| ACUTE WATERY DIARRHOEA. Diarrhoea is an alteration in normal bowel movement, characterized by increased frequency, volume, and water content of stools. It is clinically defined as an increase in stool frequency to three or more liquid or semi-formed motions in 24 hours or more. Acute diarrhoea is defined as diarrhoea of 14 days duration or less.[2] Diarrhoea is loosely defined as passage of abnormally liquid or unformed stools at an increased frequency. Diarrhoea may be further defined as acute if <2 weeks, persistent if 2–4 weeks, and chronic if >4 weeks in duration.[3] OBJECTIVES. 1. To study the utility of repertory of The Homoeopathic Therapeutics of Diarrhoea by James B Bell in the management of Acute watery diarrhoea among adults. 2. Comparison of pre and post treatment score based on pre-validated 4 point Likert scale for acute Diarrhoea. 3. To study the rubrics related to diarrhoea from The Homoeopathic Therapeutics of Diarrhoea By James B Bell. 4. To study the etiology and pathophysiology of acute watery diarhhoea. METHODOLOGY. I) STUDY DESIGN: An Experimental Non-Controlled Study 2) STUDY SETTING: Cases will be collected from the OPD of the Institute. 3) STUDY POPULATION: Clinically diagnosed cases of Acute watery diarrhoea among adults. 4) DURATION OF STUDY: 18 months. 5) METHODS OF SELECTION OF STUDY SUBJECT: 1. Inclusion Criteria: Patients having Acute diarrhoea for less than 14days Patients of age group 18-40 years Patients of all genders Patients with mild dehydration 2. Exclusion Criteria: Suspected immunocompromised patients Patients taking any medications that have confounding effect Pregnant and lactating female Patients with moderate and severe dehydration Patients presenting with symptoms of any other diseases 3. Subject withdrawal criteria: a. Patients who does not wish to continue the treatment. b. Patients who do not give follow up regularly. 6) METHOD OF SELECTION OF COMPARISON OR CONTROL GROUP AND MATCHING CRITERIA: Not Applicable 7) OPERATIONAL DEFINITION: Diarrhoea- Diarrhoea is an alteration in normal bowel movement, characterized by increased frequency, volume, and water content of stools. It is clinically defined as an increase in stool frequency to three or more liquid or semi-formed motions in 24 hours or more. Acute diarrhoea is defined as diarrhoea of 14 days duration or less Diarrhea is loosely defined as passage of abnormally liquid or unformed stools at an increased frequency. Diarrhea may be further defined as acute if <2 weeks, persistent if 2–4 weeks, and chronic if >4 weeks in duration 4 Point Likert scales used to assess symptoms of acute diarrhoea. Symptom score | | 0 | 1 | 3 | 3 | | General well being | Good | Impaired | Bad | Very bad | | Stool frequency | < 2 | 3-5 | 6-8 | > 9 | | Stool consistency | Hard or normal | Somewhat loose | Runny | Watery | | Blood or mucus in stool | None | Some | Moderate | Many | | Flatulence | Absent | Mild | Moderate | Severe | | Pain intensity | Absent | Mild | Moderate | Severe | | Pain persistency | Absent | Sporadic | Prolonged with relief after defecation | Persistant | | Nausea and/or vomiting | Absent | Mild | Moderate | Severe | 3. Outcome assessment criteria A. An overall mean total symptom score will be calculated including all subgroups which is as follows: Unsatisfactory= 1 Satisfactory =2 Good = 3 Very Good= 4 B. Outcome Pre and Post treatment will be assessed according to 4 Point Likert scale for acute diarrhoea Improved Not improved These criteria will be assessed as per the clinical symptoms presented by the patient. SAMPLE SIZE: 30 subjects will be selected. | DATA MANAGEMENT AND ANALYSIS PROCEDURE: 1. Framing of totality of symptoms- Will be done as per the principles of Homoeopathy. 2. Selection of remedy- Individualized Homoeopathic Medicines based on totality of symptoms. 3. The Posology- Appropriate potency will be selected based on the susceptibility of each case. Potency will be changed when required. 4. Duration of study – 18 months 5. Duration of each case – Each case will be observed for 15 days or till improvement appeared as per decided scale. 6. Duration of follow up of each case – Every 7 days and early if required. | |