Mr.Asqah-Ulcerative Colitis-(Saudi Arabia)

Name: Mr.Asqah
Sex: Male
Nationality: Saudi Arabian
Age: 47Y
Diagnosis: 1.Ulcerative Colitis(UC)  2. Hyperthyroidism 3. Post cholecystectomy 

Before treatment:
The patient had stomach aches 9 years ago, he defecated 4-5 times a day and 1-2 times at night. There was blood and mucus in his faeces. Some days later his condition became worse and he defecated 25 times in a day so he went to a local hospital and was diagnosed with ulcerative colitis. He was treated with anti-inflammatory and pain relievers and his condition became better. Some days later his condition became worse again and he defecated 10 times in a day. He went to our hospital 5 years ago and after the treatment his condition became much better and  he defecated 2-3 times a day. 3 months ago his condition became worse again and there was blood and mucus again in the faeces so he returned to our hospital.
His spirit, diet and sleep are normal. He defecates 8-12 times a day, his urination function is normal, he has lost 2-3 kgs in the past 2 months.

Admission PE:
B Bp: 114/70mmHg, Hr: 64/min, height: 172cm, weight: 79Kg. Nutrition status was fine and the physical development was normal.

Nervous System Examination:
Patient was alert, breathing was stable and he could cope with the examinations well. The skin was normal with no lymphadenectasis. The eyelids did not have swelling, both pupils were equal in size and round, diameter was 2.5 mm, react well to light and the eyeballs can move freely. There was no purulent secretion in the ear. Chest was normal, breathing sounds of both lungs were clear with no rales. The heart beat is strong with regular cardiac rhythm and no murmur in the valves.  Abdomen was soft and flat with no masses. There was pain in his left lower abdomen and there was tenderness and rebound tenderness surrounding the navel except for the left upper area. The Shifting dullness was negative and the bowel sound was normal. There was no tenderness or percussion pain in the kidney area. The spine and 4 limbs were normal. 4 limbs muscle tone was normal, sensory system was normal and coordinated movement was normal. The abdomen reflex was normal. The bilateral patellar tendon reflex and Achilles tendon reflex was normal, the bilateral pathological signs were negative. The meningeal irritation sign was normal. 

After the admission he received related examinations and was diagnosed with 1. UC(ulcerative colitis) 2. Hyperthyroidism 3. Post cholecystectomy. He received 3 times nerve regeneration treatment to anti-inflammatory, replace dead nerves, nourish nerves, regulate his immune system and improve blood circulation. This was done along with rehabilitation training.     

After 21 days treatment his stool reduced each day and now it was forming gradually. He defecated 2-3 times every day. The tenderness around the navel decreased.


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