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ASCITES
Started by: shiva at May 15 2012
Replies: 15 & Views: 1537
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ASCITES
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By:
shiva
 
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May 15 2012
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Here is a case of a patient suffering from Ascites since last one year due to chronic alcoholism. Conventional treatment with Salt restriction, Diuretics and beta blocker are being used last one year. It is observed that the abdominal distension and swelling of legs were reduced .The said medicines were stopped temporarily to avoid further reduction in weight and fluid loss .But after a month again fluid accumulation in abdomen and swelling of legs are increased. As a result, the said medicines are started again and are in use.. At present , the patient complains of - progressive abdominal heaviness and pressure as well as shortness of breath ( with little exertion), well visible distended abdomen, cramps in legs , particularly after sitting for a long time , he feels tremendous pain on legs which restrict him to move even a step forward. Serum Sodium level is reduced to 122. Can we use homeopathy medicines to this this patient in place of conventional treatment.
1.Age :62 , Male , 62 kg .
2.Cause of Ascites : Chronic alcoholism
3.Stage of ascites : Gr.1
4. Ultra sonography report—Suboptimal retroperitoneal window due to bowel gases.
a)Hepatomegly with diffusely coarsened & heterogeneous echotexture—correlation with LFT suggested.
b)Thickened GB walls.
c)Diffusely reduced pancreatic echotexture.
d) Ascites
5 CT Scan – report. –whole abdomen :Irregular and coarse morphology of liver, ascites+
a)Irregular & coarse morphology of liver with are in keeping with chronic liver diseases with moderate ascites.
b)Few enlarged abdominal lymphadenopathy.
c) Portal vein is not dilated & is patient.
d) Name of the allopathic drugs used so far and progress thereof
Lasix40, Aaldactone100, Viboliv500, Inderal 40, Amifru, Ivit plus, Librium, Torfix 200, surbex T,
Progress---water accumulation restricted and Swelling of legs reduced, weight loss about 5kg
7 Blood Test results
SGPT :--42
SGOT--100
ALP--531
Alb—2.8
Glb—5.2
Creatinine—1.22
Haemoglobin---12.74
Sodium---122
Potassium—4.3
P time---20.4(11.4). INR-1.91
Blood sugar—86 (F) /94 (PP)
Bilirubin—4.2(2.6 and 1.6)
8 Some symptoms :
Mind : Restless, Irritable.
Pain in stomach : No
Fever : No
Chills : Yes
Gas formation : yes
Nausea/vomiting : Occasionally
Diarrhoea – Occasionally, lasting for 2-3 days
Constipation – Occasionally
Loose / soft stool / watery stool— All happen occasionally, twice a day
Colour of stools : Yellow
Any discharge of blood from any orifices. Occasionally with stools , Piles also exists
Mouth : Burning in mouth with patches or small ulcers
Headache : Occasionally on back of head
Cough :Yes , chest congested
Dyspnoea(breathlessness) : Occurs frequently on movement and little physical exertion.
Tongue – Whitish coated, slight impression on pressing the teeth n the tongue.
9. Blood pressure and pulse rate. –112/72..----74
10 Urine output daily : 6-7 times
11 Colour of Eyes, nails : Yellowish eye, whitish nail
12 Present complaints.—Water accumulation on abdomen . sometime it is reducing and sometime again increasing, cramps in legs, shortness of breathe occasionally on little exertion.
Kindly suggest the course of treatment .
With regards
Shiva
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