Digestive tract problems in GP
-
Upload
rajendra-deshpande -
Category
Education
-
view
131 -
download
9
Transcript of Digestive tract problems in GP
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
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
Digestive Tract
7/19/2015 3 Prof.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) Aerophagy(Gas)
• 4) Stomatitis
• 5) Hiccoup
• 6) Constipation
• 7) Diarrhoea
• 8) Vomiting
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
Anorexia Symptom
7/19/2015 6 Prof.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 -
(Biguanidees, Metronidazole, Digitalis,
Anti-hypertensive, Anti-diabetic)
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).
Anorexia effects
7/19/2015 9 Prof.Dr.R.R.Deshpande
Anorexia Effects
7/19/2015 10 Prof.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)Female patient (pregnant).
• 10)Sitophobia -
(fear of eating due to pain of oral ulcers
acute Gastritis).
7/19/2015 Prof.Dr.R.R.Deshpande 12
Anorexia causes 4
• 11) Uraemia.
• 12) Psychogenic - Depression in females,
due to Domestic problems.
Diagnosis of Anorexia
7/19/2015 13 Prof.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.longiphen – 25mg BD.
4. Liv 52 – 2 TDS.
5. Cap Autrin – 1OD.
6. Digeplex or Unienzyme – 1 BD
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.
Vomiting
7/19/2015 16 Prof.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 pregnancy
(amenorrhea)
• 3) Alcohol, Drugs
(asprin,NSAIDS,Flagyl,Chloroquin).
• 4) Vomiting with abdominal distension &
colicy pain – Intestinal obstructions.
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).
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.
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).
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
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
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
Acid Indigestion Symptoms
7/19/2015 24 Prof.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 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.
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 & with
vomiting – Tab Laghu Sutshekhar
7/19/2015 Prof.Dr.R.R.Deshpande 27
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
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.
Indigestion
7/19/2015 30 Prof.Dr.R.R.Deshpande
Pain in abdomen
due to Indigestion
7/19/2015 31 Prof.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 stones.
• 6) Fast eating Habits.
• 7) Swallowing air (sipping tea, chewing
Tobacco paan, chewing gums).
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
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
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
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
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
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.
Anal Fissure
7/19/2015 39 Prof.Dr.R.R.Deshpande
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.
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.
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.
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).
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
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)
Types of stool
7/19/2015 46 Prof.Dr.R.R.Deshpande
Chronic Constipation
7/19/2015 47 Prof.Dr.R.R.Deshpande
Constipation
7/19/2015 48 Prof.Dr.R.R.Deshpande
Constipation
7/19/2015 49 Prof.Dr.R.R.Deshpande
Constpation
7/19/2015 50 Prof.Dr.R.R.Deshpande
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.
Stress & Constipation
7/19/2015 52 Prof.Dr.R.R.Deshpande
Constpation misunderstanding
7/19/2015 53 Prof.Dr.R.R.Deshpande
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
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
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
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.
Apthous stomatitis
7/19/2015 58 Prof.Dr.R.R.Deshpande
Apthous ulcer
7/19/2015 59 Prof.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 condition)
e) White palate, with difficulty in opening the
mouth - sub mucous fibrosis ( Manikchand
or beetelnut chewing).
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.
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.
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.
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
Hiccup
7/19/2015 65 Prof.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 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.
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
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)
Spread of Diarrhoea
7/19/2015 69 Prof.Dr.R.R.Deshpande
Diarrhoea
7/19/2015 70 Prof.Dr.R.R.Deshpande
Diarrhoea 2
7/19/2015 71 Prof.Dr.R.R.Deshpande
E coli
7/19/2015 72 Prof.Dr.R.R.Deshpande
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
Signs of Dehydration
7/19/2015 74 Prof.Dr.R.R.Deshpande
ORS ( Oral Rehydration solution)
7/19/2015 75 Prof.Dr.R.R.Deshpande
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
Amoeba
7/19/2015 77 Prof.Dr.R.R.Deshpande
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
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
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
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)
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)
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
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)
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
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
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
• Liq Babbuladyarishta -- 4 tsf with equal
amount of water BD
7/19/2015 Prof.Dr.R.R.Deshpande 88
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.
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)
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.
Ayurvedic Medicines for Chronic Diarrhoea
• Diarrhoea,Dysentry,Colitis –
• 1) Kutajavaleha,
• 2) Bilvavleha
• 3) Dadimavleha
7/19/2015 Prof.Dr.R.R.Deshpande 92
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
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
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
7/19/2015 Prof.Dr.R.R.Deshpande 96
Best Book for
Medical Students & Practioners
7/19/2015 96 Prof.Dr.R.R.Deshpande
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
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
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
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
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
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
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
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
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
Prof.Dr.R.R.Deshpande
• Sharing of Knowledge
• FOR
• Propagating Ayurved
7/19/2015 106 Prof.Dr.R.R.Deshpande