Successfully tapered and stopped the dose of NSAID and Anti Diabetic medication.

A male patient aged 56 years K/C/O of Type 2 Diabetes Mellitus and H/O alcoholism complaining of severe abdominal pain which aggravates during food intake mainly on the epigastric region radiating to the back as well as the right scapular region along with loss of appetite, nausea, and vomiting for 1 week with prior history of similar episodes managed temporarily with NSAID came to Kayachikitsa OPD of SDM Ayurveda hospital.

He was evaluated completely and treated in a 3- course regime each of 7 days.  During the first course, the patient was managed with Deepana and Nitya Virechaka and Srotho Vishodhana Aushadhis, and strict Pathya Ahara. On Discharge patient shows symptomatic relief, NSAID dose tapered to one dose and oral medication continued, on the next follow up after 30 days the condition had improved so a slight alteration in present medication including Pitta Samshamana drugs was added by which abdominal pain reduced considerably. By the end of the second course, he found significant relief from all the symptoms.

Considering the response ongoing ayurvedic medication continued, NSAID and Anti Diabetic drugs were stopped completely and planned for the next follow-up visit after 45 days.

On the 3rd course of admission severity of pain had reduced and blood glucose level came to a normal range. By the end of 3 courses of management, the patient had no symptoms of chronic pancreatitis with adequate weight gain and along with this his blood sugar level came to a normal level.
And successfully tapered and stopped the dose of NSAID and Anti Diabetic medication.