Himaja

  A 30-year-old male presented with a history of progressive weight loss over the past year. Symptoms commenced in November 2022 with severe abdominal pain and vomiting, initially attributed to roadside food consumption. Recurrent monthly episodes of abdominal pain, bloating, and vomiting/loose stools persisted until April. Diagnostic workup, including abdominal scan, CBP, ESR, CRP, TTG antibody, LFT, RFT, sputum for AFB, chest X-ray, Quantiferon Gold for TB, and Montoux test, yielded normal results except for elevated CRP. Ayurvedic treatment resulted in symptom improvement, but weight loss persisted. From November 2022 to April 2023, he lost 10 kgs and maintained stability at 48 kgs thereafter. CRP levels correlated with symptom exacerbations, decreasing post-treatment. Presently, he experiences diminished appetite, eating only twice daily, despite previously consuming 4-5 meals. Daily schedule and eating patterns outlined. . [27/11/23, 10:31:59] ~ A: ‎~ A created this group ‎[28/11/

  75 year male resident of Gudrampally was bought to casualty with Complains of : Difficulty breathing since one day Patient was apparently asymptomatic until 4 days ago then had complains of generalised fever high grade, insidious onset associated with chills, no diurnal variations relieved with medications. Since yesterday patient had complains of shortness of breath, bilateral pedal edema (pitting) and decreased urine output No complains of chest pain, cough, cold No complains of burning micturition No complains of pain abdomen, loose stools, nausea, vomitings PAST HISTORY History of ulcer on left lower limb one month ago treated with herbal medication Not a known case of hypertension, diabetes, thyroid disorder, CAD, CVA, TB, Epilepsy  PERSONAL HISTORY Married Appetite: lost Diet : Non Vegeterian Bowel: regular  Micturition : decreased urine output Habits : regular  toddy drinker since 30 years Tobacco: 2/day since 30 years No significant family history GENERAL EXAMINATION No pallo