scholarly journals Pain and psyche in a patient with irritable bowel syndrome: chicken or egg? A time series case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Felicitas Engel ◽  
Tatjana Stadnitski ◽  
Esther Stroe-Kunold ◽  
Sabrina Berens ◽  
Rainer Schaefert ◽  
...  

Abstract Background Irritable bowel syndrome (IBS) appears to have a bidirectional interaction with both depressive and anxiety-related complaints. However, it remains unclear how exactly the psychological complaints, at the individual level, are related to somatic symptoms on a daily basis. This single case study investigates how somatic and psychological variables are temporally related in a patient with irritable bowel syndrome. Case report The patient was a woman in her mid-twenties with an IBS diagnosis. She reported frequent soft bowel movements (5–6 times per day), as well as flatulence and abdominal pain. She resembled a typical IBS patient; however, a marked feature of the patient was her high motivation for psychosomatic treatment as well as her willingness to try new strategies regarding the management of her symptoms. As an innovative approach this single case study used a longitudinal, observational, time series design. The patient answered questions regarding somatic and psychological variables daily over a period of twelve weeks with an online diary. The diary data was analysed using an autoregressive (VAR) modeling approach. Time series analyses showed that in most variables, strong same-day correlations between somatic (abdominal pain, daily impairment) and psychological time series (including coping strategies) were present. The day-lagged relationships indicated that higher values in abdominal pain on one day were predictive of higher values in the psychological variables on the following day (e.g. nervousness, tension, catastrophizing, hopelessness). The use of positive thinking as a coping strategy was helpful in reducing the pain on the following days. Conclusion In the presented case we found a high correlation between variables, with somatic symptoms temporally preceding psychological variables. In addition, for this patient, the use of positive thoughts as a coping strategy was helpful in reducing pain.

2018 ◽  
Vol 6 (5) ◽  
pp. 481-486
Author(s):  
Dnyaneshwar Kantaram Jadhav

Ayurved is science of life. Its guide human being for living on preventive & curative both aspect. Its ancient knowledge which is still stand truth to time. There are many diseases which is not mentioned directly in Ayurveda texts is called as Anukta vikar. Subclinical hypothyroidism is one of such disease. Such disease specifically mentioned but its line of treatment described very well. The present case is 28 year old male patient was suffering from Bhaar vrudhi (weight gain) from last 2.5 years while symptoms like Drubalya (fatigue), Sheet prachiti (feeling excessive cold), Bhrama (vertigo),  Shwasakashtata (dyspnoea after walking), Katishool (backache) since last 2 years. Patient on modern medicine still he doesn’t get any satisfy relief, at the end patient decide to take Ayurvedic treatment only. For treatment patient was came to Nakshatra Ayurved Panchkarma clinic & Research center, Mumbai. Ayurvedic management include internal medicine, Rukshaya bashpa peti sweda. After 1.5 month patient got Excellent Result. All symptoms disappear, weight reduces up-to 4 kg, TSH level comes from 7.71 to 3.23. This is single case study, will Collect data of more cases for further Research.


Author(s):  
Manasi P S ◽  
Sathish Jalihal ◽  
Kavitha B K

Elongation is one among the various congenital abnormalities of cervix, which is often one of the causes of primary infertility. The only available treatment is cervical amputation. The word yoni collectively refers to reproductive organs, however here it can be considered as the cervix. So elongated cervix can be correlated to Prasramsini Yoni Vyapat where there is laxity and descend of the cervix. All Acharyas have mentioned similar mode of treatment in case of Srasta Yoni which include Abhyanga, Sweda, Veshavara Bandha, Uttarabasti etc. A case report of patient presenting with congenital cervical elongation is being discussed here. In this case there was reduction in the elongation of the cervix by Veshavara Bandha and Uttarabasti with Jathyadi Taila. The drugs used in Veshavara Bandha were having Balya, Brimhana and Grahi properties which helped in reducing the length of the cervix significantly and preventing further elongation. Thus Ayurvedic management was found to be effective in elongation of cervix to an extent even though it cannot be cured completely.


2017 ◽  
Vol 1 (1) ◽  
pp. 6-9
Author(s):  
Deepak Sawant ◽  
SM Panzade

Jalaukavacharan is indicated in Vranashotha and advised exclusively in delicate patients for Raktamokshan (blood letting). In this case report a female patient of Pitta-kaphaj Prakruti suffering from periapical abscess due to dental carries was treated with Jalaukavacharan (leech application at cheek) in five sittings weekly once.  The patient was cured completely without any untoward effect. Hence this case highlighted that Jalaukavacharan is effective remedy for management of periapical abscess.


2021 ◽  
Vol 9 (08) ◽  
pp. 668-672
Author(s):  
Bharat Bhalara ◽  
◽  
Joyal Patel ◽  

Gangrene is a type of tissue death caused by lack of blood supply. Symptoms may include a change in skin colour red or black, numbness, swelling, pain, ulceration and detachment of local skin. The feet and hands are most commonly affected. This condition may arise because of an injury, infection or other health conditions, majorly diabetes. Gangrene and its associated amputations are clinically challenging, but Ayurveda offers therapy options. In Ayurveda, gangrene can be considered as Kotha under DushtaVrana due to Margavarana and Dhatu Kshaya. This case study aims to investigate whether Ayurvedic intervention can manage Kotha (gangrene) without amputation of the gangrenous part. Here a case report disscused diagnosed with kotha(Dry Gangrene) treated with Ayurvedmanagenment,Panchtiktaghritagugguluoral and Jalaukavacharana (leech therapy), whichwere found very effective and safe in a patient of dry gangrene.


2020 ◽  
Vol 04 (04) ◽  
pp. 2363-2366
Author(s):  
Sreeja Sreekumar ◽  
Ravi Varma Raja H

Irritable bowel syndrome (IBS) is a disease of the alimentary tract. Rather than a structural abnormality, it is a disorder of the bowel where the function is altered. Grahani Dosha is a disease mentioned in the ayurvedic scriptures. It has been named so because it is a disorder that alters the function of the bowel as in IBS rather than producing a structural abnormality. In this case study, a 32-year-old male patient presenting with symptoms of IBS was treated with the principle of grahani Dosha. Shamana Chikitsa was done with internal medications for a period of 4 consecutive months. The symptoms of the patient were analysed throughout the period to obtain the findings. Treatment with medications such as Sootasekhara rasa and Dadimashtaka Choorna provided significant relief. Keywords: Irritable bowel syndrome, Grahani Dosha


Author(s):  
Priyanka kharavalikar Priyanka

   Parikartika is a Guda-gata vyadhi related to Ano rectal diseases. This disease has been explained by all acharyas in bruhatrayee. Is the nirukti of parikartika i.e. cutting type of pain observed in Guda pradesha. Parikartika is a common painful condition among Anorectal diseases which resembles with fissure in ano. This Is a case report of 33yr male patient with complaints of Guda Pradesh Daha (Burning sensation at anal region), Sarakta mala pravrutti (stool mixed with blood), Malavasthambha (Constipation) since last 4 days. He was treated with Yashtimadhu Ghruta Matra Basti for 7days.He got significant positive relief within 7 days.


1983 ◽  
Vol 11 (3) ◽  
pp. 249-256 ◽  
Author(s):  
G. R. Smith ◽  
L. Medlik

Exposure and response prevention has recently been reported as a successful treatment for binge eating in obesity (Smith, 1981). This present paper further extends this treatment to modification of binge eating in a single case study of a young anorexic woman. Binge eating decreased during treatment and this improvement was maintained at 9 months follow-up. Satisfactory weight was also attained during treatment and maintained at follow-up.


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