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Tuesday, 29 June 2021

Ulcerative Colitis – Modern (Allopathic) Versus Ayurvedic Herbal Treatment

 Ulcerative colitis (UC) is an inflammatory bowel disease which typically affects only the large intestine, and usually involves only the inner layers (mucosa and sub-mucosa) in a continuous manner. This is unlike Crohn’s disease which may affect any part of the gastro-intestinal tract, has a non-continuous spread (skip lesions), and involves the entire depth of the intestinal wall. UC has many causative factors including genetics, immune system reactions, drug usage (mostly pain killers and oral contraceptives), environmental factors, stress, smoking, and consumption of milk products. Common symptoms include pain in the lower abdomen, frequent motions, mucus discharge, and rectal bleed. Patients with severe involvement may have fever, purulent rectal discharge, weight loss, and extra-colonic manifestations. 

The modern (Allopathic) management of this condition is based upon the severity at presentation. Mild disease confined to the rectum is treated with topical Mesalazine suppository; left sided colonic disease is treated with Mesalazine suppository as well as oral administration of the same drug. Patients who do not respond well to this treatment are also treated with oral steroids, including budesonide. Patients who achieve remission are maintained on a once –a-day oral drug schedule. Patients with severe disease may need to be hospitalized and treated with intravenous steroids and immune suppressant drugs, in addition to the treatment mentioned above. Surgery may be indicated for a select few patients. 

Most patients may require treatment on a long-term basis or even life-long. People affected with this condition usually have an increased mortality, either due to the condition, or as a result of side effects of ongoing treatment. There is a risk of long term complications as well as an increased risk of cancer. Elderly patients are more vulnerable to an increase in mortality. 

The Ayurvedic treatment of ulcerative colitis consists of giving symptomatic treatment as well as treating the root cause of the disease.  Pain in abdomen, chronic diarrhoea, and blood in the stool is treated with Ayurvedic herbal medicines which help in digestion of food, and regulate the forward movement of the intestines. Ayurvedic herbal medicines are used to treat the inflammation in the intestines, to heal the ulceration, and bring the intestinal mucosa back to normal.  Ayurvedic herbal medicines which strengthen the intestinal mucosa, and build up the normal cellular structure of the intestinal walls are used in the treatment of ulcerative colitis.  Regular treatment for about four to six months is usually sufficient to bring about a significant healing of the inflammation and ulceration in the intestines, which is usually seen in ulcerative colitis.

 In addition, Ayurvedic herbal medicines are also given to normalize and boost the immune status of the affected patients.  These treat the root cause of the disease and help in early resolution of the symptoms as well as bring about a complete reversal of the pathology of ulcerative colitis.  A complete course of symptomatic treatment as well as immunomodulation treatment helps in preventing further recurrences of this condition.  Patients with severe symptoms who do not respond well to oral treatment may also require additional Panchkarma treatment in the form of medicated enemas (Basti). Overall, a patient with severe ulcerative colitis may require treatment from about twelve to eighteen months, in order to be completely cured of this condition.

 

The writer, Dr. A. A. Mundewadi, is available as an online Ayurvedic Consultant at https://www.mundewadiayurvedicclinic.com and http://www.ayurvedaphysician.com For Ayurvedic herbal treatment of ulcerative colits, kindly click here

Wednesday, 16 June 2021

Cirrhosis of the Liver- Modern (Allopathic) Versus Ayurvedic Herbal Treatment

 Chronic damage to liver cells causes liver cell inflammation; this usually heals with scar tissue formation. This gradual degeneration and scarring of the liver is known as cirrhosis. This medical condition is mostly caused by chronic viral infections like hepatitis B and C, fatty liver, alcohol abuse, inherited metabolic disorders, exposure to environmental toxins, and strong reactions to medicines. Cirrhosis causes a gradual dysfunction of the liver as well as blockage of blood and fluids passing through the liver. Processing of nutrients, hormones, drugs, toxins, as well as production of proteins and other substances is seriously affected. 

Confirmed cirrhosis is designated as compensated – when the liver function is well maintained - and decompensated – when the liver can no longer carry on its normal function – thereby causing symptoms such as jaundice, ascites, bleeding varices, hepatic encephalopathy, liver cancer, and concurrent disease of the kidneys or lungs. In the early stages, there may be vague symptoms such as fatigue, loss of appetite, and weight loss, while in the late stages there may be symptoms like easy bruising, and severe itching. 

Modern (Allopathic) treatment consists of home care, medications and surgery. Treating or removing known causes such as drugs and alcohol consumption, and obesity, are essential to prevent further damage. Patients are advised to consume a low sodium and high protein diet, with adequate hydration. Routine vaccinations are recommended to be taken as per schedule. Medications are required mainly to reduce ascites, control hypertension, treat inflammation and infections, and for the specific treatment of hepatitis B and C. Abdominal tapping can be done as a temporary measure to remove excess of ascites fluid. Patients with advanced cirrhosis are recommended surgical liver transplant. 

Ayurvedic herbal treatment for cirrhosis of the liver is aimed at bringing about a reversal of degeneration and death of the liver cells, and an increase in the blood supply passing through the liver.  Ayurvedic herbal medicines which act on the liver cells and reduce inflammation and damage, and bring about a healing in the liver, are used in high doses.  In addition, other herbal medicines are also used which reduce fibrosis and remove dead cells and damaged tissue from the organ.  Toxins and unwanted material are removed through the kidneys and also the gastrointestinal tract.  Medicines are also given to remove inflammation and toxins present in the circulatory system. 

In addition, herbal medicines are also given to treat viral infections if present, and to reduce the effect of environmental toxins present in the blood.  Alcohol abuse is one of the commonest causes for cirrhosis of liver, and alcohol dependence or misuse also needs to be treated concurrently along with the treatment for cirrhosis of liver.  Most people affected with this condition need regular treatment for at least about eight to ten months, depending upon the severity of the condition.  If treatment is taken regularly, most people affected with cirrhosis of the liver benefit significantly from treatment, with a significant increase in lifespan as well as considerable improvement in the quality of life. 

Ayurvedic Herbal treatment can thus be judiciously utilised in the management and treatment of cirrhosis of the liver.

The writer, Dr. A. A. Mundewadi, is available as an online Ayurvedic Consultant at https://www.mundewadiayurvedicclinic.com and http://www.ayurvedaphysician.com For Ayurvedic herbal treatment of liver cirrhosis, kindly click here