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Digestive Tract Problems in GP–
Part 1
Pain in Abdomen Presented By
• Prof.Dr.
• R.R.Deshpande
• 9226910630
7/19/2015 Prof...
7/19/2015 Prof.Dr.R.R.Deshpande 2
Digestive Tract Problems in GP
– Part 1
• Presented By –
• Prof.Dr.R.R.Deshpande (M.D in...
Digestive Tract
7/19/2015 3Prof.Dr.R.R.Deshpande
7/19/2015 Prof.Dr.R.R.Deshpande 4
Digestive System Problems in GP -
Part 1 contains
• 1) Anorexia
• 2) Indigestion
• 3) Ae...
7/19/2015 Prof.Dr.R.R.Deshpande 5
Digestive System Problems in GP
– Part 2 Contains --
• 9) Dysphagia
• 10) Pain In Abdome...
Anorexia Symptom
7/19/2015 6Prof.Dr.R.R.Deshpande
7/19/2015 Prof.Dr.R.R.Deshpande 7
Anorexia- Causes 1
• 1)Jaundice (Infective Hepatitis).
• 2) Fever.
• 3)Anemia.
• 4)Drugs...
7/19/2015 Prof.Dr.R.R.Deshpande 8
Anorexia Causes 2
• 5) School going children -
(study related problems or psychological
...
Anorexia effects
7/19/2015 9Prof.Dr.R.R.Deshpande
Anorexia Effects
7/19/2015 10Prof.Dr.R.R.Deshpande
7/19/2015 Prof.Dr.R.R.Deshpande 11
Anorexia causes 3
• 7) Pulmonary T.B.
• 8) Old patient (carcinoma of stomach).
• 9)Fema...
7/19/2015 Prof.Dr.R.R.Deshpande 12
Anorexia causes 4
• 11) Uraemia.
• 12) Psychogenic - Depression in females,
due to Dome...
Diagnosis of Anorexia
7/19/2015 13Prof.Dr.R.R.Deshpande
7/19/2015 Prof.Dr.R.R.Deshpande 14
Anorexia-Treatment 1
1. B plex – 1 OD.
2. Cipalactin or periactin - 4mg BD.
3. T.longip...
7/19/2015 Prof.Dr.R.R.Deshpande 15
Anorexia Treatment 2
Ayurvedic –
1. Arogyavardhini – 3 BD before food
2. Kumari Asav – ...
Vomiting
7/19/2015 16Prof.Dr.R.R.Deshpande
7/19/2015 Prof.Dr.R.R.Deshpande 17
Nausea & Vomiting causes 1
• 1) Gastritis,peptic ulcer.
• 2) Female patient – early pre...
7/19/2015 Prof.Dr.R.R.Deshpande 18
Nausea & Vomiting causes 2
• 5) Vomitus or patients breath – smell of
Kerosene or OP po...
7/19/2015 Prof.Dr.R.R.Deshpande 19
Nausea & Vomiting causes 3
• 8) Vomiting with Right Hypochondric pain
– Hepatitis or Ac...
7/19/2015 Prof.Dr.R.R.Deshpande 20
Nausea & Vomiting causes 4
• 11) Vomiting with severe phripheral vertigo
– Meniers dise...
Vomiting
Sr. No. Associated symptoms with
vomiting
Diagnosis
1 With loose motion Gastro (gastro – interitis)
because of fo...
Vomiting
Sr. No. Associated symptoms with
vomiting
Diagnosis
5 With history of amenorrhoea
(No M.C. is 6 months)
Hyperemes...
Vomiting
Sr. No. Associated symptoms with
vomiting
Diagnosis
9 With abd. rigidity Intestinal Obstruction
10 With vertigo w...
Acid Indigestion Symptoms
7/19/2015 24Prof.Dr.R.R.Deshpande
7/19/2015 Prof.Dr.R.R.Deshpande 25
Vomiting - Treatment
• 1) Inj.Reglan or Inj.Perinorum 10 mg stat (side
effect – extra p...
Ayurvedic Anti Emetic Powder
• 1) Eladi Churna
• 2) Mayur piccha mashi
7/19/2015 Prof.Dr.R.R.Deshpande 26
Ayurvedic Tablets for Acidity
• 1) Acidity with Indigestion ( Sama Pitta)
– Tab Sutshekhar
• 2) Acidity due to Spicy food ...
Ayurvedic Jam for Acidity
• Acidity,Burning ( Anti Pitta) –
• Gulkand ( Rose Jam)
• Moravala ( Amala Jam)
• Hyperacidity &...
7/19/2015 Prof.Dr.R.R.Deshpande 29
Flatulence (Gas) or Belching
causes 1
• 1) Indigestion (unsatisfactory
bowel,Amoebiasis...
Indigestion
7/19/2015 30Prof.Dr.R.R.Deshpande
Pain in abdomen
due to Indigestion
7/19/2015 31Prof.Dr.R.R.Deshpande
7/19/2015 Prof.Dr.R.R.Deshpande 32
Flatulence (Gas) or Belching
causes 2
• 4) Excessive eating.
• 5) Cholecystitis or Gall...
7/19/2015 Prof.Dr.R.R.Deshpande 33
Belching- Treatment
• 1) Avoid above causes.
• 2) Gellucil MPS – 2 tsf TDS
(methyl poly...
Powders as
Appetiser, Digestant,Carminative
• 1) Hingwashtak Churna
• 2) Samudradi Churna
• 3) Ashtang lavan Churna
• 4) B...
Ayurved for Indigestion
• Abdominal pain due to Indigestion,Gas etc –
• 1) Shankha vati
• 2) Lashunadi vati
• 3) Shulahara...
Ayurved to improve abdominal muscle tone
• Colicy Pain & to improve tone of Muscle (
Nocturnal Eneresis) –
• Products of K...
Ayurvedic Liquids for Indigestion
• 1) Jeerakadyarishta – 4 tsf with equal
amount of water BD
• 2) Panchakolasav --- 4 tsf...
7/19/2015 Prof.Dr.R.R.Deshpande 38
Acute Constipation causes
• 1) Local pain at anus – painful fissure, perianal abscess.
...
Anal Fissure
7/19/2015 39Prof.Dr.R.R.Deshpande
7/19/2015 Prof.Dr.R.R.Deshpande 40
Acute Constipation- Treatment 1
• 1) For perianal abscess – Incision & drainage.
• 2) F...
7/19/2015 Prof.Dr.R.R.Deshpande 41
Acute Constipation- Treatment 2
• 3) For idiopathic constipation –
- Tab Herbolax (Hima...
7/19/2015 Prof.Dr.R.R.Deshpande 42
Chronic Constipation – causes 1
(Habitual Constipation)
• Lack of exercise (especially ...
7/19/2015 Prof.Dr.R.R.Deshpande 43
Chronic Constipation causes 2
(Habitual Constipation)
• Drinking Less water or beverage...
7/19/2015 Prof.Dr.R.R.Deshpande 44
Chronic Constipation causes 3
(Habitual Constipation)
• 1) Insulting Natural calls.
• 2...
7/19/2015 Prof.Dr.R.R.Deshpande 45
Chronic Constipation causes 4
(Habitual Constipation)
• 4) In Elderly alternate constip...
Types of stool
7/19/2015 46Prof.Dr.R.R.Deshpande
Chronic Constipation
7/19/2015 47Prof.Dr.R.R.Deshpande
Constipation
7/19/2015 48Prof.Dr.R.R.Deshpande
Constipation
7/19/2015 49Prof.Dr.R.R.Deshpande
Constpation
7/19/2015 50Prof.Dr.R.R.Deshpande
7/19/2015 Prof.Dr.R.R.Deshpande 51
Chronic Constipation- Treatment
• 1) Treat above said causes & Regular
abdominal massag...
Stress & Constipation
7/19/2015 52Prof.Dr.R.R.Deshpande
Constpation misunderstanding
7/19/2015 53Prof.Dr.R.R.Deshpande
Ayurvedic Medicines –
Laxative Powders
• 1) Avipattikar churna
• 2) Amalakyadi churna
• 3) Swadishta Virechan churna
• 4) ...
Ayurvedic Strong Purgatives
( Virechak)
• Products of Jaypal ( Croton tiglium) –
• Tab Ashwakanchki
• Tab Icchabhedi
• Tab...
Ayurvedic Liquid for Constipation
• Laxative ( Useful in Constipation, Acidity,
Jaundice, Ascites, Oedema) –
• Liq Abhayar...
7/19/2015 Prof.Dr.R.R.Deshpande 57
Stomatitis causes 1
• If Recurrent – Apthous stomatitis (spicy
food, Non veg, alcohol-H...
Apthous stomatitis
7/19/2015 58Prof.Dr.R.R.Deshpande
Apthous ulcer
7/19/2015 59Prof.Dr.R.R.Deshpande
7/19/2015 Prof.Dr.R.R.Deshpande 60
Stomatitis causes 2
d) White patches, can not be removed –
Leukoplakia (pre-malignancy ...
7/19/2015 Prof.Dr.R.R.Deshpande 61
Stomatitis causes 3
• Non recurrent Ulcers –
a)Infection – Herpangina, syphilis.
b) Tra...
7/19/2015 Prof.Dr.R.R.Deshpande 62
Stomatitis Treatment 1
• 1) Avoid – spicy food, hot drinks & tobacco.
• 2) Local – Gelo...
7/19/2015 Prof.Dr.R.R.Deshpande 63
Stomatitis Treatment 2
• 1) Red magenta tongue – High doses of B.complex.
• 2) T.B.plex...
7/19/2015 Prof.Dr.R.R.Deshpande 64
Hiccup causes
• Involuntary Spasm of Inspiratory muscles, followed by
abrupt closure of...
Hiccup
7/19/2015 65Prof.Dr.R.R.Deshpande
7/19/2015 Prof.Dr.R.R.Deshpande 66
Hiccoup Treatment
• 1) Breathing in & out in a plastic Bag.
• 2) Breath holding – as lo...
7/19/2015 Prof.Dr.R.R.Deshpande 67
Investigation in Hiccup
• 1) X ray chest --- Pleurisy,Mediastinal
mass
• 2) Sr.Urea & C...
7/19/2015 Prof.Dr.R.R.Deshpande 68
Acute Diarrhoea causes
• 1) Viral.
• 2) Bacterial.
• 3) Amoebic.
• 4) Drug Induced.
• (...
Spread of Diarrhoea
7/19/2015 69Prof.Dr.R.R.Deshpande
Diarrhoea
7/19/2015 70Prof.Dr.R.R.Deshpande
Diarrhoea 2
7/19/2015 71Prof.Dr.R.R.Deshpande
E coli
7/19/2015 72Prof.Dr.R.R.Deshpande
Grades of Dehydration
• 1) All times irritable (crying children)
excess thirsty, oliguria.
• 2) Cries vigorously, sunken e...
Signs of Dehydration
7/19/2015 74Prof.Dr.R.R.Deshpande
ORS ( Oral Rehydration solution)
7/19/2015 75Prof.Dr.R.R.Deshpande
Which Diarrhoea Patients should be
Admitted ?
• 1) Dehydration grade III.
• 2) Child below 6 months
• 3) Acidosis (deep ra...
Amoeba
7/19/2015 77Prof.Dr.R.R.Deshpande
DD OF Dysentery - 1
Bacillary Dysentery Amoebic Dysentery
1. Organism E. Coli, Ftexnor, shigella flexnor Amoeba, EH – Enty...
DD OF Dysentery - 2
Bacillary Dysentery Amoebic Dysentery
7.Pain in
abdomen
Diffuse pain and mild Mainly on caecum and
pel...
DD OF Dysentery - 3
Bacillary Dysentery Amoebic
Dysentery
13.
prognosis
May be bad due to
complications like
dehydration (...
7/19/2015 Prof.Dr.R.R.Deshpande 81
Acute Diarrhoea Treatment 1
• O.R.T, Buttermilk, black tea, Coconut
water, Fruit juice....
7/19/2015 Prof.Dr.R.R.Deshpande 82
Acute Diarrhoea Treatment 2
• Tab cyclopam 1 TDS.
• Inj. Reglan (Metochloropromide) – 2...
7/19/2015 Prof.Dr.R.R.Deshpande 83
Acute Diarrhoea Treatment 3
• If fever with Diarrhoea (Infection).
• Ciplox (cipro flox...
7/19/2015 Prof.Dr.R.R.Deshpande 84
Acute Diarrhoea Treatment 4
Hypotension or Dehydration
- Fast I/V drip, with Ringer lac...
Diarrhoea – My favorites Tab
• Tab Dyrade M – 1TDS OR
• Tab Dependal M – 1 TDS
• Kutaja Parpati Vati /Kutajarishta/Kutaja
...
Ayurvedic Powders to stop loose motions ( Stambhak)
• 1) Jatiphaladi Churna
• 2) Gangadhar Churna
• 3) Bruhat Gangadhar Ch...
Ayurvedic Tablets for Diarrhoea with fever
• 1) Tab Sanjivani
• 2) Tab Shankhodar
7/19/2015 Prof.Dr.R.R.Deshpande 87
Ayurvedic Medicines for Diarrhoea
• Diarrhoea,Dysentry,Colitis –
• Liq Kutajarishta – 4 tsf with equal amount
of water BD
...
7/19/2015 Prof.Dr.R.R.Deshpande 89
Chronic diarrhoea causes
• 1) Ulcerative colitis.
• 2) Opportunistic Infections, associ...
7/19/2015 Prof.Dr.R.R.Deshpande 90
Chronic diarrhoea Treatment 1
• 1) Cap. Imosec (Loperamide) – 1 TDS.
• 2) Tini – 500 mg...
7/19/2015 Prof.Dr.R.R.Deshpande 91
Chronic diarrhoea Treatment 2
• Cap. Doxy 1 (Doxycycline) –
100mg – BD x 10days (for sp...
Ayurvedic Medicines for Chronic Diarrhoea
• Diarrhoea,Dysentry,Colitis –
• 1) Kutajavaleha,
• 2) Bilvavleha
• 3) Dadimavle...
7/19/2015 Prof.Dr.R.R.Deshpande 93
Ayurved for General Practioner
• Very very popular
Book in Medical
Practioners
• 100 co...
7/19/2015 Prof.Dr.R.R.Deshpande 94
Clinical Examination
• Systemic Examination
of 8 systems
• Ayurvedic Srotas
Examination...
7/19/2015 Prof.Dr.R.R.Deshpande 95
Notes on Medicine Part 1
• Very very useful Book
for all Medical
Practioners
• Guidelin...
7/19/2015 Prof.Dr.R.R.Deshpande 96
Best Book for
Medical Students & Practioners
7/19/2015 96Prof.Dr.R.R.Deshpande
Preventive Cardiology
& Ayurvedic Management
• Best Book for GP
• All cardiac problems
like
Hypertention,CCF,
Angina,Myoca...
Digestive Problems
& Ayurvedic Management
• Best Book for GP
• All Digestive
problems like
Acidity,Pain in
abdomen,
• Cons...
Gynaecological Problems &
Ayurvedic Management
• Best Book for GP
• All Gynaecological
problems like Heavy
bleeding,White
...
Arthritis,Backache &
Ayurvedic Management
• Best Book for GP
• All Joint problems
like Rheumatoid
Arthritis,Osteoarthritis...
Neurological Problems & Ayurvedic
Management
• Best Book for GP
• All Neurological
problems like
Headache,Epilepsy,Al
zeim...
Ayurvedic Concept of Diet
& Nutrition
• Best Book for GP
• Dietary Advice
according to Prakruti
,Dietary prescriptions
for...
Health Tips for 365 Days
7/19/2015 Prof.Dr.R.R.Deshpande 103
• This Book is very
useful from Common
man to Doctors
• It co...
Prof.Dr.Deshpande’s
Popular Links on Internet
• Just Start Internet on Desk top or Lap top
or on your mobile . Copy Follow...
Prof.Dr.Deshpande’s
Popular Links on Internet
• Just Start Internet on Desk top or Lap top
or on your mobile . Copy Follow...
Prof.Dr.R.R.Deshpande
• Sharing of Knowledge
• FOR
• Propagating Ayurved
7/19/2015 106Prof.Dr.R.R.Deshpande
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Digestive Problems in GP part 1 – By Prof.Dr.R.R.Deshpande
These ppts will be very useful for Medical students & New Practioners ,for rapid revisions of topic & as ready reference through their smart phones .This ppt contains 1) Anorexia 2) Indigestion 3) Aerophagy ( Gas) 4) Stomatitis 5) Hiccoup 6) Constipation
7) Diarrhoea 8) Vomiting
Visit – www.ayurvedicfriend.com M- 9226810630

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Digestive tract problems in GP

  1. 1. Digestive Tract Problems in GP– Part 1 Pain in Abdomen Presented By • Prof.Dr. • R.R.Deshpande • 9226910630 7/19/2015 Prof.Dr.R.R.Deshpande 1
  2. 2. 7/19/2015 Prof.Dr.R.R.Deshpande 2 Digestive Tract Problems in GP – Part 1 • Presented By – • Prof.Dr.R.R.Deshpande (M.D in Ayurvdic Medicine & M.D. in Ayurvedic Physiology) • www.ayurvedicfriend.com • Mobile – 922 68 10 630 • mailme.drrrdeshpande@rediffmail.com
  3. 3. Digestive Tract 7/19/2015 3Prof.Dr.R.R.Deshpande
  4. 4. 7/19/2015 Prof.Dr.R.R.Deshpande 4 Digestive System Problems in GP - Part 1 contains • 1) Anorexia • 2) Indigestion • 3) Aerophagy(Gas) • 4) Stomatitis • 5) Hiccoup • 6) Constipation • 7) Diarrhoea • 8) Vomiting
  5. 5. 7/19/2015 Prof.Dr.R.R.Deshpande 5 Digestive System Problems in GP – Part 2 Contains -- • 9) Dysphagia • 10) Pain In Abdomen • 11) IBS • 12) Jaundice • 13) Peptic ulcer
  6. 6. Anorexia Symptom 7/19/2015 6Prof.Dr.R.R.Deshpande
  7. 7. 7/19/2015 Prof.Dr.R.R.Deshpande 7 Anorexia- Causes 1 • 1)Jaundice (Infective Hepatitis). • 2) Fever. • 3)Anemia. • 4)Drugs - (Biguanidees, Metronidazole, Digitalis, Anti-hypertensive, Anti-diabetic)
  8. 8. 7/19/2015 Prof.Dr.R.R.Deshpande 8 Anorexia Causes 2 • 5) School going children - (study related problems or psychological reasons). • 6) Adult male - (Alcoholic, Tobacco, Mawa, Panparag, Malignancy of Liver, Stomach).
  9. 9. Anorexia effects 7/19/2015 9Prof.Dr.R.R.Deshpande
  10. 10. Anorexia Effects 7/19/2015 10Prof.Dr.R.R.Deshpande
  11. 11. 7/19/2015 Prof.Dr.R.R.Deshpande 11 Anorexia causes 3 • 7) Pulmonary T.B. • 8) Old patient (carcinoma of stomach). • 9)Female patient (pregnant). • 10)Sitophobia - (fear of eating due to pain of oral ulcers acute Gastritis).
  12. 12. 7/19/2015 Prof.Dr.R.R.Deshpande 12 Anorexia causes 4 • 11) Uraemia. • 12) Psychogenic - Depression in females, due to Domestic problems.
  13. 13. Diagnosis of Anorexia 7/19/2015 13Prof.Dr.R.R.Deshpande
  14. 14. 7/19/2015 Prof.Dr.R.R.Deshpande 14 Anorexia-Treatment 1 1. B plex – 1 OD. 2. Cipalactin or periactin - 4mg BD. 3. T.longiphen – 25mg BD. 4. Liv 52 – 2 TDS. 5. Cap Autrin – 1OD. 6. Digeplex or Unienzyme – 1 BD
  15. 15. 7/19/2015 Prof.Dr.R.R.Deshpande 15 Anorexia Treatment 2 Ayurvedic – 1. Arogyavardhini – 3 BD before food 2. Kumari Asav – 3 tsf with water BD Lifestyle – 1. Fasting. 2. Regular walking exercise. 3. Happy Mind.
  16. 16. Vomiting 7/19/2015 16Prof.Dr.R.R.Deshpande
  17. 17. 7/19/2015 Prof.Dr.R.R.Deshpande 17 Nausea & Vomiting causes 1 • 1) Gastritis,peptic ulcer. • 2) Female patient – early pregnancy (amenorrhea) • 3) Alcohol, Drugs (asprin,NSAIDS,Flagyl,Chloroquin). • 4) Vomiting with abdominal distension & colicy pain – Intestinal obstructions.
  18. 18. 7/19/2015 Prof.Dr.R.R.Deshpande 18 Nausea & Vomiting causes 2 • 5) Vomitus or patients breath – smell of Kerosene or OP poison (Tik 20). • 6) Vomiting with headache & high fever – Meningitis. • 7) Vomiting with loose motion – Gastroenteritis (Gastro).
  19. 19. 7/19/2015 Prof.Dr.R.R.Deshpande 19 Nausea & Vomiting causes 3 • 8) Vomiting with Right Hypochondric pain – Hepatitis or Acute cholecystitis. • 9)Vomiting & pain in right iliac fossa – Acute Appendicitis. • 10)Vomiting & pain in loin – acute pyelonephritis.
  20. 20. 7/19/2015 Prof.Dr.R.R.Deshpande 20 Nausea & Vomiting causes 4 • 11) Vomiting with severe phripheral vertigo – Meniers disease or vestibular neuritis. • 12) Vomiting & uncontrolled D.M – Diabetic ketoacidosis. • 13) Cyclical vomiting (Diagnosis of Exclusion).
  21. 21. Vomiting Sr. No. Associated symptoms with vomiting Diagnosis 1 With loose motion Gastro (gastro – interitis) because of food poisoning in epidemics. 2 With severe headache with high fever Meningitis or Encephilitis 3 With heart burn, stomach burn Acute Gastritis (alcohol abused in large quantity) NSAID overdose also 4 In elderly patient with sweating Acute myocardial infarction (dn't treat immediately call ambulance) 7/19/2015 Prof.Dr.R.R.Deshpande 21
  22. 22. Vomiting Sr. No. Associated symptoms with vomiting Diagnosis 5 With history of amenorrhoea (No M.C. is 6 months) Hyperemesis gravidarum 6 With pain in right hypocho. Hepatitis / Colycystitis 7 Pain in right Iliac fossa Appendicitis 8 Pain in loin Pyelonephritis and due to calculus 7/19/2015 Prof.Dr.R.R.Deshpande 22
  23. 23. Vomiting Sr. No. Associated symptoms with vomiting Diagnosis 9 With abd. rigidity Intestinal Obstruction 10 With vertigo with Tinnitus Menier's disease, Vestibular neuronitis 11 With uncontrolled D.M. Diabetic keto-acidosis (ketone bodies) 12 Without any other specific symptom but occur periodicity Cyclical vomiting, idiopathic 7/19/2015 Prof.Dr.R.R.Deshpande 23
  24. 24. Acid Indigestion Symptoms 7/19/2015 24Prof.Dr.R.R.Deshpande
  25. 25. 7/19/2015 Prof.Dr.R.R.Deshpande 25 Vomiting - Treatment • 1) Inj.Reglan or Inj.Perinorum 10 mg stat (side effect – extra pyramidal symptoms – Then give, Inj.Calmpose 1 cc). • 2) In pregnancy Pregnidoxin – 12.5 mg TDS (meclizine hcl). • 3) Severe Vomiting & Dehydration - Tab or Inj.Ondansetron – 4 mg I/m stat - I/v DNS & Ringer lactate.
  26. 26. Ayurvedic Anti Emetic Powder • 1) Eladi Churna • 2) Mayur piccha mashi 7/19/2015 Prof.Dr.R.R.Deshpande 26
  27. 27. Ayurvedic Tablets for Acidity • 1) Acidity with Indigestion ( Sama Pitta) – Tab Sutshekhar • 2) Acidity due to Spicy food & with vomiting – Tab Laghu Sutshekhar 7/19/2015 Prof.Dr.R.R.Deshpande 27
  28. 28. Ayurvedic Jam for Acidity • Acidity,Burning ( Anti Pitta) – • Gulkand ( Rose Jam) • Moravala ( Amala Jam) • Hyperacidity & Peptic ulcer – Shatavari Ghruta ( Medicated Ghee) •7/19/2015 Prof.Dr.R.R.Deshpande 28
  29. 29. 7/19/2015 Prof.Dr.R.R.Deshpande 29 Flatulence (Gas) or Belching causes 1 • 1) Indigestion (unsatisfactory bowel,Amoebiasis, Giardiasis). • 2) Lack of Regular exercise (especially abdominal exercise) – Less tone of abdominal muscles. • 3) Frequent aerated drinks, onions, peas, beans, dals.
  30. 30. Indigestion 7/19/2015 30Prof.Dr.R.R.Deshpande
  31. 31. Pain in abdomen due to Indigestion 7/19/2015 31Prof.Dr.R.R.Deshpande
  32. 32. 7/19/2015 Prof.Dr.R.R.Deshpande 32 Flatulence (Gas) or Belching causes 2 • 4) Excessive eating. • 5) Cholecystitis or Gall stones. • 6) Fast eating Habits. • 7) Swallowing air (sipping tea, chewing Tobacco paan, chewing gums).
  33. 33. 7/19/2015 Prof.Dr.R.R.Deshpande 33 Belching- Treatment • 1) Avoid above causes. • 2) Gellucil MPS – 2 tsf TDS (methyl polysiloxane) 3) Ayurvedic – Gasex ,Triphala vati ,Panchakolasav 4) Yoga -- Pavanmuktasan
  34. 34. Powders as Appetiser, Digestant,Carminative • 1) Hingwashtak Churna • 2) Samudradi Churna • 3) Ashtang lavan Churna • 4) Bhaskar Lavan Churna • 5) Panchasam Churna • 6) Vadvanal Churna • 7) Vaishvanar Churna • 8) Chitrakadi Churna • 9) Pippalyadi Churna • 10) Lavangadi Churna 7/19/2015 Prof.Dr.R.R.Deshpande 34
  35. 35. Ayurved for Indigestion • Abdominal pain due to Indigestion,Gas etc – • 1) Shankha vati • 2) Lashunadi vati • 3) Shulahara vati • 4) Lashun Pak • 5) Shatpal Ghruta • 6) Eladi churna, • 7) Lashunadi vati 7/19/2015 Prof.Dr.R.R.Deshpande 35
  36. 36. Ayurved to improve abdominal muscle tone • Colicy Pain & to improve tone of Muscle ( Nocturnal Eneresis) – • Products of Kuchala or Nux vomica – • 1) Agnitundi vati, • 2) Vishatinduk vati • 3) Tab Vatagajangkusha 7/19/2015 Prof.Dr.R.R.Deshpande 36
  37. 37. Ayurvedic Liquids for Indigestion • 1) Jeerakadyarishta – 4 tsf with equal amount of water BD • 2) Panchakolasav --- 4 tsf with equal amount of water BD 7/19/2015 Prof.Dr.R.R.Deshpande 37
  38. 38. 7/19/2015 Prof.Dr.R.R.Deshpande 38 Acute Constipation causes • 1) Local pain at anus – painful fissure, perianal abscess. • 2) Elderly bed ridden patient. • 3) Pregnancy. • 4) Constipation with colicky pain in abdomen,Board like rigidity, abdominal distention or vomiting- Intestinal obstruction. (hyper peristalsis) or paralytic ileus (No peristalsis) or Acute Abdomen. • 5) Idiopathic functional constipation.
  39. 39. Anal Fissure 7/19/2015 39Prof.Dr.R.R.Deshpande
  40. 40. 7/19/2015 Prof.Dr.R.R.Deshpande 40 Acute Constipation- Treatment 1 • 1) For perianal abscess – Incision & drainage. • 2) For fissure in Ano – - Local – Xylocaine oint. - Cap Mox – 500 mg TDS. - Tab Tini – 300 mg – 1 BD. - Tab Voveron – 100 mg – 1 BD. - Tab Triphala vati – 2 H.S.
  41. 41. 7/19/2015 Prof.Dr.R.R.Deshpande 41 Acute Constipation- Treatment 2 • 3) For idiopathic constipation – - Tab Herbolax (Himalaya) 3 H.S or Abhayaristha – 3 tsf with equal quantity of water-BD. • 4) For Acute Abdomen – - Admit Immediately.
  42. 42. 7/19/2015 Prof.Dr.R.R.Deshpande 42 Chronic Constipation – causes 1 (Habitual Constipation) • Lack of exercise (especially abdominal muscle exercises – poor abdominal muscle tone.) • Lack of roughage (Green vegetables, fruits, raw bananas) in Diet.
  43. 43. 7/19/2015 Prof.Dr.R.R.Deshpande 43 Chronic Constipation causes 2 (Habitual Constipation) • Drinking Less water or beverages. • Tobacco, Mawa, smoking. • Drugs (Anti-hypertensives, antacids, Iron, NSAIDS).
  44. 44. 7/19/2015 Prof.Dr.R.R.Deshpande 44 Chronic Constipation causes 3 (Habitual Constipation) • 1) Insulting Natural calls. • 2) Pain at anus (Fissure, anal stricture, Growth). • 3) Bed ridden patients
  45. 45. 7/19/2015 Prof.Dr.R.R.Deshpande 45 Chronic Constipation causes 4 (Habitual Constipation) • 4) In Elderly alternate constipation & Diarrhoea or Constipation with P /R bleeding ---- R / O -- Malignancy of colon or rectum . • 5) Long term use of Laxatives or Enema( Loss of Muscle Tone)
  46. 46. Types of stool 7/19/2015 46Prof.Dr.R.R.Deshpande
  47. 47. Chronic Constipation 7/19/2015 47Prof.Dr.R.R.Deshpande
  48. 48. Constipation 7/19/2015 48Prof.Dr.R.R.Deshpande
  49. 49. Constipation 7/19/2015 49Prof.Dr.R.R.Deshpande
  50. 50. Constpation 7/19/2015 50Prof.Dr.R.R.Deshpande
  51. 51. 7/19/2015 Prof.Dr.R.R.Deshpande 51 Chronic Constipation- Treatment • 1) Treat above said causes & Regular abdominal massage on empty stomach with warm sesame oil & fomentation.Regular 45 min walk,Pavanmuktasan,Naukasan • 2) Intermittent ayurvedic oil Enemata (Anuvasan Basti). Caution Elderly patient – alternate constipation & Diarrhea, with P/R bleeding – Rule out Rectal or colonic cancer.
  52. 52. Stress & Constipation 7/19/2015 52Prof.Dr.R.R.Deshpande
  53. 53. Constpation misunderstanding 7/19/2015 53Prof.Dr.R.R.Deshpande
  54. 54. Ayurvedic Medicines – Laxative Powders • 1) Avipattikar churna • 2) Amalakyadi churna • 3) Swadishta Virechan churna • 4) Sukhasarak churna • 5) Gandharva Haritaki churna • 6) Narayan churna • 7) Triphala churna • 8) Gomuta Haritaki churna • 9) Isabgol churna 7/19/2015 Prof.Dr.R.R.Deshpande 54
  55. 55. Ayurvedic Strong Purgatives ( Virechak) • Products of Jaypal ( Croton tiglium) – • Tab Ashwakanchki • Tab Icchabhedi • Tab Naracha rasa • Note – mainly used as Detox process in Ascites, Skin Diseases, Hemiplegia 7/19/2015 Prof.Dr.R.R.Deshpande 55
  56. 56. Ayurvedic Liquid for Constipation • Laxative ( Useful in Constipation, Acidity, Jaundice, Ascites, Oedema) – • Liq Abhayarishta – 4 tsf with equal amount of water BD 7/19/2015 Prof.Dr.R.R.Deshpande 56
  57. 57. 7/19/2015 Prof.Dr.R.R.Deshpande 57 Stomatitis causes 1 • If Recurrent – Apthous stomatitis (spicy food, Non veg, alcohol-Heat). • Diffuse Inflammation – a) Fiery red tongue – B.complex deficiency. b) White depapillated & smooth, bald tongue – Iron deficiency. c) White exudates, easily removed-oral candidiasis (Thrush), with HIV or D.M.
  58. 58. Apthous stomatitis 7/19/2015 58Prof.Dr.R.R.Deshpande
  59. 59. Apthous ulcer 7/19/2015 59Prof.Dr.R.R.Deshpande
  60. 60. 7/19/2015 Prof.Dr.R.R.Deshpande 60 Stomatitis causes 2 d) White patches, can not be removed – Leukoplakia (pre-malignancy condition) e) White palate, with difficulty in opening the mouth - sub mucous fibrosis ( Manikchand or beetelnut chewing).
  61. 61. 7/19/2015 Prof.Dr.R.R.Deshpande 61 Stomatitis causes 3 • Non recurrent Ulcers – a)Infection – Herpangina, syphilis. b) Traumatic – Sharp tooth. c) Chemical burn – Aspirin for toothache. d) Skin – Lichen planus,pemphigus,drug reaction. e) Carcinoma of tongue or cheek.
  62. 62. 7/19/2015 Prof.Dr.R.R.Deshpande 62 Stomatitis Treatment 1 • 1) Avoid – spicy food, hot drinks & tobacco. • 2) Local – Gelora cream / Glycerine or Kailas Jeevan. • 3) Rines – Betadine oral wash ,Milk gurgaling • 4) Kenacort oral paste (Triamcinolone),Kailas Jeevan • 5) Gairik & Paraval Pisti with cream of milk • 5) Beclate (Betamaethasone) inhalar spray on ulcers.
  63. 63. 7/19/2015 Prof.Dr.R.R.Deshpande 63 Stomatitis Treatment 2 • 1) Red magenta tongue – High doses of B.complex. • 2) T.B.plex & T. Celin – 1 BD. • 3) Bald tongue – Cap Autrin 1 OD. • 4) Oral thrush – Candid oral paint & T Zocon (Fluconazole) 150 mg – stat. • 5) Submucous fibrosis – Refer to ENT.
  64. 64. 7/19/2015 Prof.Dr.R.R.Deshpande 64 Hiccup causes • Involuntary Spasm of Inspiratory muscles, followed by abrupt closure of glottis • Precipitated by – Irritation of Diaphragm due to distention of stomach. • Rare causes – 1) Pleurisy or Mediastinal mass. – X ray chest 2) Uraemia. ----------------------------- Sr.Urea & Creatinine 3) Sub. Diaphragmatic abssess.--- USG Abdomen 4) Gastritis or ulcer.-------------------- Gastro duodenoscopy
  65. 65. Hiccup 7/19/2015 65Prof.Dr.R.R.Deshpande
  66. 66. 7/19/2015 Prof.Dr.R.R.Deshpande 66 Hiccoup Treatment • 1) Breathing in & out in a plastic Bag. • 2) Breath holding – as long as possible. • 3) Pressure on eye balls. • 4) Drink ice cold water • 5) Mucaine Gel (Antacid with Xylocaine) 2 tsf - 2 tds. • 6) T.cyclopam (Anti.spasmodic) 1 stat & repeat after 2 hrs. • 7) T.Largactil 50mg stat & repeat after 6 hrs.
  67. 67. 7/19/2015 Prof.Dr.R.R.Deshpande 67 Investigation in Hiccup • 1) X ray chest --- Pleurisy,Mediastinal mass • 2) Sr.Urea & Creatinine – Uraemia • 3) USG Abd – Sub diaphragmatic abscess • 4) Gastroscopy -- Ulcer
  68. 68. 7/19/2015 Prof.Dr.R.R.Deshpande 68 Acute Diarrhoea causes • 1) Viral. • 2) Bacterial. • 3) Amoebic. • 4) Drug Induced. • ( Amoxycilline,Iron,Antacid with Mg)
  69. 69. Spread of Diarrhoea 7/19/2015 69Prof.Dr.R.R.Deshpande
  70. 70. Diarrhoea 7/19/2015 70Prof.Dr.R.R.Deshpande
  71. 71. Diarrhoea 2 7/19/2015 71Prof.Dr.R.R.Deshpande
  72. 72. E coli 7/19/2015 72Prof.Dr.R.R.Deshpande
  73. 73. Grades of Dehydration • 1) All times irritable (crying children) excess thirsty, oliguria. • 2) Cries vigorously, sunken eyeballs, sunken fontanels, drowsiness. • 3) Child becomes quiet, total anuria, inelastic skin, feeble but fast. •7/19/2015 Prof.Dr.R.R.Deshpande 73
  74. 74. Signs of Dehydration 7/19/2015 74Prof.Dr.R.R.Deshpande
  75. 75. ORS ( Oral Rehydration solution) 7/19/2015 75Prof.Dr.R.R.Deshpande
  76. 76. Which Diarrhoea Patients should be Admitted ? • 1) Dehydration grade III. • 2) Child below 6 months • 3) Acidosis (deep rapid and harsh breathing) • 4) severe abdominal distension. • 5) Toxicity 7/19/2015 Prof.Dr.R.R.Deshpande 76
  77. 77. Amoeba 7/19/2015 77Prof.Dr.R.R.Deshpande
  78. 78. DD OF Dysentery - 1 Bacillary Dysentery Amoebic Dysentery 1. Organism E. Coli, Ftexnor, shigella flexnor Amoeba, EH – Entymoeba hystolytico, Giordia lamlia 2. Onset Very sudden / acute Less acute 3. Fever yes No 4. Toximia present Absent 5. No. of stools More (12 – 15 /day) Less (7 – 8/day) 6. Tenesmus more Less 7/19/2015 Prof.Dr.R.R.Deshpande 78
  79. 79. DD OF Dysentery - 2 Bacillary Dysentery Amoebic Dysentery 7.Pain in abdomen Diffuse pain and mild Mainly on caecum and pelvic colon 8. Dehydration Severe Absent 9. Stool Less faecal matter, but some times blood and mucus Less faecal matter plus lot of mucus 10. Straining less Present 11. B. P. hypotension B.P. normal 12. stool exam Pus cells+++ and RBC++ Mucus+++, blood+ & EH cysts seen 7/19/2015 Prof.Dr.R.R.Deshpande 79
  80. 80. DD OF Dysentery - 3 Bacillary Dysentery Amoebic Dysentery 13. prognosis May be bad due to complications like dehydration (sp < 2 & > 60 yrs) Good, but recurrence is always possible. 14. treatment ORT & Antibiotics as Ciplox – 500 mg, B.P. Antiamoetic treatment, Tiniba – 500 mg, B.D. 7/19/2015 Prof.Dr.R.R.Deshpande 80
  81. 81. 7/19/2015 Prof.Dr.R.R.Deshpande 81 Acute Diarrhoea Treatment 1 • O.R.T, Buttermilk, black tea, Coconut water, Fruit juice. • Soft rice, Mung dal, Over ripe banana (pectin), curds. • Cap. Imosec (Loperamide) – 2 cap. State & 1 cap after each loose motion (Max. 8 cap/day)
  82. 82. 7/19/2015 Prof.Dr.R.R.Deshpande 82 Acute Diarrhoea Treatment 2 • Tab cyclopam 1 TDS. • Inj. Reglan (Metochloropromide) – 2 cc I/m stat. Caution Metochloropromide & Loperamide – do not use together.( Replace Loperamide by Codeine 30 mg tds)
  83. 83. 7/19/2015 Prof.Dr.R.R.Deshpande 83 Acute Diarrhoea Treatment 3 • If fever with Diarrhoea (Infection). • Ciplox (cipro floxacin) 500 mg BD. • Norflox (Nor floxacin) 400 mg BD. • Tab.Tini – 500 mg BD • Tab Norflox TZ – 1BD
  84. 84. 7/19/2015 Prof.Dr.R.R.Deshpande 84 Acute Diarrhoea Treatment 4 Hypotension or Dehydration - Fast I/V drip, with Ringer lactate & DNS. - Inj. Mephentin 1-2 cc I/V stat. - Inj. Efcorlin 100-200 mg I/V stat. - Inj. Gentamicin 80 mg I/V stat. Shift patient to Hospital( Fear of Septicaemic shock)
  85. 85. Diarrhoea – My favorites Tab • Tab Dyrade M – 1TDS OR • Tab Dependal M – 1 TDS • Kutaja Parpati Vati /Kutajarishta/Kutaja Ghana vati • Previously DIQ & Furoxone • Yellow coloured urine with Furazolidine • Mettalic Taste with Flgyl 7/19/2015 Prof.Dr.R.R.Deshpande 85
  86. 86. Ayurvedic Powders to stop loose motions ( Stambhak) • 1) Jatiphaladi Churna • 2) Gangadhar Churna • 3) Bruhat Gangadhar Churna • 4) Samasharkar Churna 7/19/2015 Prof.Dr.R.R.Deshpande 86
  87. 87. Ayurvedic Tablets for Diarrhoea with fever • 1) Tab Sanjivani • 2) Tab Shankhodar 7/19/2015 Prof.Dr.R.R.Deshpande 87
  88. 88. Ayurvedic Medicines for Diarrhoea • Diarrhoea,Dysentry,Colitis – • Liq Kutajarishta – 4 tsf with equal amount of water BD • Liq Babbuladyarishta -- 4 tsf with equal amount of water BD 7/19/2015 Prof.Dr.R.R.Deshpande 88
  89. 89. 7/19/2015 Prof.Dr.R.R.Deshpande 89 Chronic diarrhoea causes • 1) Ulcerative colitis. • 2) Opportunistic Infections, associated with HIV. • 3) Chronic pancreatitis. • 4) Sprue. • 5) Laxative abuse. • 6) Lactose Intolerance. • 7) Hyperthyroidism. • 8) D.M • 9) IBS (Irritable Bowel syndrome) • 10) Drugs • 11) Intestinal T.B.
  90. 90. 7/19/2015 Prof.Dr.R.R.Deshpande 90 Chronic diarrhoea Treatment 1 • 1) Cap. Imosec (Loperamide) – 1 TDS. • 2) Tini – 500 mg – 1 BD • 3) T. Zentel (Albendazole) 400 mg – 1 stat • 4) T. Ciplin DS – TDS x 7 days. (for Diarrhoea with HIV)
  91. 91. 7/19/2015 Prof.Dr.R.R.Deshpande 91 Chronic diarrhoea Treatment 2 • Cap. Doxy 1 (Doxycycline) – 100mg – BD x 10days (for sprue) • Cap.Neutrolin B TDS x 7 days • T.Alprazolam 0-25mg – BD (In IBS). • T.Folvite (folic acid) – 5mg BD x 10 days. • Avoid – fatty foods, raw vegetables, uncooked meat.
  92. 92. Ayurvedic Medicines for Chronic Diarrhoea • Diarrhoea,Dysentry,Colitis – • 1) Kutajavaleha, • 2) Bilvavleha • 3) Dadimavleha 7/19/2015 Prof.Dr.R.R.Deshpande 92
  93. 93. 7/19/2015 Prof.Dr.R.R.Deshpande 93 Ayurved for General Practioner • Very very popular Book in Medical Practioners • 100 common symptoms of General Practice with causes,Investigations & Ayurvedic Treatments
  94. 94. 7/19/2015 Prof.Dr.R.R.Deshpande 94 Clinical Examination • Systemic Examination of 8 systems • Ayurvedic Srotas Examination • Clinical significance of Lab Tests & Radiology,USG,2D Echo
  95. 95. 7/19/2015 Prof.Dr.R.R.Deshpande 95 Notes on Medicine Part 1 • Very very useful Book for all Medical Practioners • Guidelines with causes,symptoms,Ay urvedic & Modern Treatments to treat Fever,Pain in Abdomen & Arthritis
  96. 96. 7/19/2015 Prof.Dr.R.R.Deshpande 96 Best Book for Medical Students & Practioners 7/19/2015 96Prof.Dr.R.R.Deshpande
  97. 97. Preventive Cardiology & Ayurvedic Management • Best Book for GP • All cardiac problems like Hypertention,CCF, Angina,Myocardial Infarct are discussed with Ayurvedic Management Contact -922 68 10 630 7/19/2015 Prof.Dr.R.R.Deshpande 97
  98. 98. Digestive Problems & Ayurvedic Management • Best Book for GP • All Digestive problems like Acidity,Pain in abdomen, • Constipation ,colitis are discussed with Ayurvedic Management Contact -922 68 10 630 7/19/2015 Prof.Dr.R.R.Deshpande 98
  99. 99. Gynaecological Problems & Ayurvedic Management • Best Book for GP • All Gynaecological problems like Heavy bleeding,White discharge,Infertility,ca ncer are discussed with Ayurvedic Management Contact -922 68 10 630 7/19/2015 Prof.Dr.R.R.Deshpande 99
  100. 100. Arthritis,Backache & Ayurvedic Management • Best Book for GP • All Joint problems like Rheumatoid Arthritis,Osteoarthritis ,Backache are discussed with Ayurvedic Management Contact -922 68 10 630 7/19/2015 Prof.Dr.R.R.Deshpande 100
  101. 101. Neurological Problems & Ayurvedic Management • Best Book for GP • All Neurological problems like Headache,Epilepsy,Al zeimer’s Disease are discussed with Ayurvedic Management Contact -922 68 10 630 7/19/2015 Prof.Dr.R.R.Deshpande 101
  102. 102. Ayurvedic Concept of Diet & Nutrition • Best Book for GP • Dietary Advice according to Prakruti ,Dietary prescriptions for many diseases are given • Contact -922 68 10 630 7/19/2015 Prof.Dr.R.R.Deshpande 102
  103. 103. Health Tips for 365 Days 7/19/2015 Prof.Dr.R.R.Deshpande 103 • This Book is very useful from Common man to Doctors • It covers all imp aspects mentioned in Ayurveda • Open as per date & complete reading of one page only
  104. 104. Prof.Dr.Deshpande’s Popular Links on Internet • Just Start Internet on Desk top or Lap top or on your mobile . Copy Following Link & Paste as Web address –URL • http://www.youtube.com/user/deshpande1 959 • http://www.slideshare.net/rajendra9a/ • http://www.mixcloud.com/jamdadey/ 7/19/2015 Prof.Dr.R.R.Deshpande 104
  105. 105. Prof.Dr.Deshpande’s Popular Links on Internet • Just Start Internet on Desk top or Lap top or on your mobile . Copy Following Link & Paste as Web address –URL • http://professordeshpande.blogspot.in • http://professordrdeshpande.blogspot.in/ • http://www.mixcloud.com/rajendra- deshpande • https://soundcloud.com/professor- deshpande 7/19/2015 Prof.Dr.R.R.Deshpande 105
  106. 106. Prof.Dr.R.R.Deshpande • Sharing of Knowledge • FOR • Propagating Ayurved 7/19/2015 106Prof.Dr.R.R.Deshpande
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Digestive Problems in GP part 1 – By Prof.Dr.R.R.Deshpande These ppts will be very useful for Medical students & New Practioners ,for rapid revisions of topic & as ready reference through their smart phones .This ppt contains 1) Anorexia 2) Indigestion 3) Aerophagy ( Gas) 4) Stomatitis 5) Hiccoup 6) Constipation 7) Diarrhoea 8) Vomiting Visit – www.ayurvedicfriend.com M- 9226810630

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