DIFFERENTIAL DIAGNOSIS OF BLEEDING PER RECTUM AND AYURVEDIC STYPTIC MEASURES: A REVIEW

A greater part of the population has experienced rectal bleeding at any stage of their life span. Bleeding per rectum is the commonest but alarming symptom of all the anorectal complaints of the patients attending OPDs. Many of the general practitioners involved in rural areas, detain per rectal and proctoscopic examination of anorectal primary care patients, consequently, most of the serious illnesses may forego undiagnosed and could become life-threatening and economically overburden the patient. Differential diagnosis plays a key role in treating effectively. Ayurvedic literature has accredited several diseases with symptoms of bleeding per rectum. In most of the pittaja and raktaja variety of pakvashayagata (related to the colon) and gudagata rogas (related to anus & rectum), bleeding per rectum is the commonest symptom. The literature has given the number of etiological factors and many ailments causing bleeding per rectum such as age, habitat, food habits, occupation, and habits. Detailed history regarding these and nature of bleeding, amount of bleeding, colour etc. may certainly help to differentiate the diseases. This article highlights disease wise features and nature of bleeding, recommended investigations and colonoscopic examination which will differentiate and confirm the diagnosis. And also lists out several Ayurvedic styptic medicines which facilitate the cessation of bleeding when used judiciously according to dosha and vyadhi avastha.

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Trauma and Posttraumatic Stress Disorder in a Rural Primary Care Population in South Africa

Psychological Reports ◽

10.2466/pr0.100.4.1115-1120 ◽

2007 ◽

Vol 100 (3_suppl) ◽

pp. 1115-1120 ◽

Cited By ~ 3

Author(s):

K. Peltzer ◽

M. J. Seakamela ◽

L. Manganye ◽

K. G. Mamiane ◽

M. S. Motsei ◽

...

Keyword(s):

South Africa ◽

Primary Care ◽

Unexpected Death ◽

Rural Primary Care ◽

Primary Care Population ◽

Life Threatening Illness ◽

Life Threatening ◽

Primary Care Patients ◽

Serious Injury ◽

A Current

The aim of this study was to assess trauma events experienced and PTSD among 250 consecutive rural primary clinic patients (all Black Africans, 24% male and 76% female; M age 31.1 yr., SD = 11.8; range 18–65 years) in South Africa using the Trauma History Questionnaire and the PTSD Checklist-Civilian Version, interview administered. Results indicated that the mean number of traumatic events reported was 3.5 ( SD = 2.9, range = 0–19) and was significantly higher among men ( M = 4.9, SD = 3.5) than women ( M = 3.0, SD = 2.6). Among the most frequently endorsed traumas among men were seeing someone seriously injured or killed (60%), serious accident (43.3%), and seeing dead bodies (43.3%), and among women natural disaster (mostly floods) (51.6%), news of a serious injury, life-threatening illness or unexpected death of someone close (31.1%), and seeing someone seriously injured or killed (30%). A current diagnosis of PTSD was found in 12.4%) of the sample. Trauma incidence figures were high ( M = 3.5) and were comparable with an urban Xhosa primary care population in South Africa ( M = 3.8). A current indicative diagnosis of PTSD of 12.4%) also compares with other studies; 19.9% among urban Xhosa primary care patients and 11.8% among American primary care patients.

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The management of testicular masses and acute scrotal pain

Journal of The Royal Naval Medical Service ◽

10.1136/jrnms-102-40 ◽

2016 ◽

Vol 102 (1) ◽

pp. 40-49

Author(s):

WMJ Sharp ◽

S Mackie

Keyword(s):

Primary Care ◽

Differential Diagnosis ◽

Case Studies ◽

Scrotal Pain ◽

Acute Scrotal Pain ◽

Primary Care Patients ◽

Clinical Considerations ◽

The Military

AbstractWithin military primary care patients may present with testicular masses or acute scrotal pain. The aim of this article is to examine, by means of case studies, the differential diagnosis, treatment and clinical considerations in managing patients in the military environment.

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An osteopathic approach to occipital neuralgia and tinnitus

Osteopathic Family Physician ◽

10.33181/13056 ◽

2021 ◽

pp. 37-41

Author(s):

Alexis Aiman ◽

Joy Skaug ◽

Regina K. Fleming

Keyword(s):

Primary Care ◽

Differential Diagnosis ◽

Conservative Management ◽

Primary Care Physicians ◽

Careful Consideration ◽

Osteopathic Manipulative Treatment ◽

Occipital Neuralgia ◽

Eye Pain ◽

Life Threatening ◽

Specific Symptoms

Eye pain and ringing in the ear are non-specific symptoms commonly evaluated by primary care physicians and specialists alike. The differential diagnosis for these symptoms is broad and includes musculoskeletal, ophthalmologic and neurologic considerations. Careful consideration of the differential diagnosis should include acute, potentially life-threatening pathologies such as glaucoma or intracranial masses, as well as common pathologies, including cervicalgia, headache variants (migraine, tension) and acoustic neuroma. This report describes a patient with eye pain caused by occipital neuralgia and tinnitus. Correcting the somatic dysfunctions found in the head, cervical, thoracic and rib regions with osteopathic manipulative treatment resolved the occipital neuralgia and the tinnitus for this patient. Thus, osteopathic manipulative treatment should be considered for conservative management of occipital neuralgia and tinnitus.

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