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Thursday 31 October 2019

Successful Ayurvedic Herbal Treatment of Hepatorenal Syndrome


Hepatorenal syndrome is a medical condition characterized by the development of kidney failure in patients having advanced, chronic liver disease. Nearly 40 % of patients having liver cirrhosis and ascites (fluid collection in the abdominal cavity) stand a risk of developing this condition. The resulting damage in the kidneys is functional, not structural, and is believed to result from constriction of the renal arteries, with concurrent vasodilatation in the body periphery. Type 1 hepatorenal syndrome has an average survival of 2-10 weeks, while type 2 has a median survival of 3-6 months. Liver transplantation is currently the only mode of treatment in modern medicine, which can improve long term survival; however, this procedure is prohibitively costly, involves a long waiting period, and has the potential for serious complications.

Blood and urine tests as well as other tests like abdominal ultrasonography may help diagnose other causes of kidney failure, since hepatorenal syndrome is primarily a diagnosis of exclusion. No specific modern medicine is currently known to be useful in the treatment of this condition. It is important to look for precipitating factors like infection and obstruction, which can be potentially treated completely, with chances of reversing the condition. Paracentesis (removal of accumulated water from the abdominal cavity) can relieve symptoms and may also help partially reverse the condition.

Hepatorenal syndrome is one medical condition where the timely institution of Ayurvedic herbal treatment can dramatically change the characteristically poor prognosis of this disease. Treated with high doses of herbal medicines, ascites can be virtually cleared up within one to two months.  Depending upon the severity of liver and kidney damage, liver and kidney parameters return to near normal levels within three to six months. It is important to commence treatment at the earliest in order to get maximum beneficial results.

It is equally important to maintain the morale of the patient, since modern medicine has little to offer other than liver transplantation, and most patients can be devastated on receiving this information. Regular monitoring of the patient is essential by different health professionals, including the nephrologist, general physician, and nutritionist. This can help maintain the patient’s health and day-to-day care, and detect any new or unforeseen medical situations.

          Ayurvedic herbal medicines are usually continued in high doses till the patient is completely asymptomatic, with stable liver and kidney parameters for at least three to four months. After this, the dosage of medicines may be gradually tapered with careful monitoring. In order to prevent a relapse, in most patients, it is advisable to continue a few medicines for the kidney and liver on a long term basis, or possibly, lifelong.

            Most patients can lead near normal lives with a good quality of life, and with the minimum possible medication. Ayurvedic herbal medicines can thus be utilized in the successful and comprehensive management of hepatorenal syndrome.

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

Monday 28 October 2019

Ayurvedic Herbal Treatment of Meniere Disease

Meniere disease, also known as idiopathic endolymphatic hydrops, is a disease of the inner ear involving increased pressure within the inner ear endolymphatic system. This causes the typical symptoms of episodic vertigo, fluctuating hearing loss, tinnitus, and a sensation of fullness in the ear, known as aural fullness. When there is no known cause for this condition, it is known as meniere disease; with a known cause responsible for the condition, it is termed as meniere syndrome.

Metabolic disturbances, hormonal imbalance, trauma, autoimmune disorders, allergy, and various infections can cause this condition. Severe attacks of vertigo can be debilitating. The disease runs a chronic course with remissions and exacerbations. Most patients eventually stabilize; however, with long term hearing loss and imbalance as permanent features.

Modern treatment is aimed at giving symptomatic relief from the episodic vertigo, which is the most distressing symptom in this condition. There are specific medicines which are used for this on a short term basis. In addition, medicines like steroids and diuretics reduce inflammation and fluid pressure in the inner ear.

Ayurvedic treatment can be used on a more comprehensive basis to treat all the symptoms associated with meniere disease. Herbal medicines reduce the inflammation and swelling in the inner ear both on a short term as well as long term basis. Other herbs help reduce the inner ear damage and provide nutrition to the sensitive components of the inner ear so as to help reduce hearing loss, and improve hearing to the maximum extent possible. There are also some herbs which have a specific action of treating tinnitus in the ears.

While acute, severe vertigo is best treated with modern medicines, moderate level and mild vertigo, as well as chronic and recurrent vertigo, can be treated more effectively with the help of Ayurvedic herbal medicines. Depending upon the severity of symptoms, patients affected with this condition may require treatment for about 4-8 months. Rasayan (tonification) level Ayurvedic medicines are also available which can help to improve immunity, remove chronic inflammation, and prevent recurrence of meniere disease.

The writer, Dr A A Mundewadi, is available as an Ayurvedic Consultant at  https://www.mundewadiayurvedicclinic.com and www.ayurvedaphysician.com  For Ayurvedic herbal treatment of meniere's disease, kindly click here

Saturday 12 October 2019

Successful Ayurvedic Herbal Treatment of Irritable Bowel Syndrome

Irritable bowel syndrome (IBS) is a chronic disease of the gastrointestinal tract characterized by abdominal pain and a change in bowel movement. Abdominal bloating or distension is also present. Altered bowel habits include diarrhea, constipation, or both in an alternating manner. In spite of the chronicity, affected individuals do not lose weight. In fact, weight loss, blood in stools, acute onset, late age onset, progressive symptoms, nocturnal symptoms, fever, and painless diarrhea are symptoms which may point to some other organic causes.

The management of this condition consists primarily in providing psychological support, dietary advice, and the use of medicines for troublesome symptoms. While this condition is chronic, with a relapsing and remitting nature, life expectancy remains unaffected, and most patients learn to manage their symptoms well enough by paying attention to dietary triggers. Psychological interventions are effective, and include cognitive-behavioural therapy, dynamic psychotherapy, and hypnotherapy.

IBS is primarily believed to be a functional disorder, with the absence of a specific and unique organic pathology. Increase or a change in bowel motility, increased pain sensitivity of the bowels, and increased psychological disturbance are associated with this condition. In recent times, some patients’ medical work-up has demonstrated the presence of organic pathology such as increased microscopic inflammation in some parts of the bowels, and a change in the bacterial population in the intestines. Some patients report onset of IBS after a chronic infection or after an episode of chronic diarrhea.

The Ayurvedic herbal treatment of IBS depends upon the history and presentation of the disease and its symptoms. It is important to look for organic causes which may mimic the symptoms. Herbal medicines which improve digestion and treat distension are important in the treatment of IBS. Medicines which increase or decrease bowel movement are used as required. Ayurvedic medicines also significantly reduce inflammation in the intestines, and therefore bring about remission on a long term basis.

Herbal medicines are also used to strengthen the nervous system and bring into harmony the psychological status of affected individuals. Reassurance, appropriate medicines, and simple dietary changes form the mainstay of IBS treatment. Along with the digestive treatment mentioned in the previous paragraph, these measures help immensely in reducing the hyperalgesia and disturbed intestinal motility, which are the hall marks of this condition. Medicines may also be required to treat chronic infection, or the after-effects of severe infection, if the history documents commencement of IBS after an infection.

Depending upon the severity of symptoms and the psychological status of affected individuals, Ayurvedic herbal treatment may be required for periods ranging from a few months to a few years.  However, a majority of affected individuals are able to live near normal lives, with a few modifications in lifestyle and food habits.

The writer, Dr A A Mundewadi is available as an Ayurvedic Consultant at www.mundewadiayurvedicclinic.com     and www.ayurvedaphysician.com  To start treatment for this condition, click here

Wednesday 25 September 2019

Ayurvedic Herbal Treatment of Eczema

Eczema is an eruption of the skin, usually preceded by intense itching. The eruptions, which are actually fluid filled vesicles, usually rupture with the leakage of fluid, following by crusting of the rash. Most individuals have a hereditary component, and are also usually susceptible to asthma, and hay fever. Most individuals gradually outgrow the tendency to eczema by 5 years of age; those who do not, may have chronic and persistent affliction. Environmental factors are also responsible, like excessive dryness. Rough, tight clothes, harsh chemicals, sweating, rubber or plastic gloves, and frequent washing can also cause or aggravate the condition.

Diagnosis is usually made by looking at the characteristic appearance and distribution of the rash, along with a detailed history of its appearance and trigger factors. Rarely, a biopsy may be required for a confirmed diagnosis. Treatment is usually with anti-inflammatory and anti-itch creams as well as steroid applications. Emollient creams help preserve moisture in the skin and are helpful. Antibiotic applications or oral medicines are sometimes required to treat secondary infection. Individuals are advised to keep the skin clean, avoid known irritants, and wear loose, soft clothing.

There is always some element of hypersensitivity or allergy in the manifestation of eczema. While steroid and antihistamine applications suppress this sensitivity, Ayurvedic herbal medicines work directly on the skin, the subcutaneous tissue, and the vascular apparatus, to reduce sensitivity, treat inflammation, remove accumulated toxins and damaged tissue, reduce hyperpigmentation and strengthen the affected skin parts. Medicines are also given to heal the lesions and modulate overall immunity so that the tendency to recurrence subsides gradually.

For patients who have extensive lesions all over the body, or have intractable eczema not responding to standard oral treatment, generalized detoxification is done using Ayurvedic Panchkarma procedures. These include induced emesis, induced purgation, and bloodletting. A systematic course - or courses - of these detoxification procedures are done and followed up with oral treatment for helping the skin lesions subside fully, without recurrence. For limited, localized, and long-standing eczema, sometimes just simple bloodletting from a nearby vein does wonders as a standalone treatment.

From the point of view of Ayurved, dietary advice is an important part of treatment, both for early and complete healing, as well as for preventing recurrence. Dietary recommendations for eczema – and for all skin diseases in general – include avoiding excess of salt, curds (yogurt), sweets; fermented, fried or acidic food items; and fruit salads prepared in milk. Other than these, even other food items known to aggravate the condition, should be avoided. Breathing and relaxation techniques help in reducing stress. Clothing and lifestyle choices which act as triggers should also be avoided.

For most people affected with eczema, Ayurvedic herbal treatment of about 6-8 months usually suffices to bring about a complete remission. Further treatment at tapering doses, or dietary advice, suffices in bringing about a recurrence. Ayurvedic herbal treatment can thus be judiciously used in the comprehensive management and treatment of chronic eczema.

The writer, Dr A A Mundewadi, is available as an Ayurvedic consultant at www.mundewadiayurvedicclinic.com    and www.ayurvedaphysician.com  You can start treatment for this condition here

Saturday 24 August 2019

Behcet Disease – Successful Ayurvedic Herbal Treatment

Behcet disease consists of the classical triad symptoms of recurrent oral ulcers, genital ulcers, and inflammation in the eyes. It is a rare autoimmune disease caused by generalized inflammation of arteries; most probably arising from an autoimmune response triggered by an exposure to an infectious agent, especially in genetically predisposed individuals. Inflammation of arteries (vasculitis), clot formation (thrombosis), and ballooning of artery walls (aneurysms) are the mechanisms which cause the symptoms and damage to the body systems in this disease.

The onset of symptoms is usually in the age from 20-40 years. In addition to mucocutaneous involvement, multiple systems in the body may be involved. Usually, involvement of only skin and mucous membranes denotes a mild course of disease, whereas serious manifestation may occur with involvement of the eyes, nervous system, heart, lungs, intestines and kidneys. Symptoms usually exhibit a relapsing and remitting course. There are no specific diagnostic tests for this condition, though the pathergy needle prick test may help with the diagnosis.

The Ayurvedic herbal treatment of Behcet disease commences with cellular detoxification as well as healing treatment of the affected parts of the body. Since inflammation of arteries is the hallmark pathology of this condition, the mainstay of treatment revolves around treating this inflammation aggressively as well giving herbal medicines for gradually bringing about immune modulation. If important organs are affected, these are treated on a priority basis to prevent serious damage and reduce mortality from this disease. Those individuals who have access to Ayurvedic Panchkarma treatment can opt for a course of raktamokshan (bloodletting) and tikta-ksheer basti (medicated enema).

Once the patient starts improving with treatment, other treatment to normalize metabolism and bring about a rejuvenation of the body systems, is started. This facilitates gradual tapering of medicines and prevents relapse of symptoms in the long run. Depending upon the severity of symptoms and response to treatment, most affected individuals require treatment for periods ranging from 6 – 18 months for a complete remission of symptoms and cessation of therapy after gradual tapering of medicines. Ayurvedic herbal treatment can significantly reduce the morbidity and mortality resulting from this disease.

It is equally important to avoid known trigger factors, reduce or manage stress, adapt relaxation techniques, bring about positive lifestyle modifications, and consume healing foods, mostly in the form of fresh vegetables and fruits.

The writer, Dr A A Mundewadi, is available as an Ayurvedic consultant at https://www.mundewadiayurvedicclinic.com and http://www.ayurvedaphysician.com

Thursday 8 August 2019

Spondylosis – Ayurvedic Herbal Treatment

Degenerative or osteoarthritic changes in the spine are known as spondylosis.  This is characterized by the presence of bone outgrowths known as bone spurs, and degenerative changes in the intervertebral discs. Spondylosis can occur in any part of the spine, but cervical and lumbar spondylosis tends to have more symptoms. This condition is different from spondylitis which involves inflammation, physical non-development (spondylolysis), and physical dislocation either forward or backward (spondylolisthesis). Spondylosis and a herniated disc can cause compression of the sciatic nerve causing symptoms of sciatica.

Ageing, genetics, and trauma are risk factors for spondylosis. Chronic pain is the commonest symptom of spondylosis; if a nerve is affected, symptoms like numbness and tingling can also occur. Treatment involves the use of medications, self-care, exercise and physical therapy, adjunctive therapies (chiropractics and acupuncture), and minimally invasive procedures such as injections, and surgery.

Ayurvedic herbal medicines have a special role to play in the long term management and treatment of spondylosis. Since spondylosis is said to be associated with age related degeneration, it is generally believed that no particular medicines can influence the long term outlook of this condition, since modern medicines only reduce swelling, inflammation and pain. However, Ayurvedic herbal medicines can reverse the ageing process in the spine to a significant degree.

When given in high doses for long durations, Ayurvedic herbal medicines can reduce the damage in the spine, make the vertebral bones strong and healthy, and reduce the swelling due to osteoporosis. In addition, the medicines also help to make the tendons and muscles attached to the spine very strong and healthy. This helps to reduce and eliminate chronic pain, which is the hallmark of spondylosis. In addition, pressure on sensitive nerves is also removed, thereby treating nerve related symptoms like pain, numbness, and impending paralysis.

A judicious combination of oral Ayurvedic herbs, local application of Ayurvedic medicated oils, hot fomentation, and regular exercise, can help most people suffering from spondylosis recover completely even from very chronic and severe affectations. That said, it is always advisable to get examined, investigated, diagnosed, and treated with Ayurvedic herbal medicines at the earliest possible in order to get the maximum possible benefit from treatment.

The writer, Dr A A Mundewadi, is available as an Ayurvedic Consultant at www.mundewadiayurvedicclinic.com and     www.ayurvedaphysician.com  You can start treatment for this condition here

Thursday 18 July 2019

Ayurvedic Herbal Treatment and Long-term Management of Mitral Regurgitation

Mitral regurgitation (MR) is a medical condition in which blood flows abnormally in a reverse direction from the left ventricle of the heart to the left atrium. Mitral valve prolapse (MVP), rheumatic heart disease, infective endocarditis, annular calcification, cardiomyopathy, and ischemic heart disease are the common causes for this condition. In the initial stages of this condition, there may be no, or minimal symptoms; as the disease progresses, affected individuals may experience breathlessness, lung congestion, and heart failure. Clinical history, physical examination, chest X-ray, ECG, 2-d echo, and cardiac catheterization may be required for an accurate diagnosis of this condition.

Conservative therapy includes diuretics, medicines to improve heart function, blood thinning drugs, and regular medication for prevention of infection. Surgical options include repair or replacement of the damaged valve; with repair being the preferred option for most patients. Ayurvedic herbal treatment can be added in the long term management of MR patients to improve quality of life, reduce symptoms, and postpone the requirement for surgical intervention, which has its own inherent risks.

It is important to use herbal medicines which improve heart efficiency and function, and reduce inflammation and prevent infection. However, the use of Ayurvedic medicines which act on the mitral valve, especially on the tendon chords and muscle attached to it, is of greater importance and relevance in treating MR, since the efficacy of these medicines determines the overall success and utility of the treatment.

Treatment is usually given for a period of about 6-8 months. Further treatment decisions will depend upon the response of the patient to the treatment given thus far. Maintenance therapy, in the form of a few medicines, may be required in patients with severe mitral regurgitation. Most patients with moderate mitral regurgitation may be safely managed on a long term basis with the help of Ayurvedic herbal medicines.

The writer, Dr A A Mundewadi, is available as an Ayurvedic Consultant at https://www.mundewadiayurvedicclinic.com and http://www.ayurvedaphysician.com