Changes

==== ''Vataja gulma'' ====   

==== ''Vataja gulma'' ====   

''Vataja gulma'' are mostly irregular, transitory swellings. These are accompanied with different intensities of colicky pain. Complications like inguinal swelling (bradhna roga) gurgling sound in the intestines (antrakoojana), fever/elevated temperature in the evenings, splenomegaly (pleehavriddhi), difficulty in breathing, bodyache (angamarda), and headache are commonly in the advanced stages of gulma. The above clinical features can be seen in chronic intestinal obstruction, intestinal tuberculosis, pyloric stenosis and in mobile caecum. Intestinal tuberculosis is a chronic condition with common symptoms including transitory nodules of varying sizes occuring due to partial intestinal obstruction, often accompanied with gurgling sounds from the abdomen, poor appetite, and evening fevers, as seen in the advanced stages of vatika gulma. Mobile upper abdominal lump, with nausea and breathing difficulty are the features present in the case of pyloric stenosis. In mobile caecum there is also chronic progressive pain in the right flank and in the lower abdomen.  

''Vataja gulma'' are mostly irregular, transitory swellings. These are accompanied with different intensities of colicky pain. Complications like inguinal swelling (''bradhna roga'') gurgling sound in the intestines (''antrakoojana''), fever/elevated temperature in the evenings, splenomegaly (''pleehavriddhi''), difficulty in breathing, bodyache (''angamarda''), and headache are commonly in the advanced stages of ''gulma''. The above clinical features can be seen in chronic intestinal obstruction, intestinal tuberculosis, pyloric stenosis and in mobile caecum. Intestinal tuberculosis is a chronic condition with common symptoms including transitory nodules of varying sizes occurring due to partial intestinal obstruction, often accompanied with gurgling sounds from the abdomen, poor appetite, and evening fevers, as seen in the advanced stages of ''vatika gulma''. Mobile upper abdominal lump, with nausea and breathing difficulty are the features present in the case of pyloric stenosis. In mobile caecum there is also chronic progressive pain in the right flank and in the lower abdomen.  

Pittaja gulma-

==== ''Pittaja gulma'' ====

They are painful abdominal lumps characterised with fever, sweating, thirst, burning sensations and burning eructations. These features are suggestive of inflammatory and suppurative changes in the intra-abdominal lump. In due course of time, pittaja gulma develops yellow discoloration of nail, eyes and skin, fever, and vertigo as an added complication. These features can be seen in obstructive biliary tract.

They are painful abdominal lumps characterized with fever, sweating, thirst, burning sensations and burning eructation. These features are suggestive of inflammatory and suppurative changes in the intra-abdominal lump. In due course of time, ''pittaja gulma'' develops yellow discoloration of nail, eyes and skin, fever, and vertigo as an added complication. These features can be seen in obstructive biliary tract.

Kaphaja gulma-

==== ''Kaphaja gulma'' ====

These are fixed, solid abdominal lumps associated with heaviness, vomiting, mild pain and poor appetite. Further, if the exposure to etiological factors is continued, the patient may develop cough, breathing difficulty and rajayakshma (tuberculosis) etc. Such swellings can be compared with solid tumours of the abdomen which may or may not be associated with obstructive features of the gastrointestinal tract.

These are fixed, solid abdominal lumps associated with heaviness, vomiting, mild pain and poor appetite. Further, if the exposure to etiological factors is continued, the patient may develop cough, breathing difficulty and rajayakshma (tuberculosis) etc. Such swellings can be compared with solid tumours of the abdomen which may or may not be associated with obstructive features of the gastrointestinal tract.