C/O- Fresh blood in stool. H/o recurrent colitis and abdominal infection which got ignored and later it worsened. Abdominal cramps, Loose/semisolid stools 4-5 times a day with mucosal + bloody discharge. Uneasy feeling. Gaseous distention.Ailment time period- 2.5 yearsTreatment history- Home remedies, Self medications like Kayam churna, Pet safa churna, Metrogyl, Oflox-Ornidazole combination etc.
Diagnosis- Raktaj Pravahika
Hetu- Over consumption of water leading to agnimandya (reduction of digestive fire), hotel diet due to workplace away from his native city , excessive consumption of rice, Tea (8-10 times a day).
Treatment- -Correction of diet and schedules as per Udar vikar. -Use of internal medications like Kutaj ghan vati, panchamrit parpati, kutjaristha.
One month followup as the patient was away from the clinic. – Use of Swarna parpati, dadimawaleha in the followup. – No panchakarma done as the patient was busy due to his work and was
unwilling. – Treatment continued for 4 months.
Observations- -Abdominal cramps and gaseous distention was completely resolved in a month.
No bleeding at all but mucosal discharge with stool was there due to dietary carelessness after 30 days. Patient was strictly advised to follow the diet chart given.
-Next followup- Dietary indications followed. Good relief in overall symptoms. Stool begin to become firm like banana. Natural stool pressure early morning without water intake.
– Percentage of relief increased whole the treatment progressed. – Patient completely happy and stable after 4 months of treatment. – No recurrence since a year.