Question #23081
56 days ago
171
How to treat terminal ileum ulcer and abdominal pain - #23081
Himanshu
Abdominal pain with loose stool,colonoscopy report focal active colitis and intraepithelial lymphocytosis,please help and tell permanent solution for this, i am very fed up with this disease,cannot have something with sugar
Age: 39
Chronic illnesses: No
Stomach ache
300 INR (~3.51 USD)
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Doctors’ responses
Colitis and ileum ulcer is due to inflamation of intestinal mucosal membrane due to Many factors such as junck food / dairy products/ anxiety and stress or unhealthy lifestyle
Management... Divya cologhrit tab=2-2 tab before meal twice daily
KUTAJGHAN VATI
GRAHINI kapat ras=2-2 tab after meal twice daily
Avoid dairy products/fibrous fruits/ avoid glution (wheat roti) at night
Take proper sleep
It's totally curable ..
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Tablet Liv-52 1-0-1 after food with water
Kamdudharas ras moti yukta 1-0-1 after food with water
Kutaj ghanvati 1-0-1 after food with water
Have bael sharbat 2tsp twice daily in a glass of water
Avoid spicy sugary fried processed foods avoid nonveg food
Avoid milk, but butter milk with pinch of asafoetida Rock salt and roasted jeera powder is beneficial
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NAMASTE HIMANSHU JI,
-This condition resembles Grahani(small intestine disorder) with pittaja and sannipataja features
-ulceration and lymphocytosis-> pitta rakta dusti
-colitis with loose stool->mandagni, apachana, Prisha dusti
#INTERNAL MEDICATIONS-4-6 WEEKS
1)kutaja ghanvati- 2 tabs twice daily after meals
2)mustakrista- 15ml+water twice daily after affects
3)bilwadi churna- 1 tsp twice daily with water
4)shankha vati- 1 tab twice daily before meals
5)avipattikar churna- 1/2 tsp at night with warm water
#DIET
INCLUDE
-mong dal khichdi, rice, bottle gourd, parboiled rice
-homemade pomegranate juice, bael fruit
-cow ghee, boiled milk
-buttermilk with jeera and saunf
AVOID
-suagr,wheat,maida,milk sweets
-fermented, fried, spicy food
-tea, coffee, soft drinks
-all processed/packaged foods
#LIFESTYLE AND YOGA
-wake early by 7 am,
-Eat at fixed times
-gentle yoga- sheetali, anulom vilom-10min daily
-night sleep- 10 pm at last
suggested TEST
-CRP, ESR
-STOOL CALPROTECTIN
-VITAMIN B 12 AND D3
-Ig A
-conitnue this medicine for 3 months with gradual tapering
-advised panchakarma if no relief in 15 days
-virechana and basti advised
do follow
thank you
DR.HEMANSHU MEHTA
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Avoid addiction if any.
Avoid spicy, oily and processed food.
Regular use of buttermilk.
Cap.Florasante
1-0-1
Tab.Sunthi
2-0-2
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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
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Himanshu Gambhir
Client
55 days ago
Can you please tell these medicines from where i can buy and which company is best please tell??
HELLO HIMANSHU,
YOU CAN BUY THIS MEDICINES BY NEAR BY AYURVEDIC SHOPS-IT IS AVAILBALE EVERYWHERE
OR
YOU CAN BUY IT ONLINE - ONLINE ALSO EVERY MEDICINES IS AVAILABLE
ABOUT THE BEST BRAND
1)KUTAJGHANVATI- DABUR BRAND
2)KAMDUDHA WITH MUKTA- BAIDYANATH
3)SHANKHA VATI-BAIDYANATH
4)DADIMASTHTAKA CHURNA- ZANDU
5)MAHATIKTAKA GHRUTA- ARYA VAIDYA SALA(KOTTAKKAL, BAIDYANATH OR DOOTPAPESHWAR
6)PIPPALYASAVA- BAIDYANATH
7)BILVA AVALEHA-NAGARJUNA HERBAL CARE N-BEAL AVALEHA, DABUR
8)AVIPATTIKAR CHURNA- BAIDYANATH
9)SOOTSHEKHAR PLAIN- DOOTPAPESHWAR
7)ASHWAGANDHA AVALEHA- DABUR
8)KUTAJARISTA- BAIDYANATH
CHOOSE BRANDS OF DABUR, BAIDYANATH,DOOTPAPESHWAR OR NAGARJUNA, ARYA SHALA
NO OTHER BRANDS STRICTLY
IT IS AVAILABLE ONLINE FROM AMAZON INDIA, 1MG, AND FLIPKART
WHEN PURSHASING ENSURE THAT THE SELLER IS AUTHORISED AND THE PRODUCT IS WITHIN ITS EXPIRY DATE.
THANK YOU
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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.
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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.
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