COLUMNAR EPITHELIUM LINED LOWER ESOPHAGUS – Ayurvedic Treatment, Diet, Exercises, Research Papers, Yoga & Pranayama

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Columnar epithelium lined lower esophagus is a complication of gastroesophageal reflux disease (GERD). In which, stomach acid frequently irritates the lining of esophagus leading to heartburn and damage to the tissue of esophagus. The native squamous epithelium lining of esophagus is replaced with metaplastic columnar epithelium.

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

SIGNS AND SYMPTOMS OF COLUMNAR EPITHELIUM LINED LOWER ESOPHAGUS

  • Burning pain in the chest – heartburn
  • Sour belching
  • Acid regurgitation
  • Discomfort and burning feeling in the stomach
  • Burning pain aggravated during the night
  • Difficulty in swallowing

CAUSES OF COLUMNAR EPITHELIUM LINED LOWER ESOPHAGUS

  • Long-standing GERD is the major cause of columnar epithelium lined lower esophagus
  • Defect in the functioning of the lower esophageal sphincter leads to GERD
  • The condition is aggravated by,
  • Certain medications like NSAID
  • Stress
  • Anxiety 
  • Alcohol
  • Smoking
  • Spicy foods
  • Sour foods
  • Digestive disorders 

PATHOPHYSIOLOGY OF COLUMNAR EPITHELIUM LINED LOWER ESOPHAGUS

The above-mentioned causes result in stomach acid backing up into the esophagus and irritating the epithelial lining in the esophagus. The irritation feels like burning pain in the chest. Acid reflux happens when the lower esophageal sphincter doesn’t tighten or close properly. This causes digestive juices from the stomach to rise into the esophagus and leads to damage to the lining of esophagus.

DIAGNOSIS OF COLUMNAR EPITHELIUM LINED LOWER ESOPHAGUS

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

TREATMENTS FOR COLUMNAR EPITHELIUM LINED LOWER ESOPHAGUS

  • Antacids
  • Acid blockers
  • Proton pump inhibitors
  • H 2 receptor blockers
  • Surgical interventions

PROGNOSIS OF COLUMNAR EPITHELIUM LINED LOWER ESOPHAGUS

  • 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 COLUMNAR EPITHELIUM LINED LOWER ESOPHAGUS      

  • Esophageal cancer

COLUMNAR EPITHELIUM LINED LOWER ESOPHAGUS AND AYURVEDA

  • In Ayurveda,symptoms of  columnar epithelium lined lower esophagus is managed based on the treatment of ‘amlapitta’

NIDANA- AYURVEDIC CAUSES OF COLUMNAR EPITHELIUM LINED LOWER ESOPHAGUS

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

PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF COLUMNAR EPITHELIUM LINED LOWER ESOPHAGUS

  • Acid regurgitation followed by burning pain in the chest

SAMPRAPTI – AYURVEDIC PATHOGENESIS OF COLUMNAR EPITHELIUM LINED LOWER ESOPHAGUS

  • Due to the above-mentioned causes doshas are aggravated especially pitta. The vitiated doshas reside in the stomach and esophagus and produce symptoms of columnar epithelium lined lower esophagus.

LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF COLUMNAR EPITHELIUM LINED LOWER ESOPHAGUS

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

AYURVEDIC PROGNOSIS OF COLUMNAR EPITHELIUM LINED LOWER ESOPHAGUS

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

CHIKITSA- AYURVEDIC TREATMENT FOR COLUMNAR EPITHELIUM LINED LOWER ESOPHAGUS

AYURVEDIC SAMANA TREATMENT FOR COLUMNAR EPITHELIUM LINED LOWER ESOPHAGUS

  • 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 SHODHANA TREATMENT FOR COLUMNAR EPITHELIUM LINED LOWER ESOPHAGUS

  • Vamana – emesis
  • Virechana – purgation

COMMONLY USED AYURVEDIC MEDICINES FOR COLUMNAR EPITHELIUM LINED LOWER ESOPHAGUS

Internal administration

HOME REMEDIES FOR COLUMNAR EPITHELIUM LINED LOWER ESOPHAGUS

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

DIET AND BEHAVIOUR FOR COLUMNAR EPITHELIUM LINED LOWER ESOPHAGUS

  • 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 an appropriate quantity of water
  • Avoid alcohol and smoking

YOGA FOR COLUMNAR EPITHELIUM LINED LOWER ESOPHAGUS

  • Nadi Shuddi Pranayam    – Calms the mind and gets relief from the discomfort associated with columnar epithelium lined lower esophagus

The patient needs to be seated in a meditative posture with the head and spine erect, and the body relaxed. The patient has to close 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.                             

RESEARCH PAPERS ON AYURVEDIC MANAGEMENT OF COLUMNAR EPITHELIUM LINED LOWER ESOPHAGUS

1.     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/

These statements have not been evaluated by the Food and Drug Administration, United States. This product is not intended to diagnose, treat, cure or prevent any disease. Please consult your GP before the intake.

Ayurveda Expert, India
Dr. Rajesh Nair, Consultant, Ayurvedaforall

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