Ayurvedic treatment for Celiac disease

Celiac disease

Know More on Gastro Intestinal diseases

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

Definition

Celiac disease Ayurvedic treatment

WHAT IS CELIAC DISEASE?

The word celiac refers to the intestine. Celiac disease therefore refers to a condition of the intestines. It basically refers to a type of food allergy to a component of food called ‘gluten’. Gluten is a type of protein found in grains. Allergy to gluten causes stomach discomfort such as bloating, gas, pain, diarrhea, etc.1

Due to allergy to gluten, eating causes an immune response in the small intestine. After some time these immune responses lead to damage of the lining of the intestinal wall and prevents absorption of nutrients (therefore causing a malabsorption).1,2

As per Ayurveda, the symptoms of celiac disease resonate with a condition described as as ‘Grahaniroga’. Grahani is the term given to the base of body’s digestive fire (agni).3 Due to many factors causing a weakened digestive fire (agni), the ingested food material does not get absorbed properly and results in irregular bowel movement, food aversion, vomiting, dizziness, acidic belches, etc.4

Any person, who does not adapt to practices of food (basis time, place, and season), and suppresses natural urges will be at risk of weakened digestive power. Stress levels affect the food habits and lifestyle. Ayurvedic treatment mainly focuses on increasing Agni (digestion power) that promotes the healthy functioning of the gut.5

Causes

Celiac disease

CELIAC DISEASE CAUSES

Although celiac disease affects anybody, it is commonly found in people where they have2:

  • A family member has the same disease
  • If they suffer from Type 1 diabetes
  • Any genetic diseases are seen
  • Having a thyroid disease
  • Suffering from rheumatoid arthritis

Symptoms

Celiac disease

CELIAC DISEASE SYMPTOMS

The signs and symptoms of celiac disease differ from person to person and also from children to adults. Common signs seen in adults are:2

  • Loose motions
  • Fatigue
  • Loss of weight
  • Bloating of stomach
  • Pain in abdomen
  • Nausea & vomiting
  • Feeling of constipation

Additionally, many people may show signs and symptoms of malabsorption due to loss of nutrients. These are 2

  • Low blood count or Anemia
  • Weak bones
  • Itching and rashes in skin
  • Damage to teeth
  • Ulcers in mouth
  • Pain in joints
  • Heartburn

Diagnosis

Celiac disease

CELIAC DISEASE DIAGNOSIS

A detailed physical examination and some blood tests can help diagnose celiac disease.1

If the results of these tests indicate celiac disease, doctors may require an endoscopy exam to test the inside of the intestines and analyze any damage.1

Management

Celiac disease

CELIAC DISEASE AYURVEDIC TREATMENT

Diet Recommendations (Aahar)

Ayurveda highly recommends:

  • Regular intake of buttermilk (takra)
  • Intake of roasted Cumin seeds and pomegranate
  • Drinking warm water
  • Consuming easy-to-digest foods
  • Avoiding gluten rich cereals like wheat, wheat germ, rye, barley, bulgur, cous cous, farina and graham flour
  • Avoiding foods such as curd (dadhi), alcohol (madya), and soft and acidic drinks (shukta)
  • Avoiding staying up at night (jagarana), suppression of urges (vegadharana), improper posture (aniyata asaba) and fasting for longer periods (upavasa).

Lifestyle changes (Vihar)

Ayurveda recommends regular practice of yogasanas for treating celiac disease. Some recommended asanas include:

1. Suryanamaskara: It is a whole body exercise and is particularly helpful because it allows you to have a deep and rhythmic breathing.

Description: http://i.istockimg.com/file_thumbview_approve/16634231/6/stock-illustration-16634231-suryanamaskar.jpg

2. Udarshaktivikasakayogasanas -

i. Pawanmuktasana (wind-relieving pose): This helps in releasing excess gas from the body.

Description: http://moonladyyoga.files.wordpress.com/2012/02/a5.jpg

ii. Shavasana (corpse pose): This pose helps in relaxing and calming.

Description: http://www.yogapoint.com/yoga-poses/images/types-of-asana/shavasana-inner-img2.jpg

These practices provide relief from stress and also by creating positive physiological changes in the whole body through modulating the nervous system

iii. Ardhamatsyasana (half-seated spinal twist): The Sitting Half-Spinal twist supports the backbone. This yoga posture also stimulates the adrenal glands

Description: http://www.astrogle.com/images/2014/09/ardha_matsyendrasana.jpg

iv. Bhujangasana (cobra pose): The Cobra pose helps to maintain abdomen tone. It helps to manage stress, tackles fatigue and improves blood circulation.

Description: http://www.stafforini.com/yoga/Bhujangasana.jpg

3. Kriyas including nauli (yogic cleansing exercise) and agnisara (rigorous movement of the abdominal muscles)

Description: http://www.pomyc.org/images/nauli.jpg Description: http://www.yogapoint.com/images/udiyan.jpg

4. Nadishodhan pranayama (alternate nostril breathing).

Description: Image result for pranayama

FAQS

Celiac disease
  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

Celiac disease
  1. Mayo Clinic. Celiac diseases - overview. Available at http://www.mayoclinic.org/diseases-conditions/celiac-disease/home/ovc-20214625 accessed on Aug 23rd 2016
  2. World J Gastroenterol.2012 Nov 14;18(42):6036-59. doi: 10.3748/wjg.v18.i42.6036. Celiac disease: prevalence, diagnosis, pathogenesis and treatment. Gujral N1, Freeman HJThomson AB.
  3. Khatik RK, Sharma A. Clinical Efficacy of Vrahat Dadimashtak Choorna: A Critical Review. Int JAyur Pharma Res. 2015;3(12):24-29.
  4. Bisht Y, Sushma R. Management Of IBS - A Psychosomatic Disorder. Int Ayu Med J. Jan 2016. Vol. 4(2): 15-19
  5. Kavuri V, Raghuram N et al. Irritable Bowel Syndrome: Yoga as Remedial Therapy. Evid Based Compl Alt Med. Volume 2015, Article ID 398156: 10 pages

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 celiac disease without consulting the doctor. Consult your physician before beginning an exercise regime. "While we have products /ayurvedic medicines for gastro-intestinal-diseases and/or celiac disease, 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"