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(Probe (1986): (XXV), 4, 352-353)

GASEX IN ABDOMINAL DISCOMFORT IN PATIENTS
HAVING PLASTERS ON LOWER LIMBS

A.K. Sarin, M.S., (Ortho.), P.M.H.S.,
Orthopaedic Surgeon, District Hospital, Ballia, U.P.

INTRODUCTION

Abdominal discomforts like dyspepsia and indigestion are common complaints in patients, specially those who have been put on plaster spica, where bed-rest for a minimum of 6 to 12 weeks is required. Such complaints arise due to formation of gas in the abdomen, as clinical and radiological examination does not reveal any organic lesion. Sometimes the patient does not like to eat anything and complains of an abnormal taste in the mouth. Antacids and some enzyme preparations are administered but after prolonged therapy with these drugs, the patient does not like to take any more because of the following reasons:

1. There is a typical taste of antacid to which the patient feels a nauseating sensation.

2. The bowel gets conditioned to the use of the enzyme preparation for digestion.

3. Drug therapy proves costly in the long run.

For these reasons the patient and his relatives compel the doctors either to cut short the plaster upto the place desired by him or reduce the duration of its wear. Both these suggestions are harmful to the proper union of bones. Hence when encountering common complaints like fullness in the abdomen, flatulence, burning in the abdomen, inability to take regular meals and altered bowel habits, we decided to try out an Ayurvedic preparation, Gasex, of the The Himalaya Drug Co., Bombay.

MATERIAL AND METHOD

This study was conducted in the Department of Orthopaedic Surgery, District Hospital, Ballia. 35 patients who were in plaster spica from 15th February to 31st August 1984 were observed after they were given Gasex.

OBSERVATIONS

Out of the 35 patients, 27 (77.14%) were males and 8 (22.86%) were females. The patients were in the age group of 20 to 80 years. The maximum number were between 51 to 70 years (about 70% of the total). (See Table 1).

Table 1 : Showing the various age groups

S. No.

Age group

No. of patients

Percentage

1.

20-30 years

2

5.72

2.

31-40 years

3

8.57

3.

41-50 years

4

11.42

4.

51-60 years

16

45.72

5.

61-70 years

8

22.85

6.

71-80 years

2

5.72

   

35

100.00

The majority of our patients complained about inability to eat regular meals because of the heaviness, flatulence, burning in the abdomen and irregular bowel habits. Table 2 show the details.

 

Table 2 : Details of symptoms

S. No.

Symptoms

No. of Patients

1.

Fullness of the abdomen

20

2.

Flatulence

35

3.

Burning in the abdomen

17

4.

Irregular bowel habits

22

In the present study 95% of the patients became symptomless during the therapy.

DISCUSSION

The majority of the patients had gastric complaints after one to two weeks of bed-rest. Then Gasex was given to them.

All patients received Gasex, 2 tablets t.i.d. for 2 weeks and then 1 tablet t.i.d. till the plaster spica was removed.

The majority responded to Gasex after 72 hours. Four patients responded after 5 days of regular intake of Gasex while one patient got relief just after 24 hours of treatment. But none of the patients complained of any recurrence of symptoms after continuous therapy.

From the present study it is clear that Gasex, a product of The Himalaya Drug Co., is very effective and all the patients tolerated it well. Gasex is economical and free from any side-effects. Our patients passed their time easily in plaster spica and none showed any strain or uneasiness due to abdominal discomfort.

SUMMARY

In our study 35 patients with plaster spica, the majority of the patients being in the age group of 51 to 70 years, were treated with Gasex tablets for abdominal discomfort. All of them had relief and did not complain of any toxic effects and used Gasex cheerfully till required.

ACKNOWLEDGEMENT

I am very thankful to the The Himalaya Drug Co., Bombay for the supply of Gasex to conduct this trial.