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An instructive case I happened to treat yesterday. A 4-year-old girl was brought to me at 8.30 in the evening with the mother telling that she has not passed urine since last 24 hours. She has had diarrhea, fever, and vomiting since last 3 days and was treated elsewhere for that with antibiotic and antiemetic. Fever subsided, but she was still throwing up. Diarrhea stopped but she had not passed any stool since the day before. The parents called the pediatrician who felt the anuria was due to dehydration and that the child may need admission and IV fluids. The parents gave her lots and lots of water and other fluids, but no urine still. When I saw the patient, she was alert and playful without any sign of dehydration with little abdominal distention. I asked them to stop all medications, stop pushing water, and I gave her little gokshur and yavakshar every hour to help her urinate. Nothing happened. Suspecting this was due to obstruction of apana vata, at 2.30 a.m. I decided to use suppository before giving her any basti treatment. This did the trick. She passed some stool and along with that she passed lot of urine and slept soundly afterwards.
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Re: Apana Vata
Tue, April 3, 2007 - 1:37 AMI generally use jaggary, saindhav, and pathya to make a suppository, but in this case, since the kid was small and I did not have much time, I used just mechanical stimulation with soft glycerine suppository which was handy.
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