Digestive Problems in GP part 2 – 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 9) Dysphagia 10) Pain In Abdomen 11) IBS 12) Jaundice 13) Peptic ulcer
• Visit – www.ayurvedicfriend.com M- 9226810630
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Digestive tract problems in GP
1. Digestive Tract Problems in GP– Part 2
Pain in Abdomen Presented By
• Prof.Dr.
• R.R.Deshpande
• 9226910630
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Digestive Tract Problems in GP – Part 2
• 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
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Dysphagia causes 2
• True Dysphagia – Oesophagitis
• Mechanical dysphagia -- Cancer of
oesophagus
- (obstruction to passage of solid food) –
Cancer of oesophagus.
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Dysphagia Treatment 1
• Pseudo-dysphagia (due to Infection & pain)
Tab.Roxid (Roxithromycin) – 150 mg – BD (On
empty stomach)
or Tab.Azithral (Azithromycin) 500 mg – O.D. x
3days
• Tab.Voveron SR 100 mg – 1 O.D.
• Gurgaling.
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Dysphagia Treatment 2
• Oesophagitis
• Bland Diet
-Mucaine gel – 3 tsf x 3 hrly
- Cap. Omez – 20 mg x BD
- Tab ciza (cisapride) 10 mg – TDS.
- Tab forcan (flucanazole) – (for HIV patients) –
150 mg x 10 days
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Colicky Pain causes 1
• 1) Renal colic – pain in right or left renal angle &
vomiting, USG abd, Urine R – RBCs.
• 2) Ureteric colic – Severe spasmodic pain from loin to
groin. Patient refuses to lie down, Dysuria (USG abd).
• 3) Small Intestinal colic – Colicky pain in central
abdomen. (amoebiasis, worms, Intestinal
obstructions).
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Colicky Pain causes 2
• 4) Large Intestinal Colic – severe colic, away from
centre (may be with h/o dysentery – E.h, shigella,
E.collic).
• 5) Biliary colic – Pain in Right hypochondrium (may
be with Jaundice) – due to Gall stone or Infection
(cholecystitis).
• 6) Spasmodic Dysmenorrhoea – Severe lower
abdominal pain (young unmarried girls).
33. Renal Colic
• Pain is unilateral right or left lumbar region.
• Renal angle tenderness (below 3 fingers of
scapula) with vomiting.
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Colicky Pain Treatment 1
• Renal colic
- Inj.Voveron – 2 ml I/m stat.
- Inj.Reglan – 2 ml I/m stat. (If vomiting).
- Tab. Cyclopam – 1 TDS.
- I/v fluids (If severe vomiting).
- USG – Large stone – Urologist.
• .
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Colicky Pain Treatment 2
• Ureteric colic
- Inj.fortwin (pentazocin) – 1 ml stat – I/m.
- Inj.Phenargan – 1 ml – stat – I/m.
• X ray – KUB
If stone < 6mm – Hydrotherapy
36. X ray KUB
• Done on empty stomach in the morning
• Bowel preparation (no gas in abdomen)
• Tab – Dulcolax (3 tab)
• We take only 1 tab of Dulcolax for normal
wash of stomach
• Tab – Gasex of Himalaya 3 tab (with warm
water)
•
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Colicky Pain Treatment 3
• Hydrotherapy –
- I/v – 5% Dextrose – 3 pints.
- fast (20 no. needle) In 1½ hrs.
- I/v Lasix & Cyclopam in third pint.
Repeat above procedure for 3 days.
Still, if stone does not pass – Urologist.
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Caution
• If stone > 6 mm – Do not give Hydrotherapy
• Stone can cause partial obstruction &
Hydrotherapy may cause Hydronephrosis
• Refer to Urologist -- Lithotripsy
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Small intestinal colic
Caution – Admit if vomiting,distension &
absolute constipation
Inj Cyclopam 2ml stat
Tab Tini 500 mg BD
Tab Zentel 400 mg stat
58. DD OF Ulcer
Points Gastric Ulcer Duodenal Ulcer
Sex Common in female
patients
Common in male
patients
Onset of pain Immediately after
intake food
3-4 hours after
intake of food. Mid
point pain
Periodicity No After every 3-4
hours
Vomiting Spontaneous Induced
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59. DD OF Ulcer
Points Gastric Ulcer Duodenal Ulcer
Pointing sign present present
nutrition Poor Not so.
haematemesis common uncmoon
Perforation
Cancer
Rare
Common
Common
Rare
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60. Worms
• Common – Round worm, thread worm, hook
worm,Rare – Tape worm
• Adv. – stool – R examination
• Pain in abdomen, nausea, vomiting, loose
motion, urticaria, bronchitis, hypopigmented
patches on face, Excessive hunger but without
putting on weight
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61. Worms
• Thread worms – Peri-anal itching, urethral
irritation, vaginal discharge, nocturia.
• Hook worms – Urticaria with itching, bronchitis,
most imp. anemia, depression of bone marrow,
Anasarca (oedema all over the body)
• Tape worms : Abdominal pain, lose motions,
Asymptomatic, White pieces seen in stool by
child or mother
•
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71. Ayurvedic Medicines 4
• Indigestion ( Apachan or Ajirna) –
• Dadimashtak or Panchasam or Pippalyadi or
Bhaskar or Vadvanal or Vaisvanar or
Samudradi or Hinvashtak Churna,
Vatgankusha,Shankha vati, Shulhar vati,
Kapardik Bhasma, Loknathras,Shankha
Bhasma
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Ayurved for General Practioner
• Very very popular Book
in Medical Practioners
• 100 common symptoms
of General Practice with
causes,Investigations &
Ayurvedic Treatments
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Clinical Examination
• Systemic Examination of
8 systems
• Ayurvedic Srotas
Examination
• Clinical significance of
Lab Tests &
Radiology,USG,2D Echo
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Notes on Medicine Part 1
• Very very useful Book
for all Medical
Practioners
• Guidelines with
causes,symptoms,Ayurv
edic & Modern
Treatments to treat
Fever,Pain in Abdomen
& Arthritis
82. Health Tips for 365 Days
7/19/2015 Prof.Dr.R.R.Deshpande 82
• 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
83. 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/deshpande19
59
• http://www.slideshare.net/rajendra9a/
• http://www.mixcloud.com/jamdadey/
7/19/2015 Prof.Dr.R.R.Deshpande 83
84. 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
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