Professional Documents
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Gender
Marital status
CHIEF COMPLAINTS WITH DURATION
Encourage the patient to speak
Oldest complaint should be noted first
(Chronological order)
Example:
Constipation
Food habits
Socio-economic status
EXAMINATION OF PATIENT
GENERAL EXAMINATIN
TRIVIDH PAREEKSHA
SHADVIDH PAREEKSHA
ASTAVIDHA PAREEKSHA
SYSTEMIC EXAMINATION
Pratyaksh
Anumaan
Darshan
Sparshan
Prashna
ASHTASTHANA PAREEKSHA (EIGHTFOLD
EXAMINATION)
Nadi-Pulse
Moothram-Urine
RESPIRATORY SYSTEM
CVS
Knee abdomen or
Similar to Pawanmuktaasana
KNEE ABDOMEN POSITION
SUSHRUT’S POSITION FOR ASHMARI AAHRAN
AND ARSHAS
Similar
to Knee abdomen position
Reference: Su. Chi. Chapter 6 and 7
LEFT LATERAL OR SIM’S POSITION
•Can be conveniently used for rectal
examination and diagnostic procedures
•Flex hips and knees and position the
buttocks at the edge of the couch.
KNEE ELBOW POSITION
Suitable in physically fit patient
Ideal for examination of prostate and pilonidal sinus
LOCAL EXAMINATION :
INSPECTION:
Digitalexamination:
Also known as per rectal examination or P/R
Polyps
Associated symptoms:
Anaemia
Anxiety
Depression
SYMPTOM: BLEEDING P/R
Questions to be asked during history
Questions to be asked?
Site, severity, duration, relief
PAIN
Is pain mild, moderate or severe?
PAIN
Ispain present at anus or nearby it (perianal
region)?
PAIN
Does pain has relation with defaecation?
Cryptitis
SYMPTOM ANALYSIS: PAIN
Conditions to be considered in Chronic pain:
Perianal abscess
Fistula in ano
Carcinoma rectum
SYMPTOM: PROLAPSE OF MASS
While straining during defecation, a patient may feel
something coming out from anus.
Questions to ask?
1. Does the mass is felt coming out during straining
in segments or unsegmented?
2. How much straining leads to prolapse? Mild
coughing or excess straining?
3. Is spontaneous reduction present or needs
manual intervention for reducing it back?
SYMPTOM ANALYSIS: PROLAPSE
Prolapseof mass is the peculiar symptom of piles and
based on this feature piles have been classified as
Grade 1, 2, 3 or 4
constipation
FISSURE IN ANO
FISSURE IN ANO
AYURVEDIC TREATMENT APPROACH
The aims of treatment are;
To relieve pain
Trifala Churna
Panchasakar Churna
Isabgol Husk
Erand tailam
Bowel regulators
Sitz bath
https://www.youtube.com/watch?v=DM-CqtW_-OA
Previous surgery
Individual healing capacity