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post gastrojenjunostomy anastomotic ulcer

sir,
this is about a poor guy (aburafeeq) who is working as muaddin (caller for prayer) in a mosque. age 62/m. he is suffering from the body and joint pain since long. he is consuming a lot of allopathic medicines from the government hospitals and yet no cure. on the last three months he consulted in a local homeopathy clinic. on every visit the hompath gave various medicines in powder form (6 times a day), and suggested to get bc-19 tablets and r-24 drops. but there were no progress at all. where ever he goes they say first- not to stop the existing allopathic medicines. it is giving a little relief for a while only. now he cannot walk or sit due to the pain in the knee, chest, shoulder and muscles. there is swelling in both knees. so he resigned from his job. there was a report of blood clotting in his brain before 5 years and performed a surgery on his head. and was unconscious for several days. it was in a government medical college in kerala (india). but no medical records about that surgery is available with him. now he is ok. but he forgets even the name of his kids. anyone can find this problem with a conversion of a little time with him. today he was going to the allopathic clinic. on the way i told him about this forum and he is very happy to hear about this. he brought me the available details. it would be a great help if you can suggest a remedy for him.
thanks in advance

from the department of gastro enterology

diagnosis: post gastrojenjunostomy anastomotic ulcer with bleed (forrest ii a)
this patient was admitted with history of hemetemesis and malena since 1 day. he has history of associated upper abdominal pain and destension. he has past history of gastrojenjunostomy in 1968. no history of loss of weight. clinical examination revealed moderate pallor, stable hemodynamic status & abdominal scar.
investigations:
ogd on 20-10-1999:
oesophagus - no varix
stomach – posterior gj
anastomotic ulcer with red stain base in the gj stoma close to stomach
injected with 1 : 20000 adrenaline ( 6ml )
repeat ogd on 21-10-1999:
eso : no vx/ no mw tear
stomach: stomach status post gj
2 anastomatotic ulcers 1 with base another with vv
ats 30 ml
adr 10 ml
d1 ()
d2 () normal

impression:
anastomic ulcer
endo haemostasis
lab investigations: 20-10-1999
rbs 135mg/dl, hb 7.2 gr/dl, bllod group a+, pti 87,
21-10-1999
serum analyse 52/ul. hb 8.8 g/dl, blood urea 65, serum creatinine 1.2 mg/dl, serum sodium 140, serum potassium 3.9 meq/l.
24-10-99
hb 11.2 g/dl.
25-10-99
hb 12.0 g/dl
26-10-99
hb 11.7 g/dl, ptt 100.

discussion
this patient was detected to have upper gi bleed due to bleeding anastomotic ulcer; he underwent 2 sessions of endoscopic hemostasis due to recurrence of bleed. at the time of discharge his bleeding has controlled and haemoglobin is stable.
advise on discharge
1. c. lancus 30 mg. 1-1-1 b/m * 2days followed by 1-0-1 * 2 week
2. t. prepulsid 20 mg 1-0-1 * 2weeks
3. syp. sucramal 10 ml. q6h * 2 weeks
avoid nsaids / aspirin
 
  kplavunkal on 2006-01-28
This is just a forum. Assume posts are not from medical professionals.
dear hompaths,
i have posted all vailable details about this patient. but everybody is keeping quit. why? there is no any roll in homeopathy for this patient. still i hope some one can help this guy to overcome his problems. i am eagerly waiting for that. please respond.
thanks a lot
 
kplavunkal last decade
To. DR. SAJJAD
please suggest atleast a pain killer remedy for this patient.
thank you
 
kplavunkal last decade
this is the latest report of blood test
Blood TWBC 10000/cm
D.C. plymorphs 60%
Lymphocytes 35%
Monocytes Nil
Eosinophils 5%
ESR 100/m
HB 8g
RBS 90
Albumin nil
Sugar nil


pls respond
 
kplavunkal last decade

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