Gastric Outlet Obstruction (GOO) is a clinical and pathological outcome of any disease process which produces mechanical impediment to gastric emptying.
Case Details
Male/48 Patient presented with abdominal distention with pain.
Past health history: *He was a sufferer of Duodenal ulcer(DU) and the pain compelled him to press his abdomen.
USG REPORT :
Finally he developed Gastric Outlet Obstruction
*Jaundice
*Alcoholic
*Gastrojejunostony done (as a consequence of GOO).
On Examination:
*Spleenomegaly
*Cholelithiasis
*Hepatomegaly
*Distal CBD Stricture causes Obstructive Jaundice.
On Observation:
Subject appearance Yellowish, exhausted and lays down in sofa in the reception room.
After the operation (done in 2007 for DU) subject experienced pain and consulted a doctor who said it was just due to flatulence. The pain eventually subsides after 15 days, but he develops severe pain in liver region and pain in epigastrium.
Thirst: Increased
Favourable climate: Not specified
Tongue:Mapped
Appetite: Diminished
Sleep:disturbed
Perspiration:scanty
Repertorisation:
Abdomen, pain, liver region(473)
Stomach, thirst, extreme(323)
Stomach, appetite, decreased(748)
Abdomen, distention(641)
Mind, alcoholism ,dipsomania(171)
Abdomen, pain ,liver region, gallstone colic(131)
Remedy selected: TARAXACUM 30(tds) for 1 month
Followup: 14/11/2014
Swelling reduced , appetite better, subject is feeling welln and progressing favourably.
Followup: 10/12/2014
Much better, appetite increased swelling disappeared completely
Sac lac was given for 1 month
Usg On 15 Jan 2015
Followup : 15 Jan 2015
Much improved no complaint. Slight sludge has been seen
No gall stones
Liver normal
CBD normal
Gall Bladder normal , Skin colour is normal
Prescription : Taraxcum 30 one dose was given
Follow up : 11 June 2015
Much better
No pain , appetite normal
Feeling better
Appetite was normal now
Sac lac for 2 months given
Over gastric out let obstruction