections.
During Menses; - This refer to the time from the starting to the ending of the flow.
After The Menses: - Many of the troubles referred to above may occur after the menses. Give all the complaints carefully as above attach sheet.
Leucorrhoea (the whites ) :- Aluminous (like white of an egg ), biting, black bloody , brown, burning, clear, cold, cream like, dark, foetid or foul, like jelly, greenish, in gushes, honey colour, lumpy, mild or bland , milky, mucous, opaque, profuse purulent (matters) ropy, scalding, scanty, smarting, causing soreness, starchy, sticky, stiffening the lines, suddenly coming & going, tenacious, thick, thin, thready, transparent, watery, white, yellow
 
anuj srivastava last decade
all hisstory described below

abdominal pain started before 2 mths
pain occure increased gradualy
pain at started morning not fixed but aproximately 10 am
better taking allopathic medcines
with vomiting drinking water
appetite decreased last 2 mth
thrist 2 to 3 glass per day
craving rise now a days
aversion vegetable
stool constipation last 2 to 3 mth
stool passed 2nd or 3 rd day
stool color black
stool passed during great starin
abdominal pain during stool passed
urine normal
sleep sleepiness
thermal chilly pt
menses every 19 days
5 days
red color
no other complain
gyn and obst g1p1a0
vomiting after eating aproximately 1/2 hrs after eating
family history nil
past history nil
mind obstinate
observation patient is not coprative
all answer give to her's husband
she look downward
nature is that time or may be abdominal pain we dont know but she is not comfortable in sitting position
she not ans me properly
may be laungage problem because she is native bhihar and my place is gujarat
so this some features r considerd and find out the mediicne

usg abdominal reports is

mild thickening 4-5 mm of bowe loops noted in rif with narrowing of lumen and dilatation of proximal loops s/o inflammatery etiology with intestinal obstruction

possibility of abdominal koch's appear likely
 
jilesh tank last decade
are you treating patients on behalf of the forum?

are you charging money?

i see you asking for medicines for many people when i clicked on your profile,i think i too have prescribed ones for your patient of alcoholism.

what is the nature of stool?hard or soft?

is there any emotional trauma that she faced ,because of which her condition deteriorated?

please specify the nature /type of stool ie is it large or composed of hard lumps,dry,burnt,knotty,like sheep dung,like that of dog,covered with mucus etc etc


in the meantime give her


Nux Vom 200
15 drops in a cup containing an ounce of water,
sip one third of it, 15 minutes later sip the next third of it, and 15 minutes later take the last third of it.HALF AN HR BEFORE DINNER. dont repeat.


sulphur 200 five pills next day morning empty stomach and calc flour 6x 5 tabs three times a day.
 
anuj srivastava last decade
She is my patient.
I have no taking charge totally free
Stool is not hard and soft
She is not coprerive. She can't ans on my question
 
jilesh tank last decade
jilesh tank and nitesh kamal,i hope both of you are not related?

add kali sulph 6x with calc flour>5 tabs of each three times from the third day.
 
anuj srivastava last decade

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