Changes

Febrile illness of mild degree is the symptom of ''plihodara''. Habitual consumption of food habits that cause burning sensation leads to the morbidity of ''rakta'' as well as ''pitta dosha''. Morbid ''pitta dosha'' and ''rakta dhatu'' cause mild fever. Further loss of appetite is a clinical symptom of ''plihodara''. Habitual consumption of ''abhishyandi'' foods causes morbidity of ''kapha'' which in turn is responsible for the impairment of ''agni''30 [37-38].

Febrile illness of mild degree is the symptom of ''plihodara''. Habitual consumption of food habits that cause burning sensation leads to the morbidity of ''rakta'' as well as ''pitta dosha''. Morbid ''pitta dosha'' and ''rakta dhatu'' cause mild fever. Further loss of appetite is a clinical symptom of ''plihodara''. Habitual consumption of ''abhishyandi'' foods causes morbidity of ''kapha'' which in turn is responsible for the impairment of ''agni''30 [37-38].

==== Baddhagudodara ====

==== ''Baddhagudodara'' ====

Acute or chronic intestinal obstruction due to variety of causes is comparable to baddhodara (enlargement of abdomen due to gastrointestinal obstruction). Sudden development of intestinal obstruction in an otherwise healthy person may be due to strangulation, paralytic ileus, and intussusception. Even the simple of malignant stricture of the colon, diverticulitis and pressure by a tumor can cause obstruction. Impaction of masses of roundworms, too much cellulose like orange peel, hair balls and other foreign substances can also cause intestinal obstruction.

Acute or chronic intestinal obstruction due to variety of causes is comparable to ''baddhodara'' (enlargement of abdomen due to gastrointestinal obstruction). Sudden development of intestinal obstruction in an otherwise healthy person may be due to strangulation, paralytic ileus, and intussusception. Even the simple of malignant stricture of the colon, diverticulitis and pressure by a tumor can cause obstruction. Impaction of masses of roundworms, too much cellulose like orange peel, hair balls and other foreign substances can also cause intestinal obstruction.

Rare cause of gastro intestinal obstruction is by the bezoars. The concretions of the foreign materials that are retained in the gastrointestinal tract for long is termed as bezoar. This can happen in all locations from esophagus to anus. The ingestion of fruits and vegetable consisting of indigestible fibers leading concretion of the same in gastro intestinal tract is known as phytobezoar. It is observed that consumption of food articles like apples, grapes, oranges, cherries, raisins, bran, oats, cabbage, potato peels, peanuts, and celery can cause phytobezoar. Also the phytobezoar formed from the excessive consumption of persimmons (Diospyros kaki) is known as diospyrobezoar and is a subtype of phytobezoar. More to add items such as plastic, paper, string, or styrofoam are also known to cause bezoars. The swallowed hair in the gastrointestinal tract can form concretions and is termed as trichobezoar. Medicines getting solidified with the gastrointestinal lumen are known by the name pharmacobezoar. The risk of formation of bezoar is increased with inadequate mastication, missing teeth, or poorly fitting dentures. These remain asymptomatic until they cause obstruction of the gastrointestinal tract.  

Rare cause of gastro-intestinal obstruction is by the bezoars. The concretions of the foreign materials that are retained in the gastrointestinal tract for long is termed as bezoar. This can happen in all locations from esophagus to anus. The ingestion of fruits and vegetable consisting of indigestible fibers leading concretion of the same in gastrointestinal tract is known as phytobezoar. It is observed that consumption of food articles like apples, grapes, oranges, cherries, raisins, bran, oats, cabbage, potato peels, peanuts, and celery can cause phytobezoar. Also the phytobezoar formed from the excessive consumption of persimmons (Diospyros kaki) is known as diospyrobezoar and is a subtype of phytobezoar. More to add items such as plastic, paper, string, or styrofoam are also known to cause bezoars. The swallowed hair in the gastrointestinal tract can form concretions and is termed as trichobezoar. Medicines getting solidified with the gastrointestinal lumen are known by the name pharmacobezoar. The risk of formation of bezoar is increased with inadequate mastication, missing teeth, or poorly fitting dentures. These remain asymptomatic until they cause obstruction of the gastrointestinal tract.  

Clinical presentations include absolute constipation, no passing of the flatus. This is true even after repeated enemata. Abdominal pain initially referred to umbilicus. Eventually the abdominal pain turns into colicky in nature due to strong peristalsis trying to overcome the obstruction. Tenderness is little. Since the beginning the patient will have projectile vomiting. Vomitus consists of food particles initially and then bile follows and finally stercoraceous with fecal odor. Abdominal distention is noticed, more in the flanks in colonic obstruction and will be seen in the central abdomen if, the obstruction is in the intestines. Peristalsis may be visible. Gradually the patient develops the constitutional symptoms like prostration, thready rapid pulse. Urine is diminished. Obstruction located in proximal intestines may cause tetany [39-41].

Clinical presentations include absolute constipation, no passing of the flatus. This is true even after repeated enemata. Abdominal pain initially referred to umbilicus. Eventually the abdominal pain turns into colicky in nature due to strong peristalsis trying to overcome the obstruction. Tenderness is little. Since the beginning the patient will have projectile vomiting. Vomitus consists of food particles initially and then bile follows and finally stercoraceous with fecal odor. Abdominal distention is noticed, more in the flanks in colonic obstruction and will be seen in the central abdomen if, the obstruction is in the intestines. Peristalsis may be visible. Gradually the patient develops the constitutional symptoms like prostration, thready rapid pulse. Urine is diminished. Obstruction located in proximal intestines may cause tetany [39-41].