ANAHA(ACCUMILATION OF GAS IN THE ABDOMEN)

3. CASE HISTORYCASE HISTORY
Name : xxxxxx
Age : 22 yrs
Gender : Female

4. Present Complaints:
 Distension of abdomen
 Burning sensation over throat, epigastric region along with
belchings
 Nausea and vomitings 5 to 6 times after taking food
 Pain in abdomen(On and off)
since 4yrs (aggravated 6 month before)

5. Associated Complaints :
• Increased weight since 5 years.

6. HISTORY OF PRESENT ILLNESS
The patient was apparently healthy before 4 yrs. She
developed distension of abdomen, pain in abdomen, burning sensation
over throat, chest region and epigastric region along with belchings.
She was feeling nausea after taking food along with regurgitation of
ingested food particles. She vomits the food daily 5-6 times. She had
consulted an allopathic physician and was advised with antacids for
the above complaints and got temporary relief. The symptoms got
aggravated since 6 month before.

7. PAST HISTORY: NOTHING SIGNIFICANT
PERSONAL HISTORY
 Aahara : mixed
 Vihara : household works(habit of skipping meals)
 Appetite : Decreased
 Bowels : 1time /day
 Micturition : regular
 Sleep : disturbed
 Addiction : nil

8. GENERAL EXAMINATION
• B.P - 130/90 mm of Hg
• PR -68 bpm
• R.R - 16 /minute
• Ht -153.2cm
• Wt -78 kg
• BMI -33.2 kg/m² (Sthoulya)33.2 kg/m² (Sthoulya)
• Family history -Family members also obese

9. • RS - NVBS
• CVS - S1 S2 heard
• CNS - conscious and well oriented
• GIT - Distension of abdomen
• No tenderness, gas is present
SYSTEMIC EXAMINATION

10.  CBP- Normal but ESR 17mm/hr
 CUE- Normal
 Thyroid profile- Normal
 Diabetic profile- Normal
 Lipid profile- Normal
 C-XR-PAv- Normal
 ECG - Normal
 Upper GI Endoscopy(1/7/14)- Antral Gastritis, laxed L.E.S
INVESTIGATIVE HISTORY

11. ROGI PAREEKSHAROGI PAREEKSHA
1.DASAVIDHA1.DASAVIDHA
2.ASTAVIDHA2.ASTAVIDHA

12.  Prakruthi - kapha vata
 Vikruthi - Dosha - tridosha
 Dooshya - rasa, mamsa
 Sara - madhyama
 Samhanana - madhyama
 Satva - madhyama
 Aahara sakthi - abhyavahara - madhyama
 jarana sakthi - madhyama
 Vyayama sakthi - madhyama
 Satmya - madhyama
 Vaya - Madhyama
 Pramana - madhyama

13. ASTA VIDHA PAREEKSHA
1. Nadi - 68/minute
2. Jihva - Liptha
3. Mala - 1 time in a day
4. Moothra - 4-6 times in a day
5. Sabdha - praakrutha
6. Sparsha - anushna sheeta
7. Drik - praakrutha
8. Aakruthi - madhyama

14. • ROGA PAREEKSHAROGA PAREEKSHA
• 1.NIDHANA PANCHAKA
• 2.SAPEKSHA NIDHANA
• 3.VYADHI VINISCHAYA
EXAMINATION OF
ROGA

15. NIDANA PANcHAKA
Nidana – िविषमाशन, कुलत्थ, रूक्षाहार 1.All foods containing beans,
fried food, oily food, combinations like milk with sour fruits
2.She takes incompatible, unhygienic, sour and heart burn
producing and pitta vitiating foods and drinks(tea 4 times /day,
excessive intake of masala items, chitranna, dosa, paanipuri,
gobi manchuri, non veg,kulatha,maasha etc)
• Purvarupa – Not elicited
• Rupa – आनाह, उदर शूल,हृल्लास,मन्दािग,छर्दिद, उरोदाह,अम्लोद्गार
• Upashaya – Aushadha
• Anupashaya – गुरु भोजन, अम्ल कटु लविण सेविन

16. • SAAPEKSHA NIDANA
• Anaha
• Adhmana
Atopa
•
• Amlapitta
Pittaja grahani
• Ama Anaha
Purisha anaha
• Urdhwaga
Adhoga

17. •AMA ANAHA:
•Accumilation of gas in the abdomen with or without abdominal sounds
due to formation of ama in the GI tract.
•PURISHA ANAHA:
•Due to accumilation of feces or severe constipation , they may be pain
in the lower abdomen,back ache, uneasiness and vomiting
ADHMANA:
•Accumilation of gas in GI tract is usually associated with colicy type of
pain
ATOPA:
•Accumilation of gas in GI tract is usually associated with sounds and
pain

18. URDWAGA AMLAPITTA
Passes different types of feces
Thirst
Skin eruption
Burning sensation
Poor appetite
Fainting
Horripilation
Sweating
Giddiness
Confusion
Yellow complexion of body
Nausea
• Vomiting with vomitus containing
green, yellow, blue,black,blood or
red colour.
• Vomitus is sour with watery or
slimy or clear or associated with
mucus constituents or ingested
irritating food particles, bitter or
sour contents.
• Bitter or sour eructation
• Burning throat, heart &
epigastrium.
• Headache
• Burning sensation of hand &
feet
• Raised temperature
• Anorexia
• Fever.
ADHOGA AMLAPITTA

19. PITTAJA GRAHANI
Nidana – Pitta get aggravated by intake of food ingredients-
pungent, heavy, vidahi, sour, alkaline. Aggravated sa drava
pitta suppresses agni.
Lakshanas
• Loose stools containing undigested food material
• Colour of stools – bluish –yellow or yellow in colour
• Eructation having fowl smell and sour taste
• Burning sensation in cardiac region and throat.
• Anorexia .

20. • Distention of abDomen :
• CliniCal Diagnosis (fff)
• fat(obese)..usually sunken umbliCus,
Dullness to perCussion
• fluiD(asCites)..bilateral bulging
flanks,shifting Dullness,fluiD thrill
• flatus(gas).. milD Distention, early
vomiting , upper abD pain , resonant
perCussion

21. VYADHI VINISCHAYAVYADHI VINISCHAYA
• AMAANAHA
• WITH
• LAKSHANAS OF
URDWAGA AMLAPITTA
•

22. AMAANAHAAMAANAHA
SAMPRAPTISAMPRAPTI

23. • SAMPRAPTI GATAKAS
• Dosa - Pitta Pradana Tridosa
• Vata- Samana
• Pitta-pachaka
• Kapha-kledhaka
• Dushya - Rasa
• Agni - Jataragni
• Agni Dusti - Mandhagni
• Srotas - Rasavaha,annavaha
• Srothodusti - Vimargagamanam, Sanga
• Adhistana - Amasaya
• Udhbavasthana - Amasayottha
• Vyaktasthana - Amasaya, Kanta, Hridaya
• Rogamarga - Abhyantara

24. CHARDI OBSERVED INCHARDI OBSERVED IN
DIFFERENT DISORDERSDIFFERENT DISORDERS
• Parinamashoola
• Annadravashoola
• Ajeerna
• AmlapittaAmlapitta
• AnahaAnaha
• Visoochika
• Udavarta
• Kaasa
• Krimi

25. FURTHER
UNDERSTANDING

26. AMAANAHA
• All foods containing beans, fried foods, oily foods, fermented
foods, combinations like milk with sour fruits can create gas in
the abdomen
• Accumilation of gas in the abdomen with or without sounds,and
is a common digestive disturbence due to ama.
• Symptoms:abdominal distension ,thirst, belching or passing of
gas through the anus.
• Sometimes gas and pain can even be felt as mild pressure or pain
in the chest

27. CHIKITSACHIKITSA
• AMAANAHA:
• Oleation and laxatives are the treatment of choice
• PREPARED MEDICINES:
• Avipattikara churna 1gm should be given at night for laxative
effect
• Hingwataka churna 1gm :twice a day for 15days.these should be
given with warm water or wiyh buttermilk
• Jirakadhyarista abhayarista 15ml 3 times a day for 3 wks are also
indicated
• To relieve gas and colic immedietly, tab shanka vati should be
given with warm water 2 to 3 times a day

28. • PATHYA : Warm water, laaja sakthu, godugdha, aamalaki, dadima,
kharjura, draaksha, patola, moolaka, mugdayoosha ,tikta rasa+
shashtika shaali vilepi, no worry( keeping calm and quiet)
• APATHYA : Guru bhojanam, tila, kulatha, dadhi, matsya, teekshna
–ushna aahara,alcohol,smoking, tobacco, worry.

29. CONCLUSION

30. DUE TO NIDHANA
MANDHAGNI
AMAANAHA
INTRA ABDOMINAL
PRESSURE
ACCUMILATION OF GAS
COMES OUT THROUGH
BELCHINGS
(URDWAGA AMLAPITTA)
BURNING SENSATION
IN EPIGASTRIC
THROAT REGION
GAS WITH FOOD
(CHARDHI)
ANTRAL
GASTRITIS
PYLORIC
INCOMPITENCE
LAXED
L.E.S
OBESITY