Peptic ulcer disease: Difference between revisions

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! colspan="2" |
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=== Signs/ Symptoms ===
=== Signs/ Symptoms ===
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=== '''Related entities''' ===
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* Complications may include bleeding, perforation, and blockage of the stomach. Bleeding occurs in as many as 15% of cases
* Complications may include bleeding, perforation, and blockage of the stomach. Bleeding occurs in as many as 15% of cases
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*[[Gastritis]]
*[[GERD, Gastroesophageal Reflux Disease|GERD]]
*[[Dyspepsia]]
*[[Flatulent remedies|Flatulence]]
*Nausea
*Vomiting
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!
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!Modalities
!Modalities
Triggers
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| rowspan="4" |'''H. Pylori Infection With Peptic Ulcers'''
| rowspan="4" |'''<big>H. Pylori + Peptic Ulcers</big>'''
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=== Arg-n ===
=== [[Arg-n, Argentum Nitricum|Arg-n]] ===
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* '''Best remedy''' for stomach ulcers.
* '''Best remedy''' for stomach ulcers.
* Sharp Ulcerative/ Burning pain is felt in stomach
* Sharp Ulcerative/ Burning pain in stomach
* Pain radiates to other regions of the abdomen.
* Pain radiates to other regions of abdomen.
* '''Argentum Nitricum''' is most prominently suited for treating gastric ulcers in this condition. The main symptom is pain in the stomach radiating to other parts of abdomen. The pain is mainly of stitching, gnawing and burning in nature.  
* Sometimes gnawing in nature.
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* Belching, nausea, vomiting may appear along with  radiating pains.
* Stomach ulcer + Abdominal distension
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* Sometimes gnawing in nature.
* Symptoms such as belching, nausea, vomiting may also appear along with these radiating pains.
* In abdominal distension Arg-n is one of the most effective remedies for stomach ulcers.
|-
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|Kali-bi
|'''Kali Bichrome and Graphites''' are two other wonderful homeopathic medicines for H. pylori with peptic ulcers. They are prescribed when gastric symptoms include burning pain in abdomen, belching and nausea. All these symptoms get better with eating.
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=== [[Kali-bi, kalium Bichromicum|Kali-bi]] ===
| rowspan="2" |
* Burning pain in abdomen + Belching + Nausea.
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| rowspan="2" |
* Amel with eating
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=== [[Graph, Graphites|Graph]] ===
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|Graph
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=== [[Uran-n, Uranium Nitricum|Uran-n]] ===
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* Burning pain+ Nausea/ Vomiting + Bloating/ Burping
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|'''Uranium Nitricum'''
| rowspan="2" |'''<big>Stomach Burning</big>'''
|'''Uranium Nitricum''' is useful when burning pain, nausea, vomiting, bloating and burping are present.
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=== [[Ars, Arsenicum Album|Ars]] ===
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* Severe Burning sensation
* Weakness and weight loss may also attend.
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* Stitching/ Stinging pain in abdomen.
* '''[[Gastritis]]'''
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* Night agg
* Warm drinks amel
* Nausea / Vomiting after eating or drinking (Even Slight or smell of food)
|-
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|'''Stomach Burning'''
|Ars
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* Arsenic Album is a highly recommended medicine to manage '''burning in stomach'''. The burning sensation is very severe which gets worse at night. Taking warm drinks offers relief. Nausea and vomiting may appear after eating or drinking something. The sight or smell of food may trigger nausea and vomiting in such cases. Weakness and weight loss may also attend. The use of this medicine is also indicated for stitching or stinging pain in abdomen. This medicine is best for treating '''gastritis''' as well as '''peptic ulcers.'''
=== [[Nux-v , Nux Vomica|Nux-v]] ===
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* '''Stomach Burning And Vomiting'''
* V'''omiting after eating any solid or liquid food'''
* Even the smallest quantity of water is not tolerable and vomited soon.
* Abdomen Rumbling and gurgling
* Abdomen feels distended with gas.
* '''Pain is felt in the abdomen''' 
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* Nausea, Vomiting, Eructation's, Flatulence, Heartburn
|'''Stomach Burning And Vomiting'''
* Tightness/ Pressure in stomach after eating / Stomach region is touch sensitive
|Nux-v
|Nux Vomica is very helpful in managing '''burning sensation in stomach''' and vomiting. There is '''vomiting after consuming any solid or liquid food,''' even the smallest quantity of water is not tolerable and vomited soon. There is rumbling and gurgling in the abdomen and the abdomen feels distended with gas. '''Pain is felt in the abdomen'''  and passing stool brings momentary relief from pain.
*Stomach ulcer that stomach region is touch sensitive  
* Tightness and pressure may be felt in the stomach after eating.
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* Eating even the smallest amount of food.
* Passing stool brings momentary relief from pain.
* Spicy food,
* Eating even a little
* Spicy food
* [[Cigarette smoke poisoning|Tobacco]], Coffee
* [[Cigarette smoke poisoning|Tobacco]], Coffee
* Alcoholic drinks
* Alcoholic drinks
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* Nausea, Vomiting, Eructation's, Flatulence, Heartburn are concomitants
|-
|-
|'''<big>Gastric round ulcer</big>'''
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|Kali-bi
=== [[Kali-bi, kalium Bichromicum|Kali-bi]] ===
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* '''Gastric round ulcer''' cases with a feeling of heaviness in the stomach soon after eating.
* '''Gastric round ulcer''' +Heaviness in stomach soon after eating.
* Stomach load.
* Stomach load.
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|Low appetite in stomach ulcers.
* Low appetite in stomach ulcers.
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|'''H. Pylori Infection With Bloated In Lower Abdomen'''
|'''<big>H. Pylori + Bloated In Lower Abdomen</big>'''
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=== Lyc ===
=== Lyc ===
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* Stomach ulcers + Burning, Constrictive pains
* Stomach ulcers + Burning
* Marked Flatulence Abdominal Fullness/ Bloating
* Constrictive pains
* Homeopathic medicines Lycopodium is recommended for H. pylori infection with a '''bloated abdomen in the lower part.''' Lycopodium is helpful when abdomen gets bloated soon after eating. Little eating leads to a distended abdomen in such cases. This is often attended with dyspepsia, gas and burping.
* Marked Abdominal Fullness/ [[Flatulent remedies|Flatulence]] esp '''in the lower part.'''  
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* Dyspepsia, gas and burping.
| colspan="2" |
* Little eating leads to a distended abdomen
* Pain amel from taking warm water.
* Bloating starts soon after eating.
* Bloating starts soon after eating.
* Pain amel from taking warm water.
* Agg: Farinaceous food like Cabbage and Beans
* Agg: Farinaceous food like Cabbage and Beans
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|-
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|'''Bloated Abdomen And Burping'''
|'''<big>Bloated Abdomen And Burping</big>'''
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=== Carb-v ===
=== [[Carb-v, Carbo vegetabilis|Carb-v]] ===
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* Stomach ulcers + burning pain
* Stomach ulcers + Burning pain / soreness
* Stomach ulcers + Sour belching/ [[GERD, Gastroesophageal Reflux Disease|Heartburn]].
* Stomach ulcers + Sour belching/ [[GERD, Gastroesophageal Reflux Disease|Heartburn]].
* Pain may extend from stomach to back.
* Stomach Pain extend   to back.
* Carbo Veg is the most helpful where '''bloating''' of abdomen is a major concern. There is distension of abdomen with flatus. '''Sour burps''' are prominent in such cases. Burning sensation and soreness is felt in stomach.
* B'''loating''' of abdomen is a major concern.  
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* Eating the smallest amount of food, even light food, agg the symptoms
* Eating the smallest amount of food, even light food, agg the symptoms
* '''Sour burps''' are prominent
* Distension of abdomen with flatus.
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* Epigastric area may also be sensitive and tender to touch.
* Epigastric area may also be sensitive and tender to touch.
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|'''<big>Constant sore feeling in stomach</big>'''
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=== [[Hydr, Hydrastis Canadensis|Hydr]] ===
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|[[Hydr, Hydrastis Canadensis|Hydr]]
* Stomach ulcers +  Weight loss/ [[Emaciation]]
| colspan="2" |
* Weakness and a loathing of food in epigastrium
* Cutting / Sharp pain in stomach
* Chronic [[gastritis]] / [[Cancer]]
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|'''<big>Vomiting immediately after eating</big>'''
|[[Graph, Graphites|Graph]]
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* Treating stomach ulcers +  Weight loss/ [[Emaciation]].
* Constrictive / Burning pain in stomach after eating.
* Key symptom: Constant sore feeling in the stomach.
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* Excessive belching, the taste of ingesta is also present
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* Cutting and sharp pain in the stomach may also be present
* Weakness and a loathing of food in epigastrium
* Chronic gastritis
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|'''<big>Burning Sensation amel By Cold Drinks</big>'''
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|Graph
=== [[Phos, Phosphorus|Phos]] ===
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* Gastric ulcers with vomiting immediately after eating food
* Nausea/ Vomiting,
* Bitter or sour burping
* Soreness in the pit of stomach.
* '''Gastritis''' + '''Peptic ulcers'''. ([[Ars, Arsenicum Album|Ars]]) 
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* Constrictive and burning pain in the stomach is experienced after eating.
* Bitter belching
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* Excessive belching, the taste of ingesta is also present
* ُBurning in the stomach after eating
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|'''Burning Sensation Relieved By Cold Drinks'''
|'''<big>H.Pylori +  Marked Abdomen Pain</big>'''
|Phos
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* When a cold drink relieves pain of stomach ulcers.
=== [[Coloc, Colocynthis|Coloc]] ===
* Homeopathic medicine Phosphorus is helpful when there is marked '''burning pain in the stomach which gets relieved by cold drinks'''. Nausea and vomiting,bitter or sour burping may attend. Soreness is felt in the pit of the stomach. Like Arsenic Album, Phosphorus is also an important medicine to treat '''gastritis''' and '''peptic ulcers'''. 
|Burning in the stomach after eating
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* ُour, bitter belching may also be experienced in such cases.
* '''Agonizing''', cutting pain in abdomen.  
* Pain of colicky, gripping nature i
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* [[Gastritis]]
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* Pressure amel
* Bending double and downward amel
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|'''<big>Sour / Acrid Taste Burps</big>'''
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|Coloc
=== [[Nat-p, Natrium Phosphoricum|Nat-p]] ===
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=== '''H.Pylori Infection With Marked Abdomen Pain''' ===
* Water-brash +  Belching.
Colocynth is an effective medicine for H.pylori infection with '''abdomen pain'''. It is best indicated when the infection is characterized by agonizing, cutting pain in the abdomen. Pain of colicky, gripping nature is also treated well with Colocynth. Pressure and bending double ( bending forward and downward at the waist)relieves pain. It is well indicated to manage gastritis.
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* Intense acidity and flatulence
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|'''Burps Having Sour Taste'''
|'''<big>Belching</big>'''
|Nat-p
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|Natrum Phos is one of the best homeopathic medicines for H. pylori with '''belching of sour, acrid nature'''. Water brash may appear along with belching. Intense acidity and flatulence is also marked.
=== [[Ant-c, Antimonium Crudum|Ant-c]] ===
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* '''Constant belching'''  
* Belching tastes of eaten food.
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* [[Dyspepsia]] and vomiting
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|'''H. Pylori Infection With Belching'''
|'''H. pylori''' + '''Intense Nausea/Vomiting'''
|Ant-c
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=== '''Homeopathic Medicines For''' ===
=== [[Ip, Ipecacuanha|Ip]] ===
The most effective homeopathic medicines for H. pylori infection along with belching is Antimonium Crudum. It is recommended when '''belching is constant'''. Belching in such cases tastes mainly of eaten food. Dyspepsia and vomiting may also be present.
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* Constant Nausea
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* Vomiting of white glairy mucus or food  
|'''Infection With Intense Nausea And Vomiting'''
|Ip
|Ipecac is prescribed when '''nausea and vomiting''' are experienced. Nausea is present all the time. Vomiting of white glairy mucus or food appears, but the nausea is not relieved even after vomiting. Ipecac is one of the best homeopathic medicines for H. pylori infection with symptoms of this kind.
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* Nausea is not relieved even after vomiting
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{| class="wikitable"
{| class="wikitable"
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== Banerji protocols ==
== Banerji protocols ==
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|First line
|'''First line'''
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* Ars C3 one dose every 3 hour or 15 min before food
* [[Ars, Arsenicum Album|Ars]] C3 one dose every 3 hour or 15 min before food
* Lyc C200 one dose every 2 days
* [[Lyc , Lycopodium clavatum|Lyc]] C200 one dose every 2 days
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|Second line
|'''Second line'''
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* Nat-p C30 two doses daily
* [[Nat-p, Natrium Phosphoricum|Nat-p]] C30 BD
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|Third line
|'''Third line'''
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* Symph 0 two doses daily
* [[Symph, Symphytum Officinale|Symph]] 0 two doses daily
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* '''[[NP, Tissue Salt Remedy|NP]]''': His stomach is sour and acidic. Sour vomiting, Eructation and sour reflux, sour diarrhea
* '''[[NP, Tissue Salt Remedy|NP]]''': His stomach is sour and acidic. Sour vomiting, Eructation and sour reflux, sour diarrhea


===Related entities===
*
*[[Gastritis]]
*[[GERD, Gastroesophageal Reflux Disease|GERD]]

Latest revision as of 10:22, 9 January 2024

Clinic

  • PUD is a break in the inner lining of the stomach, the first part of the small intestine, or sometimes the lower esophagus
    • Gastric/ Stomach ulcer: Pain may worsen with eating.
    • Duodenal ulcer: Ulcer of the first part of the intestines : Waking at night with upper abdominal pain + Upper abdominal pain that improves with eating.
    • Gastrin is a peptide hormone that stimulates secretion of gastric acid y Parietal cells of the stomach and aids in gastric motility.

Signs/ Symptoms

Related entities

  • Abdominal pain, classically epigastric, strongly correlated with mealtimes.
  • In case of duodenal ulcers, the pain appears about three hours after taking a meal and wakes the person from sleep;
  • Bloating and abdominal fullness;
  • Waterbrash
  • Nausea and copious vomiting;
  • Loss of appetite and weight loss, in gastric ulcer
  • Weight gain, in duodenal ulcer, as the pain is relieved by eating
  • Hematemesis
  • Melena
  • Rarely, an ulcer can lead to a gastric or duodenal perforation, which leads to acute peritonitis and extreme, stabbing pain, and requires immediate surgery.
  • Complications may include bleeding, perforation, and blockage of the stomach. Bleeding occurs in as many as 15% of cases

Causes

Dynamic Static Viral
Common
  • Helicobacter pylori
  • NSAIDs
 DHF
Uncommon
  • Behçet's disease,
  • Crohn's disease
  • Liver cirrhosis
  • Vasculitis
  • Tobacco smoking
  • Stress as a result of other serious health conditions
  • Zollinger–Ellison syndrome
  • Gastrin-secreting tumors
  • Gastric ischaemia
  • Metabolic disturbances
  • Upper abdominal radiotherapy
  • CMV
  • EBV
  • HSV-1
  • HSV- 2

Remedies

Key Sign / Symptom Modalities
H. Pylori + Peptic Ulcers

Arg-n
  • Best remedy for stomach ulcers.
  • Sharp Ulcerative/ Burning pain in stomach
  • Pain radiates to other regions of abdomen.
  • Sometimes gnawing in nature.
  • Belching, nausea, vomiting may appear along with radiating pains.
  • Stomach ulcer + Abdominal distension

Kali-bi
  • Burning pain in abdomen + Belching + Nausea.
  • Amel with eating

Graph

Uran-n
  • Burning pain+ Nausea/ Vomiting + Bloating/ Burping
Stomach Burning

Ars
  • Severe Burning sensation
  • Weakness and weight loss may also attend.
  • Stitching/ Stinging pain in abdomen.
  • Gastritis
  • Night agg
  • Warm drinks amel
  • Nausea / Vomiting after eating or drinking (Even Slight or smell of food)

Nux-v
  • Stomach Burning And Vomiting
  • Vomiting after eating any solid or liquid food
  • Even the smallest quantity of water is not tolerable and vomited soon.
  • Abdomen Rumbling and gurgling
  • Abdomen feels distended with gas.
  • Pain is felt in the abdomen 
  • Nausea, Vomiting, Eructation's, Flatulence, Heartburn
  • Tightness/ Pressure in stomach after eating / Stomach region is touch sensitive
  • Passing stool brings momentary relief from pain.
  • Eating even a little
  • Spicy food
  • Tobacco, Coffee
  • Alcoholic drinks
Gastric round ulcer

Kali-bi
  • Gastric round ulcer +Heaviness in stomach soon after eating.
  • Stomach load.
  • Low appetite in stomach ulcers.
H. Pylori + Bloated In Lower Abdomen

Lyc
  • Stomach ulcers + Burning
  • Constrictive pains
  • Marked Abdominal Fullness/ Flatulence esp in the lower part.
  • Dyspepsia, gas and burping.
  • Little eating leads to a distended abdomen
  • Pain amel from taking warm water.
  • Bloating starts soon after eating.
  • Agg: Farinaceous food like Cabbage and Beans
Bloated Abdomen And Burping

Carb-v
  • Stomach ulcers + Burning pain / soreness
  • Stomach ulcers + Sour belching/ Heartburn.
  • Stomach Pain extend to back.
  • Bloating of abdomen is a major concern.
  • Eating the smallest amount of food, even light food, agg the symptoms
  • Sour burps are prominent
  • Distension of abdomen with flatus.
  • Epigastric area may also be sensitive and tender to touch.
Constant sore feeling in stomach

Hydr
  • Weakness and a loathing of food in epigastrium
  • Cutting / Sharp pain in stomach
  • Chronic gastritis / Cancer
Vomiting immediately after eating Graph
  • Constrictive / Burning pain in stomach after eating.
  • Excessive belching, the taste of ingesta is also present
Burning Sensation amel By Cold Drinks

Phos
  • Nausea/ Vomiting,
  • Bitter or sour burping
  • Soreness in the pit of stomach.
  • Gastritis + Peptic ulcers. (Ars)
  • Bitter belching
  • ُBurning in the stomach after eating
H.Pylori + Marked Abdomen Pain

Coloc
  • Agonizing, cutting pain in abdomen.
  • Pain of colicky, gripping nature i
  • Pressure amel
  • Bending double and downward amel
Sour / Acrid Taste Burps

Nat-p
  • Water-brash + Belching.
  • Intense acidity and flatulence
Belching

Ant-c
  • Constant belching
  • Belching tastes of eaten food.
H. pylori + Intense Nausea/Vomiting

Ip
  • Constant Nausea
  • Vomiting of white glairy mucus or food
  • Nausea is not relieved even after vomiting

Banerji protocols

First line
  • Ars C3 one dose every 3 hour or 15 min before food
  • Lyc C200 one dose every 2 days
Second line
Third line

Tissue Salt Remedies

  • NP: His stomach is sour and acidic. Sour vomiting, Eructation and sour reflux, sour diarrhea
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