Ayurvedic treatment for Diverticular disease

Diverticular disease

Know More on Gastro Intestinal diseases

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

Definition

Diverticular disease Ayurvedic treatment

WHAT IS DIVERTICULAR DISEASE?

The term Diverticula means small sized pockets in the intestinal walls. These generally occur in the lower part of the large intestine (colon) and are quite common in people above the age of 40 without causing serious problems.1

diverticulitis

At time, some of these pouches may develop an infection causing swelling. This is known as Diverticulitis. It is responsible for causing severe pain in abdomen, fever, nausea and changes in bowel habits.

Though mild diverticulitis can be taken care with adequate rest, changes in food habits and medicines, severe or recurring diverticulitis often requires surgery.1

In Ayurveda, diverticular diseases are described under Grahaniroga – a disease in which digestive fire is impaired. .6

Causes

Diverticular disease

DIVERTICULAR DISEASE CAUSES

Diverticula develop in the weak parts of the inside of intestinal walls and diverticultiits occurs when these diverticula get inflamed for multiple reasons including infections.3

The risk factors of developing diverticulitis are4:

  • Increasing age
  • Being obesity or overweight
  • Smoking
  • No exercise
  • A non-vegetarian diet with low fiber
  • Certain medications 

According to Ayurveda, 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.5

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.6

Symptoms

Diverticular disease

DIVERTICULAR DISEASE SYMPTOMS

The common signs and symptoms of diverticulitis are5:

  • Moderate to severe pain - usually in lower left side of the abdomen
  • Nausea and vomiting
  • High fever
  • Constipation or even diarrhea

Diagnosis

Diverticular disease

DIVERTICULAR DISEASE DIAGNOSIS

Diverticulitis is generally diagnosed by an acute pain attack in the abdomen. Doctor generally do a physical examination and ask for some tests to find out the exact cause of the pain. 1

Common tests that are requested by doctors are: 1

  • Blood and urine tests, to check for signs of infection.
  • Pregnancy test, to rule out pain due to pregnancy.
  • Liver function tests, to rule out liver related causes of pain.
  • Testing the stools, to rule out infection in people who have diarrhea.
  • CT scan, which can indicate inflamed or infected pouches and confirm a diagnosis of diverticulitis. CT can also indicate the severity of diverticulitis and guide treatment.

Management

Diverticular disease

DIVERTICULAR DISEASE AYURVEDIC TREATMENT

Treatment in Ayurveda mainly focuses on increasing Agni (digestion power) that promotes the healthy functioning of the gut.6

Diet Recommendations (Aahar)

Ayurveda highly recommends

  • Regular intake of buttermilk
  • Ingestion of cumin seeds and pomegranate
  • Drinking warm water
  • Eating easy-to-digest foods
  • Avoiding curd, alcohol, acidic and soft drinks and fasting

Lifestyle changes (Vihar)

Ayurveda highly recommends

  • Avoiding suppression of urges, improper posture and staying up late at night
  • Yogasanas for relief, such as:2,6

1. Suryanamaskara:

2. Udarshaktivikasakayogasanas -

i. Pawanmuktasana (wind-relieving pose):

ii. Shavasana (corpse pose):

FAQS

Diverticular 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

Diverticular disease
  1. Mayo clinic. Diverticulitis. Available at http://www.mayoclinic.org/diseases-conditions/diverticulitis/basics/definition/con-20033495 accessed on Aug 24th 2016
  2. Bisht Y, Sushma R. Management Of IBS - A Psychosomatic Disorder. Int Ayu Med J. Jan 2016. Vol. 4(2): 15-19
  3. Mayo clinic. Diverticulitis - Causes Available at http://www.mayoclinic.org/diseases-conditions/diverticulitis/basics/causes/con-20033495 accessed on Aug 24th 2016
  4. Mayo clinic. Diverticulitis - Risk factors Available at http://www.mayoclinic.org/diseases-conditions/diverticulitis/basics/complications/con-20033495 accessed on Aug 24th 2016
  5. Mayo clinic. Diverticulitis - symptoms Available at http://www.mayoclinic.org/diseases-conditions/diverticulitis/basics/symptoms/con-20033495 accessed on Aug 24th 2016
  6. 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 diverticular 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 diverticular 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"