ACHALASIA – Ayurvedic Treatment, Diet, Exercises, Yoga & Pranayama

Achalasia is a condition in which, difficult for food and liquid to pass from esophagus into the stomach. It occurs due to a defect in the lower esophageal sphincter (LES).

  • SIGNS AND SYMPTOMS OF ACHALASIA
  • CAUSES OF ACHALASIA
  • PATHOPHYSIOLOGY OF ACHALASIA
  • DIAGNOSIS OF ACHALASIA
  • TREATMENTS FOR ACHALASIA
  • PROGNOSIS OF ACHALASIA
  • COMPLICATIONS OF ACHALASIA
  • ACHALASIA  AND AYURVEDA
  • NIDANA- AYURVEDIC CAUSES OF ACHALASIA
  • PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF ACHALASIA
  • SAMPRAPTI – AYURVEDIC PATHOGENESIS OF ACHALASIA
  • LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF ACHALASIA
  • AYURVEDIC PROGNOSIS OF ACHALASIA
  • CHIKITSA- AYURVEDIC TREATMENT FOR ACHALASIA
  • AYURVEDIC SAMANA TREATMENT FOR ACHALASIA
  • AYURVEDIC SODHANA TREATMENT FOR ACHALASIA
  • COMMONLY USED AYURVEDIC MEDICINES FOR ACHALASIA
  • HOME REMEDIES FOR ACHALASIA
  • DIET AND BEHAVIOUR FOR ACHALASIA
  • YOGA FOR ACHALASIA
  • RESEARCH PAPERS OF AYURVEDIC MANAGEMENT OF ACHALASIA

SIGNS AND SYMPTOMS OF ACHALASIA

  • Trouble in swallowing
  • Weight loss
  • Burning pain in the chest – heartburn
  • Sour belching
  • Acid regurgitation

CAUSES OF ACHALASIA

  • Defect in the functioning of the lower esophageal sphincter
  • Measles
  •  Genetic influences
  •  Varicella zoster virus
  • Disorders of the immune system
  •  Autoimmunity
  • The associated acid regurgitation is aggravated by,
  • Certain medications like NSAID
  • Stress
  • Anxiety 
  • Alcohol
  • Smoking
  • Spicy foods
  • Sour foods
  • Digestive disorders 

PATHOPHYSIOLOGY OF ACHALASIA

In achalasia nerves in the esophagus become damaged. As a result, the esophagus becomes paralyzed and dilated over time and eventually loses the ability to squeeze food down into the stomach. In patients with GERD, stomach acid backs up into the esophagus and irritates the epithelial lining in the esophagus. The irritation feels like burning pain in the chest. Acid reflux happens when the lower esophageal sphincture doesn’t tighten or close properly. This causes digestive juices from the stomach to rise into the esophagus.

DIAGNOSIS OF ACHALASIA

  • Endoscopic examination
  • Esophago-gastroscopy
  • Esophageal manometry
  • Ambulatory acid probe tests
  • Esophageal pH monitoring
  • X-ray – to find out the normal positioning and shape of esophagus

TREATMENTS FOR ACHALASIA

  • Pneumatic dilatation
  • Myotomy
  • calcium channel blockers

PROGNOSIS OF ACHALASIA

  • Prognosis is based on the stage of the disease, duration and condition of the patient.
  • Severe cases may require surgery to avoid serious complications.

COMPLICATIONS OF ACHALASIA          

  • Aspiration pneumonia
  • Recurrent achalasia may lead to esophageal cancer
  • Esophageal perforation

ACHALASIA AND AYURVEDA

  • In Ayurveda,achalasia is managed based on the treatment of ‘amlapitta’

NIDANA- AYURVEDIC CAUSES OF ACHALASIA

  • Excess consumption of dry, acrid, sour food
  • Improper functioning of agni

PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF ACHALASIA

  • Acid regurgitation followed by burning pain in the chest

SAMPRAPTI – AYURVEDIC PATHOGENESIS OF ACHALASIA

  • Due to the above-mentioned causes doshas aggravated especially pitta. The vitiated doshas reside in the stomach and esophagus and produce symptoms of achalasia.

LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF ACHALASIA

  • Burning sensation
  • Sour belching – amla udgaram
  • Vomiting
  • Bitter taste in mouth – tikta asyatha

AYURVEDIC PROGNOSIS OF ACHALASIA

  • Sadya (curable) in the early stage and manageable in chronic stage with proper Ayurvedic remedies.

CHIKITSA- AYURVEDIC TREATMENT FOR ACHALASIA

AYURVEDIC SAMANA TREATMENT FOR ACHALASIA

  • Guluchyadi kashayam after food
  • Drakshadi gulika along with amalaki swarasa ( gooseberry juice)
  • Shatavari ghrita
  • Shankha bhasma
  • Amlapittantak lauha
  • Shaddharanam churna
  • Shankha vati
  • Avipattikara churna- along with honey at bedtime 
  • Nalikera khanda

 AYURVEDIC SODHANA TREATMENT FOR ACHALASIA

  • Vamana – emesis
  • Virechana – purgation

COMMONLY USED AYURVEDIC MEDICINES FOR ACHALASIA

Internal administration

HOME REMEDIES FOR ACHALASIA

  • Intake of gooseberry
  • Intake of resins
  • Drinking a glass of water in the early morning

DIET AND BEHAVIOUR FOR ACHALASIA

  • Avoid food items that produce pitta dosha imbalance like more acrid and sour. Because pitta imbalance aggravates the symptoms.
  • Consume easily digestible food items, cow’s milk
  • Timely intake of food
  • Drink appropriate quantity of water
  • Avoid alcohol and smoking

YOGA FOR ACHALASIA

  • Nadi Shuddi Pranayam    – Calms the mind and gets relief from the discomfort associated with achalasia

The patient needs to be seated in a meditative posture with the head and spine erect, with the body relaxed. The patient has to close his one nostril (e.g. left nostril if using the right hand and vice versa) with the thumb and exhale completely through the other nostril. Again, he will have to breathe in deeply through the other nostril while the opposite nostril is still closed with the thumb.

                              Video:  https://youtu.be/d324ZzE-uXc

RESEARCH PAPERS OF AYURVEDIC MANAGEMENT OF ACHALASIA

1.     Ayurvedic management of achalasia

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4395928/

2.     Studies on Urdhwaga Amlapitta and its Management with Shatavari Ghruta

https://www.researchgate.net/publication/336434614_Studies_on_Urdhwaga_Amlapitta_Gastritis_and_its_Management_with_Shatavari_Ghruta

  • A clinical study on amlapitta and its management with chhinnodbhavadi ghanavati

https://ijapr.in/index.php/ijapr/article/download/74/285/

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