Ayurvedic treatment for Acid reflux disease or Amlapitta

Acid reflux disease or Amlapitta

Know More on Gastro Intestinal diseases

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

Definition

Acid reflux disease or Amlapitta Ayurvedic treatment

WHAT IS ACID REFLUX DISEASE OR AMLAPITTA?

Acid reflux disease - also called Gastro-esophageal reflux disease (GERD) is a condition in which acid from the stomach moves up into the esophagus (food pipe).1

People with GERD often feel acidity and a bitter taste in their mouth. For many people, it may just be an occasional condition, but for many others it may turn out to be a severe, lifelong issue.1

Ayurveda identifies Acid reflux disease as Amlapitta. The condition has been described in detail in classical Ayurvedic texts like Kashyap samhita, Yogaratnakara and Bhaisajyaratnawali.4

The disease often presents with symptoms like Indigestion (Avipaak), tiredness (Klama), nausea (Utklesa), sour and bitter burping (Tikta-Amla Udgaar), heaviness (Gauravata), heart and throat burn (Hrit-Kantha Daha) and dislike towards food ( Aruchi).5

Causes

Acid reflux disease or Amlapitta

ACID REFLUX DISEASE OR AMLAPITTA CAUSES

A common cause of acid reflux disease is an abnormality in the stomach known as hiatus hernia. Hiatus hernia affects the muscles of the food pipe and stomach. This leads to more severe disease and tissue damage in the stomach, causing acid reflux.2

You could be at risk of acid reflux diseases if you:-3

  • Eat large meals or lie down right after a meal, being overweight or obese
  • Eat a heavy meal and lie on your back, or bend over at the waist
  • Have a habit of snacking close to bedtime
  • Eat certain foods, such as citrus fruits, tomatoes, chocolate, mint, garlic, onions, spicy or fatty foods
  • Consume beverages, such as alcohol, carbonated drinks, coffee, or tea
  • Smoke regularly
  • Are pregnant since the weight of growing foetus may lead to acid reflux
  • Have medicines such as painkillers, certain muscle relaxers, blood pressure medicines or medicines containing estrogen.

According to Ayurveda excess formation of aggravated pitta dosha (pittvriddhi) is thought to be the main cause of this disease. The pitta is aggravated as a result of poor diet and lifestyle habits. Changes in seasons may also lead to excessive acid production.4

High prevalence rate of Amlapitta may be due to indulgence in unhealthy food, unhealthy regimens and stress. Dietary causes like intake of non-vegetarian food, conflicting foods, prolonged fasting, hot foods, salty and sour tastes, regimen based causes like habit of smoking, tobacco chewing, excess tea, coffee, alcohol, stale, fermented foods, Stressful daily routine and psychological state like anger, iInsufficient sleep at night.6

Symptoms

Acid reflux disease or Amlapitta

ACID REFLUX DISEASE OR AMLAPITTA SYMPTOMS

Symptoms of Acid reflux/GERD often include the following1:

  • Heartburn (burning sensation in the chest that usually often occurs after eating or if hungry for long periods)
  • Acid reflux (where acid from the stomach comes back up into your mouth and causes an unpleasant, sour taste, hoarseness of voice and at times, cough
  • Bad breath
  • Bloating sensation and frequent burping
  • Feeling sick or nauseating e. feeling like vomiting
  • Pain when swallowing and/or difficulty swallowing

Diagnosis

Acid reflux disease or Amlapitta

ACID REFLUX DISEASE OR AMLAPITTA DIAGNOSIS

Your doctor will ask for detailed symptoms. He can also ask to undergo certain tests that can help to confirm the diagnosis of reflux disease.1

Some common tests include1:

  • An endoscopy: a procedure where the inside of your gut is examined using an endoscope
  • A barium swallow or barium meal test: is a test to assess your swallowing ability and look for any blockages or abnormalities in your esophagus.
  • Manometry: Manometry is used to assess how well the ring of muscle at the end of your esophagus is working, by measuring the pressure in your esophagus
  • 24-hour pH monitoring: The acidity level is measured over 24 hours, using a thin tube containing a sensor that's passed up your nose and down your esophagus. This is usually connected to a recording device worn on your waist.

Management

Acid reflux disease or Amlapitta

ACID REFLUX DISEASE OR AMLAPITTA AYURVEDIC TREATMENT

Ayurvedic management of the condition requires simple dietary changes with lifestyle modification. Use of certain Ayurvedic Herbs like Amla, mint, liquorice, shatavari and moringa leaves may help to relieve the symptoms.

Diet Recommendations (Aahar)

Include these foods in your diet:

  • Eat barley, wheat, old rice, moong soup, rice pops
  • Include bitter vegetables like bitter gourd (Karella), pointed gourd, and white gourd
  • Have pomegranate, amla, and wood apple (Kapitha)
  • Milk may help neutralize acidity
  • Non vegetarians should prefer meat of animals living in dry land and avoid fish, etc
  • Use of Honey may be beneficial, as it soothes the lining of the food pipe and helps heal the damage caused by acid reflux.

 Avoid these foods in your diet (Apathya):

Fried foods, sesame seeds (Tila), black gram (urad), horse gram (Kulattha), new rice, soyabean, peas, red gram, curd, alcohol, and salty-sour-bitter tasting drinks

Lifestyle changes (Vihar)

  • Spend time around cool surroundings or ambience
  • Get adequate rest
  • Avoid excessive eating, conflicting foods, emotions like anger, and sadness or stress, irregular meal times or skipping meals and eating too late at night.

Some exercises/asanas recommended for amlapitta:

Setubandhasana:

Helps strengthen the abdominal organs and protect from acid erosion

Halasana:

Supports digestion and protects in acidity.

Vajrasna , and Utthita Trikonasana (Extended triangle pose) are some other beneficial yoga poses.

FAQS

Acid reflux disease or Amlapitta
  1. What is GERD?

Acid reflux disease - also commonly known as Gastro-esophageal reflux disease (GERD) is condition in which acid from the stomach regurgitates or moves up into the esophagus (gullet).

  1. How are fissures caused?

An anal fissure may occur when due to passing of hard or large stools during a bowel movement. Anal fissures typically cause pain and bleeding with bowel movements. One may experience spasms in the ring of muscle at the end of the anus (anal sphincter).

  1. Can a fissure heal completely?

With appropriate treatment and following of pathya apathya, a fissure can heal completely. Although care should be taken not to be constipated and have high amount of fiber in food.

  1. What is a kshar karma? How is it different from other surgery

Kshar karma is a specialized Ayurvedic surgical procedure that involves minimal blood loss and provides excellent relief in hemorrhoids and fistulas. It involves the applying of a sclerosing agent, such as apamarg kshar snuhi kshar etc.

It differs from conventional surgery as in it does not require anaesthesia, shows minimal blood loss and need not require inpatient admissions.

  1. What are the risk factors of developing bowel incontinence?

A number of factors can increase the risk of developing fecal incontinence. These include:

  • Age: It is more common in middle-aged and older adults.
  • Female gender: Fecal incontinence is slightly more common in women. One reason may be that fecal incontinence can be a complication of childbirth.
  • Nerve damage: People who have long-standing diabetes or multiple sclerosis — conditions that can damage nerves that help control defecation — may be at risk of fecal incontinence.
  • Dementia: Fecal incontinence is often present in late-stage Alzheimer's disease and dementia.
  • Physical disability: Being physically disabled may make it difficult to reach a toilet in time. An injury that caused a physical disability also may cause rectal nerve damage, leading to fecal incontinence. Also, inactivity can lead to constipation, resulting in fecal incontinence.
  1. What exercises can be done to have better control on the motions?

Certain asanas that help strengthen the pelvic floor (muscles around the anal opening) are recommended for better control over the anorectal area. These are -

Utkatasana                   Virabhadrasana                 Ananda Balasana             Shlabhasana

 

  1. Can celiac disease lead to anything serious?

Untreated, celiac disease can cause the following complications:

  • Malnutrition: The damage to your small intestine means it can't absorb enough nutrients. Malnutrition can lead to anemia and weight loss. In children, malnutrition can cause slow growth and short stature.
  • Calcium loss of calcium and low bone density: Malabsorption of calcium and vitamin D may lead to a softening of the bone (osteomalacia or rickets) in children and a loss of bone density (osteoporosis) in adults.
  • Infertility and miscarriage: Malabsorption of calcium and vitamin D can contribute to reproductive issues.
  • Lactose intolerance: Damage to your small intestine may cause you to experience abdominal pain and diarrhea after eating lactose-containing dairy products, even though they don't contain gluten. Once your intestine has healed, you may be able to tolerate dairy products again. However, some people continue to experience lactose intolerance despite successful management of celiac disease.
  • Cancer: People with celiac disease who don't maintain a gluten-free diet have a greater risk of developing several forms of cancer, including intestinal lymphoma and small bowel cancer.
  • Neurological problems: Some people with celiac disease may develop neurological problems such as seizures or peripheral neuropathy (disease of the nerves that lead to the hands and feet).

In children, celiac disease can also lead to failure to thrive, delayed puberty, weight loss, irritability and dental enamel defects, anemia, arthritis, and epilepsy.

  1. Who gets affected by pancreatitis?

Acute pancreatitis is more common in middle-aged and elderly people, but it can affect people of any age. Men are more likely to develop alcohol-related pancreatitis, while women are more likely to develop it as a result of gallstones.

  1. What are the common causes of developing ulcers in stomach?

Common causes of peptic ulcers include -

  • Long-term use of non steroidal anti-inflammatory drugs (NSAIDs)
  • An infection with the bacteria Helicobacter pylori (H. pylori)
  • Rare cancerous and/or noncancerous tumors in the stomach, duodenum, or pancreas

Addtionally, intake of alcohol and smoking also increase the chances of having a gastric ulcer.

  1. What causes hemorrhoids?

Swelling in the anal or rectal veins causes hemorrhoids. Several factors may cause this swelling, including -

  • Chronic constipation or diarrhea
  • Straining during bowel movements
  • Sitting on the toilet for long periods of time
  • A lack of fiber in the diet

Another cause of hemorrhoids is the weakening of the connective tissue in the rectum and anus that occurs with age.

Pregnancy can cause hemorrhoids by increasing pressure in the abdomen, which may enlarge the veins in the lower rectum and anus. For most women, hemorrhoids caused by pregnancy disappear after childbirth.

 

References

Acid reflux disease or Amlapitta
  1. NHS Choices. Heartburn and gastro-oesophageal reflux disease (GORD) Available at http://www.nhs.uk/conditions/Gastroesophageal-reflux-disease/Pages/Introduction.aspx accessed on August 17th 2016
  2. Boeckxstaens G, El-Serag HB et al. Symptomatic reflux disease: the present, the past and the future. Gut 2014;0:1–9
  3. Nwokediuko SC. Current Trends in the Management of Gastroesophageal Reflux Disease: A Review. ISRN Gastroenterol. 2012; 2012: 391631.
  4. Chauhan Gouri et. al. Avipattikar choorna and Sutasekhar rasa in the management of Urdhwaga amlapitta. J Pharm Sci Innov. 2015;4(1):11-15
  5. Yogaratnakar; Uttarardha, amplapittanidaanam, shloka no. 02; 2009. Hindi commentary by Vaidya Shri Laxmipati Shastri. Chaukhamba Sanskrit Sansthan, Varanasi.
  6. B, Negalur V, Acharya Y. An Observational Study on Urdwaga Amlapitta Nidana w.s.r. to Diet and Lifestyle. J Ayurveda Integr Med Sci 2016;1(1):29-35
  7. Prakash TD. A Case Study On Amlapitta (Gastritis). Int J Ayur Herb Med. 2015; 5:3:1804–06

Disclaimer: The information on this page is not intended to be a substitute for professional medical advice. Do not use this information to diagnose or ayurvedic treatment of gastro-intestinal-diseases and/or acid reflux disease or amlapitta without consulting the doctor. Consult your physician before beginning an exercise regime. "While we have products /ayurvedic medicines for gastro-intestinal-diseases and/or acid reflux disease or amlapitta, you must consult an authorized physician before taking any of the products. For more information on products, visit www.dabur.com or call 1800-103-1644"