Patient Profile
- Age/Sex: 46-year-old female
- Presenting Complaints:
- Constipation, on and off, for the last 15 years.
- Discharge from the vaginal region.
- Pain at the anal region.
History and Examination
- Past Medical History:
- History of sinus.
- History of cholecystectomy (gallbladder removal) performed five years prior.
- General Symptoms:
- Appetite was decreased.
- Bowels were not regular.
- Urine was regular.
- Sleep was disturbed.
- On Examination:
- Bowel sounds were normal.
- No organomegaly (enlargement of organs).
- No tenderness present in the abdomen.
Diagnosis and Management
- Diagnosis: Digestive Disorder.
- Treatment by Dr. Preeti Paliwal:
- The patient was managed with oral medications specifically addressing her digestive issues.
Therapy was also administered for the condition
- Outcome:
- The patient reported relief from her symptoms within eight days of therapy.