Homeopathic Approach For Gi Symptoms

By Steven Guptha

Bleeding from the gastrointestinal (GI) tract may present in five ways. Hematemesis is vomitus of red blood or “coffee-grounds” material.

Melena is black, tarry, foul-smelling stool.

Hematochezia is the passage of bright red or maroon blood from the rectum.

Occult GI bleeding (GIB) may be identified in the absence of overt bleeding by a fecal occult blood test or the presence of iron deficiency.

Finally, patients may present only with symptoms of blood loss or anemia such as lightheadedness, syncope, angina, or dyspnea.

CAUSES OF BLEEDING:

Peptic ulcers are the most common cause of UGIB, accounting for up to 50% of cases; an increasing proportion is due to nonsteroidal anti-inflammatory drugs (NSAIDs), with the prevalence of Helicobacter pylori decreasing.

Mallory-Weiss tears account for 5-10 or 15% of cases. The proportion of patients bleeding from varices varies widely from 5 to 30%, depending on the population. Helicobacter pylori has a clear etiologic role in peptic ulcer disease, but ulcers cause a minority of cases of dyspepsia. Infection with H. pylori is considered to be a minor factor in the genesis of functional dyspepsia.

Hemorrhagic or erosive gastropathy (e.g., due to NSAIDs or alcohol) and erosive esophagitis often cause mild UGIB, but major bleeding is rare.

Esophageal Varices

Patients with variceal hemorrhage have poorer outcomes than patients with other sources of UGIB.

Endoscopic therapy for acute bleeding and repeated sessions of endoscopic therapy to eradicate esophageal varices significantly reduce rebleeding and mortality.

Other Causes

Other, less frequent causes of UGIB include erosive duodenitis, neoplasms, aortoenteric fistulas, vascular lesions [including hereditary hemorrhagic telangiectasias (Osler-Weber-Rendu) and gastric antral vascular ectasia (“watermelon stomach”)], Dieulafoy’s lesion (in which an aberrant vessel in the mucosa bleeds from a pinpoint mucosal defect), prolapse gastropathy (prolapse of proximal stomach into esophagus with retching, especially in alcoholics), and hemobilia and hemosuccus pancreaticus (bleeding from the bile duct or pancreatic duct).Acid reflux can result from a variety of physiologic defects. Reduced lower esophageal sphincter (LES) tone is an important cause of reflux in scleroderma and pregnancy.

Many individuals exhibit frequent transient LES relaxations during which acid bathes the esophagus. Overeating and aerophagia can transiently override the barrier function of the LES, whereas impaired esophageal body motility and reduced salivary secretion prolong acid exposure.

Differentiation of Upper from Lower GIB

Hematemesis indicates an upper GI source of bleeding (above the ligament of Treitz). Melena indicates that blood has been present in the GI tract for at least 14 h. Thus, the more proximal the bleeding site, the more likely melena will occur. Hematochezia usually represents a lower GI source of bleeding, although an upper GI lesion may bleed so briskly that blood does not remain in the bowel long enough for melena to develop.

HOMOEOPATHIC APPROACH:

CARBO VEG:

It has continuous passive hemorrhages

The skin is cold and bluish ,pulse is rapid and weak

The patient wants to be fanned ,burning pains across scarum and lower spine

ARSENICUM:

Persistent hemorrhages of low types

Burning pains and irrtitability

CINCHONA:

The blood is dark and clotted and the flow is profuse from mouth.

The bleeding causes fainting and ringing in the ears.

The characteristic symptom is the patient wants to be fanned.

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