PRIMARY SCLEROSING CHOLANGITIS- Ayurvedic Treatment, Diet, Exercises, Research Papers, Yoga & Pranayama

Primary sclerosing cholangitis is the inflammation and scar formation inside the bile duct.  The bile duct is the slender tube that carries bile through the liver.

  • SIGNS AND SYMPTOMS OF PRIMARY SCLEROSING CHOLANGITIS 
  • CAUSES OF PRIMARY SCLEROSING CHOLANGITIS 
  • PATHOPHYSIOLOGY OF PRIMARY SCLEROSING CHOLANGITIS 
  • DIAGNOSIS OF PRIMARY SCLEROSING CHOLANGITIS 
  • TREATMENTS FOR PRIMARY SCLEROSING CHOLANGITIS 
  • PROGNOSIS OF PRIMARY SCLEROSING CHOLANGITIS 
  • COMPLICATIONS OF PRIMARY SCLEROSING CHOLANGITIS 
  • PRIMARY SCLEROSING CHOLANGITIS AND AYURVEDA
  • NIDANA- AYURVEDIC CAUSES OF PRIMARY SCLEROSING CHOLANGITIS 
  • PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF PRIMARY SCLEROSING CHOLANGITIS 
  • SAMPRAPTI – AYURVEDIC PATHOGENESIS OF PRIMARY SCLEROSING CHOLANGITIS 
  • LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF PRIMARY SCLEROSING CHOLANGITIS 
  • AYURVEDIC PROGNOSIS OF PRIMARY SCLEROSING CHOLANGITIS 
  • CHIKITSA- AYURVEDIC TREATMENT FOR PRIMARY SCLEROSING CHOLANGITIS 
  • AYURVEDIC LOCAL TREATMENT FOR PRIMARY SCLEROSING CHOLANGITIS 
  • AYURVEDIC SAMANA TREATMENT FOR PRIMARY SCLEROSING CHOLANGITIS 
  • AYURVEDIC SHODHANA TREATMENT FOR PRIMARY SCLEROSING CHOLANGITIS 
  • COMMONLY USED AYURVEDIC MEDICINES FOR PRIMARY SCLEROSING CHOLANGITIS 
  • HOME REMEDIES FOR PRIMARY SCLEROSING CHOLANGITIS 
  • DIET AND BEHAVIOUR FOR PRIMARY SCLEROSING CHOLANGITIS 
  • YOGA FOR PRIMARY SCLEROSING CHOLANGITIS 

SIGNS AND SYMPTOMS OF PRIMARY SCLEROSING CHOLANGITIS 

  • Fever
  • Chills
  • Fatigue
  • Yellow discolouration in the skin, mucous membrane, sclera
  • Right abdominal pain
  • Night sweats
  • Weight loss
  • Enlarged liver
  • Enlarged spleen
  • Itching

CAUSES OF PRIMARY SCLEROSING CHOLANGITIS 

  • The exact cause is not known
  • Genetic factors
  • Problems in the immune system
  • Risk factors like inflammatory bowel disease

PATHOPHYSIOLOGY OF PRIMARY SCLEROSING CHOLANGITIS 

Primary sclerosing cholangitis is progressed into end-stage liver disease. The stages of progression are inflammation, fibrosis and structuring of the bile duct.

DIAGNOSIS OF PRIMARY SCLEROSING CHOLANGITIS 

  • Blood test
  • Liver function test
  • Magnetic resonance imaging (MRI)
  • Abdominal ultrasonography (ultrasound)
  • Computerized tomography (CT) scan
  • Endoscopic retrograde cholangiopancreatography
  • Liver biopsy

TREATMENTS FOR PRIMARY SCLEROSING CHOLANGITIS 

  • Antibiotics to control bacterial infections
  • Antihistamines to control itching
  • Treatment of underlying pathology
  •  Surgical interventions

PROGNOSIS OF PRIMARY SCLEROSING CHOLANGITIS 

  • Prognosis is based on the stage of progression and condition of the patient
  • aim of treatment to prevent progressive liver damage.

COMPLICATIONS OF PRIMARY SCLEROSING CHOLANGITIS                                        

  • Liver diseases
  • Portal hypertension
  • Recurrent infections
  • Bile duct cancer
  • Colon cancer

PRIMARY SCLEROSING CHOLANGITIS AND AYURVEDA

  • In Ayurveda,primary sclerosing cholangitis is managed based on the treatment principle of ‘yakrit pleehodara’ and ‘kamala’.

NIDANA- AYURVEDIC CAUSES OF PRIMARY SCLEROSING CHOLANGITIS 

  • Excess consumption of sour food
  • Excess aggravation of doshas
  • Virudhahara – incompatible food
  • Rudhapadha – obstruction in the bile duct

PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF PRIMARY SCLEROSING CHOLANGITIS 

  • Kshud nasa – loss of appetite
  • Chirat pachanam – delay in digestion
  • Sahate na athisouhityam – intolerance to excess eating

SAMPRAPTI – AYURVEDIC PATHOGENESIS OF PRIMARY SCLEROSING CHOLANGITIS 

  • Agnimandya and tridosha prakopa affect the swedavaha, udakavaha and rasavaha srothas leading to yakrit pleeha vridhi and associated symptoms.

LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF PRIMARY SCLEROSING CHOLANGITIS 

  • Sula – abdominal pain
  • Chardi – vomiting
  • Avipaka – indigestion
  • Jwara – fever
  • Ksheena – fatigue
  • Kandu – itching

AYURVEDIC PROGNOSIS OF PRIMARY SCLEROSING CHOLANGITIS 

  • Krichra sadya – difficult to cure

CHIKITSA- AYURVEDIC TREATMENT FOR PRIMARY SCLEROSING CHOLANGITIS 

AYURVEDIC SAMANA TREATMENT FOR PRIMARY SCLEROSING CHOLANGITIS 

  • Avipatti churna
  • Vasaguluchyadi kashayam
  • Gokshuradi churna
  •  Gorochanadhi vati
  • Yavakshara
  • Hazrulayahuda bhasma
  • Katuki churna
  • Usheerasava – after food
  • Chandraparbhavati
  • Arogyavardhini vati
  • Eranda taila along with lukewarm cow’s milk

 AYURVEDIC SHODHANA TREATMENT FOR PRIMARY SCLEROSING CHOLANGITIS 

  • Vamana – emesis
  • Virechana – purgation

COMMONLY USED AYURVEDIC MEDICINES FOR PRIMARY SCLEROSING CHOLANGITIS 

Internal administration

HOME REMEDIES FOR PRIMARY SCLEROSING CHOLANGITIS 

  • consume sugarcane juice
  • grape juice
  • Apple cider vinegar

DIET AND BEHAVIOUR FOR PRIMARY SCLEROSING CHOLANGITIS 

  • Avoid food items that produce dosha imbalance like sour, cold and dry food, hard to digest. Because dosha imbalance aggravates the symptoms.
  • Consume easily digestible food items
  • Avoid high cholesterol diet

YOGA FOR PRIMARY SCLEROSING CHOLANGITIS 

  • Nadi Shuddi Pranayam    – refresh the body and mind

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.                             

  • Bhujangasana
  • Dhanurasana
  • Pashchimottasana

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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Writer:

Dr. Rajesh Nair, the co-founder and chief consultant of Ayurvedaforall.Com, is a graduate of prestigious Vaidyaratnam Ayurveda College (affiliated with the University of Calicut), Kerala, India. Additionally, he holds a Postgraduate Diploma in Yoga Therapy from Annamalai University.

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