How to treat terminal ileum ulcer and abdominal pain - #23081

Avoid addiction if any. Avoid spicy, oily and processed food. Regular use of buttermilk. Cap.Florasante 1-0-1 Tab.Sunthi 2-0-2

HELLO HIMANSHU,

WHAT IS HAPEENING INSIDE YOUR BODY?

According to modern 1)TERMINAL ILEUM ULCER -THE TERMINAL ILEUM IS THE LAST PART OF THE SMALL INTESTINE BEFORE IT JOINS THE LARGE INTESTINE. -A MUCOSAL ULCER IN THIS AREA MEANS THE PROTECTIVE LINING HAS BEEN DAMAGED,LIKELY BY CHRONIC INFLAMMATION *PROBABLE CAUSES- CROHN’S DISEASE(EARLY STAGE), NASID-RELATED DAMAGE, INFECTIOUS COLITIS, AUTOIMMUNE INFLAMMATION.

2)FOCAL ACTIVE COITIS FOCAL=LOCAL AREA, ACTIVE=INFLAMED NOW COLITIS= INFLAMMATION OF THE COLON -IT SHOWS THAT SOME PARTS OF THE COLONARE INFLAMED, LIKELY WITH IMMUNE CELL INFILTRATION *PROBABLE CAUSES-INFECTIONS, EARLY CHRONS OR ULCERATIVE COLITIS, DRUG REACTIONS,FOOD RELATED INFLAMMATION

3)INTRAEPITHELIAL LYMPHOCYTOSIS -LYMPHOCYTES ARE IMMUNE CELLS -INTRAEPITILIAL MEANS THEY ARE CROWDING INSIDE THE LINIG OF THE INTESTINE -THIS INDICATES CHRONIC IMMUNE SYSTEM ACTIVATION,POSSIBLY DUE TO- FOOD SENSITIVITES(ESPECIALLY GLUTEN OR SUGAR), MICROBIOME IMBALANCE, AUTOIMMUNE INFLAMMATION, EARLY MICROSCOPIC COLITIS OR LYMPHOCYTIC COLITIS

WHAT IS HAPPENING INTERNALLY-

1)MUSCOSAL DAMAGE- THE PROTECTIVE INTESTINAL LINING IS ERODED->ULCERS FORM

2)IMMUNE OVERACTIVATION- LYMPHOCYTES INVADE GUT LINING->CHRONIC INFLAMMATION

3)LEAKY GUT- DAMAGED LINING CAN’T CONTROL WHAT ENTERS THE BLOODSTREAM->INCREASED FOOD INTOLERANCE(LIKE SUGAR)

4)DIGESTIVE BREAKDOWN- ENZYMES POORLY SECRETED, FOOD POORLY DIGESTED->FERMENTING->BLOATING,GAS,PAIN.

5)ABSORPTION DISTURBANCE-NUTRIENTS LIKE B12,IRON,MAGNESIUM NOT ABSORBED->FATIGUE -FREQUENT STOOLS WORSEN WEAKNESS

6)MICROBIAL IMBALANCE- HEALTHY BACTERIA ARE REDUCED,BAD ONES INCREASE->WORSENS INFLAMMATION

#ACCORDING TO AYURVEDA -TERMINAL ILEUM ULCER=PITTA DUSTI+RAKTADUSTI(ACIDIC FIRE BURNING GUT LINING) -FOCAL ACTIVE COLITIS=GRAHANI DOSHA+PITTAJ ATISARA(INFLAMMAATION OF INTESTINE) -INTRAEPITHILIAL LYMPHOCYTES=AMA+RAKTA PITTA VITIATION(IMMUNE TOXINS FROM POOR DIGESTION) -SUGAR INTOLERANCE=MANDAGNI+KLEDA VITIATION(BODY UNABLE TO HANDLE SWEET SUBSTANCES,FERMENTATION INCREASES) -LOOSE STOOL-PIITAJA OR AMAJA ATISARA -ABDOMINAL PAIN= VATA-PITTA VITIATION IN THE SMALL INTESTINE

#KEY PATHOLOGY WEAK DIGESTIVE FIRE->FORMATION OF TOXIN UNDIGESTED MATTER->PIITA DUSTI(BURNING,INFLAMMATION)+VATA AGGRAVATION)PAIN,IRREGULAR MOVEMENTS)->GRAHANI ROGA(CHRONIC GUT DYSFUNCTION)->ULCERATION+CHRONIC INFLAMMATION(AUTOIMMUNE LIKE RESPONSE)

WHY SUGAR TRIGGERS SYMPTOMS -SUGAE EVEN JAGGERY,SWEET FRUITS FERMENTS IN THE GUT WHEN DIGESTION IS WEAK->CAUSES GAS,BLOATING,DIARRHEA -IT ALSO FEEDS HARMFUL BACTERIA AND INCREASES KLEDA(MOIST TOXINS) -PITTA+KAPHA AGGRAVATION FROM SUGAR WORSENS MUCOSAL INFLAMMATION -HENCE SUGAR=FUEL TO THE FIRE IN GUT ULCER AND COILITS

HOPE THIS MIGHT MAKE YOU UNDERSTAND ABOUT WHAT IS HAPPENING INSIDE

SO OUT TREATMENT GOAL IS TO 1)HEAL THE INTESTINE LINING(ULCER+INFLAMMATION) 2)REGULATE BOWEL MOVEMENT 3)STRENGTHEN DIGESTIVE FIRE 4)CALM VATA-PITTA DOSHA 5)AVOID SUGAR FERMENTATION AND INTOLERANCE REACTIONS

THIS COULD BE ACHIEVED BY NOT ONLY INTERNAL MEDICATIONS BUT ALSO DIET, EXERCIESES, LIFESTYLE MODEFICATIONS, WHAT TO EAT WHAT NOT AND MAIN THING PATIENCE IN TOTAL WILL HELP CURING THIS DISEASE

TREATMENT IS DIVIDED INTO 3 PHASES AND DURATION OF TREATMENT IS 3-6 MONTHS PHASE 1- ACUTE MANAGEMENT=21-30 DAYS- TARGET IS TO STOP LOOSE STOOLS,REDUCE PAIN PHASE 2- GUT REPAIR=45-60 DAYS-HEAL ULCER,IMPROVE DIGESTIVE FIRE PHASE 3- IMMUNOMODULATION-=2-3 MONTHS- PREVENT RELAPSE,STRENGTHEN IMMUNITY

TOTAL TIME=3-6 MONTHS FOR PERMENANT RELIEF. IN MY PRACTICE I HAVE SEEN MANY PATIENTS IMPROVE WITHIN 6 WEEKS WITH STRICT ADHERANCE

#PHASE 1-SYMPTOM RELEIF(DAY1-30)

1)KUTAJGHANVATI- 2 TABS TWICE A DAY AFTER MEALS=STOPS LOOSE STOOLS,ANTI-INFLAMMATORY

2)KAMDUGHA RAS(WITH MUKTA)- 125 MG TWICE DAILY WITH HONEY/WARM WATER=ULCER HEALING, REDUCES ACIDITY

3)SHANKHA VATI- 1 TAB AFTER LUNCH AND DINNER=REDUCES BLOATING,BALANCE VATA

4)DADIMASTAKA CHURNA+TAKRA- 1 TSP + 100 ML BUTTERMILK POST LUNCH=STREGTHENS INTESTINE,REDUCES GAS

DIET-BEGIN WITH LIGHT BLAND FOODS- RICE GRUEL,SOFT MOONG DAL,BOTTLE GOURD CURRY -AVOID- MILK,SUGAR,WHEAT,FRIED FOODS,TOMATOES,HAEVY PULSES

#PHASE 2-GUT MUCOSA REPAIR(DAY30-90)

1)MAHATIKTAKA GHRITA-5-10 ML EMPTY STOMACH WITH WARM WATER=DEEP ULCER HEALING,PITTA PACIFIER

2)PIPPALYASAVA- 15ML+EQUAL WARM WATER AFTER MEALS TWICE DAILY=DIGESTIVE STRENGTHNER

3)BILVA AVALEHA- 1 TSP AFTER BREAKFAST WITH WATER=GUT STABILISER, VATA PITTA BALANCING

4)AVIPATTIKAR CHURNA-1 TSP AT NIGHT WITH LUKEWARM WATER=BOWEL REGULALIIZER , ACIDITY RELIEF

*BEGIN SLIGHT HEAVIER DIET=KHICHDI WITH GHEE,SOFT ROTI WITH SABJI ADD ROASTED CUMIN,FENNEL,CORAINDER IN MEALS

#PHASE 3- IMMUNOMODULATION AND REJUVINATION(DAY 60-180)

1)SOOTSHEKHAR RASA(PLAIN)- 1 TAB MORNING EMPTY STOMACH=CALMS VATA-PITTA ANTACID

2)ASHWAGANDHA LEHYAM-1 TSP AFTER BREAKFAS=REJUVINATION , STRENGTH ENHANCER

3)KUTAJARISTA- 15 ML+WATER AFTER MEALS-MAINTAIN GUT FLORA AND TONE

ADD GENTLE YOGA,WALK POST MEALS,EAT WARM MIXED AT FIXRF TIMES CONTINUE PITTA-VATA FRIENDLY DIET-NO REEATED FOOD,FIRED FOOD

#IDEAL DIET TO FOLLOW INCLUDE -RICE GRUEL,KHICHDI WITH GHEE -SOFT COOKED MOONG DAL,LAUKI,TORAI ETC -STEAMED BOTTLE GOURD,ASH GOURD -SOAKED RAISINS,POMEGRANATE,APPLE -ROCK SALT,CUMIN,CORIANDER -BUTTERMILK WITH JEERA+MINT

AVOID -MILK,SUGAR,SWEETS,BANANA -MAIDA,WHEAT ROTI,SPICY/OILY -FERMENTED FOODS,CURD -CITRUS FRUITS,PINEAPPLE -TABLE SALT, PICKLE,SODA -TEA,COFFEE,ALCOHOL

#YOGA AND PRANAYAM -VAJRASANA- 5 MINS AFTER MEALS-IMPROVES DIGESTION -PAWANMUKTASANA- MORNING-REDUCES BLOATING -ANULOM VILOM-10 MIN DAILY- CALMS VATA PITTA -SHEETALI/SHEETAKARI-3 MIN-COOLS INFLAMMATION

*AVOID INTENSE TWISTING POSTURES,LATE NIGHT MEALS,OVEREATING

#LIFESTYLE DO’S- -WAKE UP BY 7 AM -SIP WARM WATER THROUGH THE DAY -EAT MEALS AT REGULAR FIXED TIMES -REST AFTER MEALS IN VAJRASNAA -MAINTAIN STRESS FREE ENVIRONMENT

DON’TS- -DAYTIME SLEEPING -SKIPPING MEALS OR FASTIINIG -COLD DRINKS,FERMENTED FOOD -PROCESSED OR REHEATED FOOD -OVERCONSUMPTIONS OF FRUTIS OR JUICE

#RECURRECE PPREVENTION -MONTLY REPEAT OF BILVA AVALEHA+PIPPALYASAVA FOR 3 MONTHS AFTER CURE -LIGHT FOOD DURING SEASONAL CHANGE-ESPECIALLY MONSOON -AVOID SUGAR AND MILK LONG TERM IF INTOLERANCE PERSISTS.

#FOLLOW-UP AFTER 30DAYS- PAIN AND STOOL FREQUENCY SHOULD REDUCE AFTER 60 DAYS- BETTER DIGESTION,NO ULCERS AFTER 90-120 DAYS-ENERGY RESTORED ,COMPLETE HEALING AFTER 6 MONTHS- PERMENENT STABILIZATION

DO FOLLOW CONSISTENTLY TO GET 100% RESULT THIS WILL CURE YOUR PROBLEM

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR.MAITRI ACHARYA

Thank you for sharing your concern, Himanshu, I understand, our exhausting chronic gut issues can be your colonoscopy. Findings indicates deep gut inflammation. Ayurveda offers long-term relief by healing the gut lining and calming intestinal reactivity You can start with Kutaja ghan vati -one tablet twice daily after food with warm water Bilvadi churna -half teaspoon with buttermilk twice daily Draksha avaleha-half teaspoon twice daily after food for nourishment Follow a light warm diet. Avoid sugar, milk, raw foods and fried items. Use only boiled water eat on time well and manage stress with consistent Care. Your gut can gradually regain balance and strength.

In your situation, dealing with focal active colitis and intraepithelial lymphocytosis can be challenging. An Ayurvedic approach aims to balance the doshas and improve the digestive system’s health. Since the colon and digestion are involved, assessing your prakriti (constitution) and dosha imbalances, especially the Pitta dosha, is crucial since imbalanced Pitta can cause inflammation and loose stools.

First, optimizing the Agni or digestive fire is important. You could start by consuming warm, easy-to-digest foods. Rice gruel, moong dal khichdi without spices, and stewed apples are soothing to the digestive system. Avoid raw foods, sugar, caffeine, and processed foods, as they can aggravate symptoms.

Herbs such as Neem and Amla could help in reducing inflammation due to their cooling nature. Triphala can also support healthy digestion and elimination. Take 1-2 tsp of Triphala powder with warm water before bed.

Since your symptoms are aggravated, managing stress is pivotal. Practices like Yoga and Pranayama, especially Nadi Shodhana (alternate nostril breathing), can help balance the doshas and calm the mind. Also, avoid eating when stressed or late at night, as it can increase symptoms of colitis.

Drinking Cumin-Coriander-Fennel tea can improve digestion and reduce inflammation. Boil equal parts of these seeds in water and sip throughout the day.

Avoidance of sugar is a wise choice since Pitta conditions often benefit from a more bitter, astringent taste profile in the diet. Involving cooling spices like turmeric in your meals can also benefit the inflammation. However, ensure that these approaches are compatible with any medical advice you’ve already received. If symptoms persist or worsen, please seek professional medical help promptly.