Dr.Bikram Sarkar, Medical Officer, Dinajpur, Balurghat, West Bengal seeks advice to his patient

     A thirty five year old very handsome male presented before me with dyspepsia since three years .He complained of loud eructation after food and rumbling when his stomach is empty. He also has burning abdomen > cold water drinking. He is uncomfortable after heavy meal, fruits and onion. His stool is clay coloured sometimes. He experiences stitching pain in the left hypochondriac region. Additionally he has hawking sensation in the throat quiet often has phlegm collects and he tries to clear it frequently. He also has reddish macules in left the medial aspect of his right hand. He passed mucus stools in the past. He is very sensitive, affectionate, apprehensive, sympathetic to others, an introvert who keeps everything inside, weeps inside, likes music, nature and gardening. Has a feeling of insecurity in life and hence not married. Sweats on palms and soles. Sometimes his hand trembles with anxiety.

     He had undergone circumcision and phimosis was ruled out. His skin eruptions in the childhood were treated successfully with calc Carb 200. Had Chicken pox vaccination in child hood. He had bleeding warts at the right lower abdomen, Nitric Acid cleared .His mother and uncle are diabetic and from paternal side his grand father had ringworm and blood cancer. Father, sister, elder brother suffers from Ischaemic Heart Disease..