Brief Answer:
Epigastric pain

Detailed Answer:
Thanks for contacting with your health concerns and following is the recommended guidelines:

1. Since you are anemic thus look out for the source of bleeding (gastritis can be one source of chronic blood loss)

PS. Stool examination.

2. One should rule out following three factors in relation to gastritis:

. Work: any excess physical exertion?
. Worry: any performance pressure or family issues?
. Weather: any seasonal variation?

3. Take: white gourd,cold water,old brown rice,honey,amla,pomegranate,parched roasted rice,barley powder,pea soup, coconut water.
. Fresh mint juice
. Banana,cucumber,water melon are natural antacids.
. Glass of warm water (early morning)
. Suck 10 gm jagerry everyday ( after meals) for constant acidity.
. Drink 4 spoons of aegle marmelos leaves juice for 14 days
. Mix 3 pinch dry ginger powder
3 pinch of XXXXXXX gooseberry powder
3 pinch sugar and eat the mixture for 1 month.

4. Avoid: chickpea flour, horse gram, potato, brinjal,spicy food and spices,tea/coffee, junk food,day time sleeping, salt,sour fruits,garlic, mental tension,alcohol,late night awakenings,avoid pain killers (except paracetamol)

5. Sutashekhar ras : 125 mg
XXXXXXX XXXXXXX ras : 125 mg.. with murabba ( jam) of Amla (indian gooseberry), twice daily.

. Patoladi kwatha : with honey ( in morning)
. Tablet Mentat : 2 at bed time.

Dr. Munish Sood
Consultant & Physician
Naimittika

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Brief Answer:
SURGERY & GASTRITIS

Detailed Answer:
Dear
Thanks for reverting back.

1. Less common cause of gastritis is STRESS and one example of stress is surgery which means if you notice aggravation of gastritis or related features it could be due to the surgery undergone (ORIF).

2. Also commonly calcium supplements are advised for bone disorder, and calcium is a promoter of gastric acid which can worsen gastritis, thus if taking one make sure to take the tablet in between meals.

Dr. Munish
Naimittika

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Brief Answer:
SYMPTOMWISE APPROACH

Detailed Answer:
Dear

Thanks for reverting back.

1. In presence of infection/surgery, Insulin requirement will be much higher till it is controlled.

2. As there is delayed heading of wound and feeling of loss of energy, check with blood sugar level as it could be a case of poorly controlled diabetes and the dose needs to be adjusted.

3. You can buy the said medicines from an Ayurveda store near your town/city or can order online or can mail to me for further assistance.

4. If it is Nutritional/Iron deficiency anemia than take prescribed tablets, but if satisfactory response is not seen:

. Look for source of bleeding:- hook worms, piles, malignancies.
. Ask for Hb% (CBC), WBC and Peripheral smear before starting treatment.

Dr. Munish
Naimittika

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Brief Answer:
further evaluation can be considered

Detailed Answer:
Dear
Thanks for reverting back.

1. Since there are dependent atelectatic changes thus could be one reason of your chest discomfort.

2. Liver hemangioma although rarely produce symptoms but if you experience:
. fulness of abdomen after meals
. nausea,vomiting you should contact your attending physician since he may ask for periodic/regular follow up for further prognosis.

PS. MRI may be needed for further evaluation of hemangioma.

3. Most of the time hemangioma are congenital or incidental findings so there is no need to panic but remain under constant supervision .

Dr. Munish
Naimittika

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