IBS since 2 months, Pain in Left Abdomen

Thank you so much Sir. I will post reply at the earliest.

Again, thanks for looking into it.

Warm Regards,
[message edited by danzanillo on Fri, 16 Jan 2015 13:57:22 GMT]

1. Age,sex,weight,body and face appearance, country, occupation.
ANS. 68, F, 52 kg, thin and normal height (around 5.0"), long and skinny face, India and home maker.

2. Main complaints and other associated troubles.
a)Where is the trouble; The exact locality of the complaint like hands,legs etc; duration of trouble.
ANS. stomach (IBS), pain in abdomen on left side only specially after having food or anything heavy. Since 2 months after hospitalization
when diagnosed with viral encephalitis. She had a seizure first time (anly only 1) in her life on Nov 9th 2014 and she was unconscious for 1

day in hospital. She has no issues with that now except she feels weaker due to antibiotic courses through intravenous and oral.
She is on Levipill 500 (Anti seizure medicine ) 2 times a day for last 2 months. After discharged from hospital, she is taking Levipill
and started complaining about her stiffness in stomach, not able to pass gas, strong urge to pass gas but can't. Pain on left abdoben sometimes
on upper left and sometimes on lower left.

b)What exactly do you feel, Sensation as pain, how pain feels or burn etc.
ANS. She feel full only after 3-4 bites of meal. Specially after breakfast and lunch. light and contineous pain on left side stomach.

c)What are the factors that causes this trouble according to you.
ANS. She always had gastic troubles of indigestion but never had pains in abdomen. She used to take burps and walk to digest food
and situation waslike in control. She has nervousness and anxiety for even small things. Levipill could be another reason as she has to take
2 pills a day.

d)Condition under which the complaint is reduced or you feel better like,cold or hot application,cold or hot weather,position as

standing,walking,rest etc.
ANS. hot application, rest.

e)Condition under which the complaint is increased like,cold or hot application,cold or hot weather,position as standing,walking,rest etc.
ANS. cold, cold weather, eating food like dairy, cocumber, cabbage, Udad Dal.

f)Any other complaint any where in the body.
ANS. Glucoma (eye pressure is good in both the eyes) taking Bilberry supplements for retina health.

g)Onset time of troubles in detail, i.e which came first, after that what problem and so on.
ANS. Started around 1st week of Nov 2014 complaint of High blood pressure (188/90) and severe weakness in legs and hands were tremering later

1-2 days had too much of vomiting (for about 1-2 days). Tried some local medicines to stop vomitting but did not.
She went to specialist and Doctor diagnozed high BP and warned about heart trouble which triggered her anxiety and nervousness. She was very

scared and felt something will happen to her.
Doctor gave injection to control vomitting in evening and in night around 2-3 am she was unconscious and hospitalized. Her fists were strong

and jaw was tightly closed. She was breathing very heavy.
Hospital did all tests like CT Scan, MRI, EEG, ECG, Blood tests, ultrasound and all came normal. Her lever was a little enlarged
which was taken care in the hospital and suger at time of hospital admission was 453. She never had any suger or high BP problems in her life.

She was unconscious for one and half days in the hospital but soon after she recognized everyone.
After coming home, she has been taking very controlled diet like Daliya, Moong dal, oats etc. and some vitamins like Fish oil, B12, D3 and

Liv52.

h)Treatment method adopted and its result.
ANS. Antibiotics, Antispasmatic, Acidity tablets. Here are the details.
torfix 550 (Antibiotic): 3 times a day for a week.
rancid-d (anti acid) : 2 times a day for a week.
morease (Muscle relaxant or antispasm) 3 times a day for a week.

She is on levipill 500 (2 times a day) which is anti convulsant and anti seizure. She only had 1 seizure so far in her life.

3. History of diseases in family.
ANS. No disease history.

4. Personal History.
a)About childhood.
ANS. Her mother passed away when she was 1 year old. She is youngest of all siblings. She was responsible for all household groceries from very
young age and didn't have much fun in her life.

b)Academic performance.
ANS. She is graduate (BA) and very good with grades.

c)Any major incidents in life and the effect of it on life.
ANS. No

d)How you are satisfied with your sex life, friends, family members, company etc.
ANS. She has a good freind circle and social life. Happy with her both kids and family. But now days she does not like to go out much.

5. Habits/Addiction.
a)Smoking, Alcohol,Sleeping pills, Laxative etc.
ANS. No

b)Masturbation and frequency.
ANS.

6. How is your Appetite and Thirst.
ANS. Very low on water consumption (sometimes only 1 glass a day). Now she is taking 4-5 glass of water daily.
Never cared much for her diet. Appetite is okay. consumption of food is a problem only whenever she has anxiety.

7. Likes and Dislikes.
a)Alcohol Bread Butter Bitter Salt Sweet Sour Fats Milk Mud Chalk Egg Spicy food Meat Fish Fruits Fried Food
Warm food-drink Cold food-drink Ice Ice cream Chocolates Tea Coffee.
ANS. Like : Tea (used to drink a lot now only a cup / day), sweets, fruits, milk (but lcatose intolerance), warm food-drinks
Dislink: Spicy, cold food-drink, sour, bread, fried food, bitter
She is vegeterian.

b)Anything else about like and dislike of any activity with you or surrounding.
ANS. Recently she is very sensitive to loud noise, gets angry if not listening to her and she needs immediate action of what she needs.
She likes to go out in fresh air or sitting in sun, talk to freinds and social life.

8. Bowel movements.
a)Nature of stool, frequency, satisfactory or not.
ANS. She used to have consipation throughtout her life. Nowdays the bowel is okay, she goes 2 times early morning like 4-5 am.
She is taking isabgol fiber powder with warm milk in night. She complaints of not passing gas frequently during day.
Urge to pass gas but can't.


b)Any discomforts associated with stool.
ANS. No.

9. Urine.
a)Frequency, nature, volume.
ANS. normal, yellow when taking medicines, normal.

b)Any discomfort before, during or after urination/odour
ANS. No

10. For men.
a)Any difference in erection/want of erection/weak erection/Ejaculation early/late.
ANS.
b)Any other trouble in sex.
ANS.

11. For Females.
a)Menses, Regular, Irregular,Early, Late.
ANS.
b)Duration of menses.
ANS.
c)Nature of flow, Scanty, Blood colour, Consistency, Odour, Staining, itching/ when and what makes it worse/better.
ANS.

12. Sleep.
a)The quality of sleep, the quietness or restlessness of sleep,
position of sleep, times of waking and reasons for waking,
need for cover over various parts of the body,
whether the window must be open or closed etc.
common dreams, peculiar sounds or gestures during sleep, etc.
ANS. Earlier, Sleep was okay. sleep sidewise, wake up to urinate (1 or 2 times), like to cover the whole body (toe to head)
sometimes, she wakes up early (like 3 am) with urge to pass stool.
not frequent and less dreams.

13. Sweat
a)How much, what parts, staining, Odour.
ANS. very less sweat (any weather)

14. Weather
a)Tolerance to heat and cold, dryness, humidity, weather changes, sun,
foggy weather, wind drafts, closed rooms, etc.
ANS. She does not like cold weather. She like warm weather with sun.


15. Mental Status
a)The quality of the patient's life in relationship to loved ones, family, friends and colleagues. Overall quality of energy available to

function in daily life, and under various circumstances.
ANS. She lover her family very much. She has been very active for all household work like going to market, grocery, food preparation,
etc. Since last 2 months, she is weak but still she is managing some kitchen work on her own. She never care of herself. She works a lot,

caring for her family but does not care of herself much. Now, after hospitalization she is taking care of herself with food and fruits on time.

b)Any mental/emotional shocks occurring in the patient's life-grief, major financial losses separation from loved ones, death, identity crisis

and other stress in life.
ANS. No.

c) Memory,ability to concentrate/comprehend.
ANS. Good memory, remembers birthdays, important dates etc.

d)Are you fearful of anything eg: Animals, people, being alone, darkness, death, disease, robbers, thunder, storm, high places.
ANS. no fear

e)Are you anxious about anything: if yes, give details.
ANS. For future appointments, activities, she always anxious to complete things at earliest at possible.

f)Are you impatient.
ANS. yes.

g)Are you doubtful or suspicious.
ANS. yes.

h)Are you hurt easily (emotionally)how do you react. Does it cause hatred/revenge.
ANS. yes, can hurt easily. Responds verbally but no hatred or revenge. feels satisfied after responding and reacting.

i)Does your pride get hurt easily.
ANS. yes.

j)Are you depressed, if so, reason/circumstances.
ANS. no.

k)Do you like to share your problems.
ANS. yes. very much. She has to always share her problems with her friends and need a guidance. She feels supported that way.
She believes that her freinds will guide her properly.

l)Effect of consolation.
ANS. She feels comforted after consolations. She feels very good if someone cares for her.

m)Do you ever become suicidal when? How.
ANS. No

n)Memory- quality if poor, for what ( eg. Names, places, people, what you read).
ANS. No. She has a good memory.

o)Do you weep easily, effect of weeping, ie, does it make you worse or better.
ANS. Yes. it makes her better.

p)Are you easily irritated. What makes you angry, how do you express it.
ANS. Yes. At home with words and outside keep it inside and keep on thinking about it.

q)Are you destructive.
ANS. No. She is very constructive. Make use of old and things not in use. Great recycler.

r)How good are you in making decisions.
ANS. Very bad. She is very much dependent on people for decisions.

s)Do you like company or like to remain alone.
ANS. now days like to stay alone. but earlier she used to be in company with freinds.

t)How seriously are you affected by disorder and uncleanness in your surroundings.
ANS. She likes to keep it clean.

u)How does failure appear to you?
ANS.

v)Are there any matters that you deeply dislike?
ANS. no.

w)What activities you deeply like? How does it affect your mood?
ANS. Religious reading like Ramayan.

x)Are you affectionate? How does others sorrow affect you?
ANS. Yes. She gets hurt easily with other sorrows.

y)Any present fears in your life or future.
ANS. N/A

z)Any present life or future life desires.
ANS. would like to be active and healthy like before.

Thank you again.

Warm Regards.

Thank you for your prompt response. I will report after 20 days.

Thanks again,

Warm Regards.

Hello,

After taking China 200, she is having more problem like continuous indigestion and now she has started having pain in chest too (due to indigestion) which she never complained before. She is having 1-2 loose motions after breakfast and lunch even after regular motions in morning.

She is having lots of water in mouth. She is feeling full even after taking a little bit of food. Can you please advise an antidote or some other medicine to eliminate these symptoms?

Thanks.

Update: Tongue is normal except little white in back.

Her motions are normal except she has to go 2 times, one at early 3:30 am and second at 5:30 am.

Pain on left abdomen is still there. It's keep coming and going all day long. She also complaints of dizziness in her head.
She does alom vilom and Bhrahmari a few times a day. Her diet is normal.

There is no change in her left abdomen pain after taking china 200. Please advise.

Thanks for your help.

gas and burping has been reduced but not much. Pain on left side stomach start from behind of ribs and goes vertical down till naval still there. This happens after eating food (around 10-20 min after food) and rarely after drinking. She feels weaker when this pain starts. Complaints of Vertigo is still there. Whenever she bends down or turn left.

Hello,

My mother is having some shivering / chills when lying down on her back. Could it be related to her cervical spondylosis / vertigo. She also complaints of dizziness whenever she turns or bend downwards.
She is not able to pass gas and feeling uncomfortable. I tried to give her warm water and pinch of rock salt which eased her with gas but increased her BP to 160/86. So I had to stop the salt in water.

Thank you for all your help.
Regards.

Hi,

SHe has taken only 1 dose of amlopres (2.5 mg) and BP has come down to 150/75. But after taking 1 dose she sweated a lot in night and in morning she felt very weak. She is better now with BP (last we checked it was around 145/78. I don't think she needs another dose of BP.

Thanks.

Hi there, Update:

The BP readings are below.
-------------------
02/07/2015 at 11:00 am
143/ 87 / 91
-------------------
02/07/2015 at 5:00 pm
144 / 76 / 78
-------------------
02/08/2015 at 10:00 am
138/ 80 / 78
------------------
02/08/2015 at 5:00 pm
143/ 78 / 81
------------------
02/09/2015 at 11:00 am
138/ 79 / 75

She has been complaining too much gas is blocked in stomach and chest and not coming out which is why she is unable to eat at all and feeling very weak.

Since last 2 nights she is unable to sleep well (at the most 4 hours) due to increased pain and bloated feeling in stomach. She is unable to pass it. She has complained of constipation as well. This could be the reason for all problems. Not sure. Kindly let me know the next steps.

Regards,

Hi, Can you please advise a bio chemical salt for her symptoms.

Thank you for all the help!