Patients on antidepressant drugs commonly complain of dryness of the mouth, tremors, blurring of vision and constipation, which are attributed to the anticholinergic action of the drugs. We report two cases of gastrointestinal complications (pseudo-intestinal obstruction), which are considered rare according to a review of the literature. This condition is also known as Ogilvie syndrome.

Varied presentation of infectious diseases like the rheumatic fever is on the rise especially in rural areas where a great proportion of communicable diseases are undiagnosed and untreated. Keen clinical examination and early treatment with minimal laboratory aid reduce healthcare expenditure in low socioeconomic regions. An 18-year-old adolescent girl presented with acute onset of motor tic for 2 weeks which progressed to vocal tic in a span of 6 weeks. As per the initial presentation, the patient was worked up as a case of Transient Tic Disorder and later as Tourette Syndrome. All the test results including Rheumatic Heart Disease workup were negative. But the patient developed Pure Chorea 2 weeks after this. The patient was treated on a presumptive diagnosis of Rheumatic Chorea and is now in remission for 6 months. Even though tics and other movement disorders can be associated with Rheumatic chorea, it is seldom to present as pure tic disorder at the first encounter and in relatively uncommon age group making this case special. Rather than early referral to movement disorder center, detailed observation of disease progression can prevent unnecessary work up.

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Background:Diagnostic accuracy of Hot Water Epilepsy (HWE) on history alone was observed to be less satisfactory by the first author while managing such patients psychologically. To confirm this observation this pilot study was planned.Materials and Methods:Symptoms as reported by the patient was confirmed by the two authors in the wards by giving them Hot Water Head Bath. Following this they were subjected to behavioral Psychotherapeutic treatment to relieve them from their distressful symptoms.Results and Conlusion:Confirmed the hypothesis and it was concluded that by witnessing the symptoms of HWE by the treating doctor would improve the outcome of any treatment.