Ayurvedic treatment for Jaundice fever

Jaundice fever

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  • Definition
  • Causes
  • Symptoms
  • Diagnosis
  • Management
  • FAQS
  • References

Definition

Jaundice fever Ayurvedic treatment

WHAT IS JAUNDICE FEVER?

Jaundice fever is a condition where fever is accompanied by yellowness of the skin and white part of the eyes. This happens due to high amount of bilirubin (a yellow pigment) in the blood—a condition called hyperbilirubinemia.1

In many people with jaundice, dark urine and light-colored stools are also noticed. These changes occur when a blockage or other problem prevents bilirubin from being eliminated in stool, causing more bilirubin to be eliminated in urine.1

Jaundice is correlated with the disease Kamala in Ayurvedic literature. This is a pittaj vyadhi - i.e. one that is caused due to vitiated pitta dosha. It is caused due to interactions between the Agni (digestive fire), Ama (undigested toxins), Dosha (biofactors), Dushya (cells), and Srotas (tissues).2

Kamala is further classified into koshthashrita kamala (Obstructive jaundice) and shakhashrit kamala (Cholestatic jaundice). In kosthashrit, the excessive pitta vridhi due to all the above mentioned nidana (causes), produces abnormality in the Raktavaha srotas and Raktvaha sroto mula (bood tissues), causing localized affliction in the liver. Then ati pravriti (excessive flow) of pitta occurs through pitta vaha srotas (channels of pitta) into the koshtha (Abdomen), resulting in the dark yellow coloration of urine and stool. Vitiated vata also causes ati-pravriti of pitta in Rasa-Rakta and other dhatus. So when this vridha pitta reaches the sites of the clinical manifestation of Kamala disease via Rasa-Rakta Dhatus, it produces yellow discoloration just like that of Haridra (turmeric) in these sites i.e. in eyes, skin, face nail, urine etc. which is the cardinal signs of Kamala.2 Ayurveda also describes the complications of Kamala.

Causes

Jaundice fever

JAUNDICE FEVER CAUSES

The most common causes of jaundice are1

  • Viral infections of the liver
  • Hepatitis – inflammation of the liver – usually due to virus
  • Alcoholic liver diseases
  • A blockage of a bile duct by a gallstone (usually) or tumor
  • A toxic reaction to a drug or medicinal herb

Symptoms

Jaundice fever

JAUNDICE FEVER SYMPTOMS

In people with jaundice, the following symptoms are cause for concern1:

  • Severe abdominal pain and tenderness
  • Changes in mental function, such as drowsiness, agitation, or confusion
  • Blood in stool or tarry black stool
  • Blood in vomit
  • Fever
  • A tendency to bruise or to bleed easily, sometimes resulting in a reddish purple rash of tiny dots or larger splotches (which indicate bleeding in the skin)1

Diagnosis

Jaundice fever

JAUNDICE FEVER DIAGNOSIS

Diagnosis of Jaundice is fairly uncomplicated with clear visibility of the yellowness of eyes and dark coloration of urine.1

Doctors may ask for certain tests to understand the damage to the liver or to understand the viral load on the liver and determine the treatment course. Ultrasound of the liver and serological tests to identify the type of virus, are also required. 1

Management

Jaundice fever

JAUNDICE FEVER AYURVEDIC TREATMENT

Allowing the disease to run its course and ensuring supportive treatment is provided, is the basic principle of Ayurvedic management.2 Therapeutic emesis (Virechana karma) may be beneficial in this condition.

Diet Recommendations (Aahar)

Avoid excessive intake of amla (sour), lavan (salty), katu (hot), kshar (Alkali) ushna, tikshna rasas (intake of hot, spicy and junk food).2

Include bitter tasting vegetables like methi, spinach, bitter and the ridged gourds and Draksha (raisins/ munnaka) in diet. Ripe banana, Cheeku (sapota), any of the juices from Carrot, Radish, Beetroot, bitter gourd and sugarcane with lemon, mint, fresh lime and ginger and low fat buttermilk seasoned with roasted cumin and little salt  will help provide nutrition and avoid constipation.3

Lifestyle changes (Vihar)

Avoid exertion- Ati vyayam (excessive exercise), Atimaithun (excessive sexual intercourse), Diwasvapana (sleeping at day time) and Vegvidharan (holding of natural urges)2

FAQS

Jaundice fever
  1. How is sinusitis caused? Does it have anything to do with cold foods?

Sinusitis is basically an inflammation of the membranes of para-nasal sinuses or the group of four paired air-filled spaces that surround the nasal cavity. Colds, bacterial infections, allergies, asthma and other health conditions can cause sinusitis, or inflammation of the para-nasal sinuses.

In some people, cold foods may flare the condition and aggravate the allergies resulting in sinus problems. Such people should avoid eating cold foods.

  1. What are symptoms of Asthma? How do I know if someone may have asthma?

Symptoms of Asthma differ from person to person. Some may have infrequent asthma attacks, some have symptoms only at certain times — such as when exercising — or some have symptoms all the time. 

Asthma signs and symptoms include-

  • Shortness of breath
  • Chest tightness or pain
  • A whistling or wheezing sound when exhaling (wheezing is a common sign of asthma in children)
  • Trouble sleeping caused by shortness of breath, coughing or wheezing
  • Coughing or wheezing attacks that are worsened by a respiratory virus, such as a cold or the flu
  1. My reports show a low platelet count, do I have dengue?

Diagnosing dengue fever can be difficult, because its signs and symptoms can be easily confused with those of other diseases — such as malaria, chikungunya, leptospirosis and typhoid fever.

Your doctor will likely ask about your medical and travel history. Be sure to describe any contact you may have had with mosquitoes. Certain laboratory tests can detect evidence of the dengue viruses, but test results usually come back too late to help direct treatment decisions. A low platelet count is generally seen in dengue but is not the only isolated finding. Fever, body-ache, skin rash, which appears two to five days after the onset of fever and minor bleeding accompanied by low platelet count is conclusive of Dengue.

  1. How does one contract typhoid? 

Typhoid fever is caused by a bacteria called S. typhi. This bacteria spreads through ingestion of contaminated food or water, and occasionally through direct contact with someone who is infected. In developing nations, where typhoid fever is endemic, most cases result from contaminated drinking water and poor sanitation. The majority of people in industrialized countries pick up typhoid bacteria while traveling and spread it to others through the fecal-oral route or contamination of food and drinking water with fecal contact that may occur due to flies, etc.

This means that S. typhi is passed in the feces and sometimes in the urine of infected people. You can contract the infection if you eat food handled by someone with typhoid fever who hasn't washed hands carefully after using the toilet. You can also become infected by drinking water contaminated with the bacteria.

  1. Can malaria only spread from mosquitoes?

Although the commonest cause of malarial fever is due to a bite by the infected female anopheles mosquito, this is not necessarily the only way one can be affected. 

Because the parasites that cause malaria affect red blood cells, people can also catch malaria from exposures to infected blood, including:

  • From mother to unborn child
  • Through blood transfusions
  • By sharing needles used to inject drugs
  • Organ transplants
  1. Does yellowness of eyes always mean there is a liver problem?

In some people who eat large amounts of food rich in beta-carotene (such as carrots, squash, and some melons), their skin may look slightly yellow, but their eyes do not turn yellow. This condition is not jaundice and is unrelated to liver disease.

Yellowness of the eyes is usually due to the leaked bilirubin pigment in the blood stream. This is called jaundice and most probably occurs in cases of liver inflammation. Such patients will also have a visible yellowness of skin.

  1. How does one get elephantiasis? 

Elephantiasis is basically swelling of the lymph glands due to an infection. The disease spreads from person to person by mosquito bites. When a mosquito bites a person who has lymphatic filariasis, microscopic worms circulating in the person's blood enter and infect the mosquito. People get lymphatic filariasis from the bite of an infected mosquito. The microscopic worms pass from the mosquito through the skin, and travel to the lymph vessels. In the lymph vessels they grow into adults. An adult worm lives for about 5–7 years. The adult worms mate and release millions of microscopic worms, called microfilariae, into the blood. People with the worms in their blood can give the infection to others through mosquitoes.

  1. What is the difference between Pneumonia and Pneumonitis?

Pneumonia is an infection that inflames the air sacs in one or both lungs. The air sacs may fill with fluid or pus (purulent material), causing cough with phlegm or pus, fever, chills, and difficulty breathing.

Pneumonitis on the other hand, is a general term that refers to inflammation of lung tissue. Although pneumonia is technically a type of pneumonitis because the infection causes inflammation, most doctors refer to other causes of lung inflammation when they use the term "pneumonitis”.

Factors that can cause pneumonitis include exposure to airborne irritants at your job or from your hobbies. In addition, some types of cancer treatments and dozens of drugs can cause pneumonitis.

  1. Is rheumatic fever same as rheumatoid arthritis?

They are different. Rheumatic fever occurs after an infection of the throat with a bacterium called Streptococcus pyogenes, or Group A streptococcus. Group A streptococcus infections of the throat cause strep throat or, less commonly, scarlet fever. Group A streptococcus infections of the skin or other parts of the body rarely trigger rheumatic fever. The exact link between strep infection and rheumatic fever isn't clear, but it appears that the bacterium ‘plays tricks’ on the immune system.

Rheumatic fever usually occurs in younger population especially children while rheumatoid arthritis is a systemic inflammation of the body that mostly affects the joints in adults. Rheumatoid arthritis is an autoimmune disease. This means that certain cells of the immune system do not work properly and start attacking healthy tissues — especially the joints. The one that affects young children is called stilts disease.

  1. Every time I touch cold water I get these spots on my skin. There is no other complaint. Is this because of some allergy to water?

You may have a condition called Urticaria. It is a skin reaction that causes red or white itchy spots on the skin. There is a type of Urticaria called cold urticaria, in which skin that has been in contact with cold develops reddish, itchy spots. The severity of cold urticaria symptoms varies widely. Some people have minor reactions to cold, while others have severe reactions. Swimming in cold water is the most common cause of a whole-body (systemic) reaction.

References

Jaundice fever
  1. Herrine SK. Jaundice in Adults. Merck manuals. Available at http://www.merckmanuals.com/home/liver-and-gallbladder-disorders/manifestations-of-liver-disease/jaundice-in-adults accessed on Aug 24th2016
  2. Singh M, Sharma N et al. Conceptual Study Of Kamala (Jaundice). IAMJ. May – June 2013; Vol. 1(3): 1-4
  3. Charak Samhita of Agnivesha. Vidhyotini Hindi Vyakhya- Sastry K & Chaturvedi G – Editors. Chaukhambha Bharati Academy, Varanasi 221001. Reprint 2011. Chapter 16.

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