Patient：Female，82 year old
Date：12th April 2024, first visit:
Main issue：Constipation cum stomach ache for 3 months
The son helped pushing the wheel chair of his 82-year-old mom and entered the room. They are Indian compatriots.
The son said in a kindly manner and told us: “Six month ago, my mom broken the right side bone at thigh and admitted hospital for operation. Since then, she has been lying on the bed for past 4 months. During bedridden, she started to get stomach ache about 2-3 months after operation as well as constipation. Actually before operation, my mom has already had constipation history. Due to bedridden and lack of exercises, the constipation problem got worse. The faeces sometimes solid in shaped but sometime were hard as round ball shape.”
I touched the patient’s bloated stomach and said: “She has stomach ache due to constipation.”
Suddenly everything clicked and the son realized saying: “I see!”
Besides stomach ache, the son also told: “My mom has edema issue at both legs as well as hard pain during urination.”
After completing the checking process, we confirmed she has the edema issue as the calf muscles were flabby.
We prescribed medicines for her and reminded her to revisit next week for the follow up.
Date: 18th April 2024, second visit:
Main issue: Constipation cum stomach ache for 3 months
During the revisit, the patient’s condition improved a lot. Her pleasant face impressing us and indicating that her condition has changed and become better pretty much.
The patient said: “Wow! TCM Practitioner, let me share with you. After I consumed the medicine, my bowel movement started twice early of the next day after 8.30am. Follow by another round during 11.30am-12.00pm. Then, evening around 7pm another round……. My faeces were smelly and the colour of the stool is dark brown.”
The patient was describing the progress of the bowel movement in details including which day in a week has bowel movement and which day has constipation.
We prescribed the herbal medicines accordingly and performed acupuncture for her that day.
Analysis of case:
The main issue of the patient was constipation cum stomach ache. Six month ago around Oct of year of 2023, the patient broken the right side bone at thigh and admitted hospital for operation. Since then, she has been lying on the bed for past 4 months. During bedridden, she started to get stomach ache about 2-3 months after operation. Actually before the operation, the patient has already been suffering from the constipation history. Due to bedridden and lack of exercises, the constipation problem got worse. Hence, the son had to buy his mom the laxative pills to help improving bowel movements. During this period, the patient always has bitterness mouth, weak appetite, sometime nausea, sometime belching or reflux. The intensity of stomach ache come to certain extend would cause insomnia.
After consume the medicine, the patient managed to have a smooth bowel movement for several time in a day, and the faeces are smelly and dark brown colour. She also managed to have bowel movement for the following days except constipated one day. With the much excretion of faeces, her stomach ache has stopped. Her weight lost 2kg in a week. Other symptom like bitterness mouth has gone. Her appetite gained and improved as well as no more vomiting.
Summary:
Stomach ache is a painful experience. The intensity of the stomach ache has affected the emotional of patient in daily life, either physically or mentally. The root cause of the stomach ache is due to the internal heatiness. The source of heatiness comes from the faeces stucked inside the intestines due to constipation. The heatiness leads to stomach ache and bloated stomach. In short, we have to correct our mind so that to aware that if we constipate for more than 2 days, it was abnormal. The constipation issue is the essential root cause for all problems arouse inside the body.
Old folks constipation treatment care:
1. Adequate exercises.
Exercise controls weight, prevent sickness, improves mood, boosts energy and promotes better sleep.
For old folks, if some of them encountered leg pain and could not walk properly, they could choose to stroll around at own pace.
We always encourage patient to move around at outdoor to get sunshine, if get perspiration meaning the blood and Qi circulation is flowing smooth. Our muscle and joint pain will recover gradually. For aging folks, we advise them to do simple exercises such as Tai Ji, Ba Duan Jing (Qi Gong) and strolling in the park.
2. Diet regulations.
We encouraged old folks to stop drinking cold drinks and eating fried food. The cold food such as salad, ice-cream, icy fruits are not recommended as cold food slowing down the digestive system process. Besides, fried food will cause heaty trapped inside the body. Both affecting the balancing of Ying Yang in the body.
3. Massage stomach.
We encourage massaging stomach one round; the direction should start from right side of the stomach, from the bottom to the top and go through horizontally at upper abdomen of the stomach from right to left, then at the left side of the stomach, from top to the bottom.
4. Massage acupuncture points.
TE6 Zhigou
ST25 Tianshu
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