Parinama Shoola ( Duodenal Ulcer )

Parinama Shoola ( Duodenal Ulcer)

 A peptic ulcer is an erosion or sore in the stomach ( gastric ulcer) or the first few centimetres of the doudenum ( doudenum ulcer ) that penetrates the muscularis mucosa.

Causes

1 Helicobacter pylori

2 Stress

3 Radiation therapy

4 NSAID

5 Smoking

6 spicy food do not cause ulcer but can make them worse

Symptoms ...

1 The pain is usually in the upper  middle part of abdomen

2 The pain can feel like burning or gnawing , it may go through to the back ...

3 Nausea

4 Vomiting - Blood mixed

5 Malina

6 loss of Appetite

7 Loss of weight ..

Investigation

1 inspect the stool and test it for occult blood

2 fiberoptics endoscopy or a double - contrast barium stduy of the upper GI tract

3 Test for the presence of Hypylori infection..

Different Diagnosis

Gastric ulcer , Duodenitis , Cholecystitis , Pancreatitis

Dosha - Pittapradhana...

Rx.........................

Panchakarma

1 Shamana Snehapana - MTG 20 ml with
Milk

2 Vamana - Nimba kwath

3 Virechana - Danti

4 Shirodhara - Takra Dhara

Samana chikitsa ...

1  Tiktaka ghirtha 2 tsf with warm water BD .. before meals

2 Cap - Amalapittantak 1 TID after meals

3 Syrups - Himcocid 2 tsf water TID before meals....

Apthya (  contraindications)

1 Avoid the smoking , tobacco , alcohol

2 Avoid anxiety , Stress

3 Person of pitta prakriti should take purgation therapy once in year

4 Avoid Aspirin , ibuprofen , Naproxen , NSAID ....