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Vinod Mahajan (Ayurveda) needs a second opinion on this medical case.
29/y/o male has presented for 1 year onset of progressive abdominal pain. O/E Epigastric pain There was positional change of pain severity especially when he was lying on his left side. no abdominal bruit on auscultation when patient is in supine position. Other than that, there was no other relieving or aggravating factors of the pain. He also complained of loss of appetite and progressive weight loss of > 8kg in the past 1 year. Extensive investigations including upper and lower endoscopy, CT and MRI abdomen with contrast could not identify a cause for his symptoms. He says usually his abdomen remains gassy, he vata kapha prakriti and has avara agni bala.
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