DEEPANA - Depatment Of Gastroenterology
"Good Health Begins In The Gut And Plays A Key Role In Natural Immunity"!!
Deepana deals with normal functioning and management of diseases pertaining to esophagus, stomach, small intestine, colon and rectum, pancreas, gallbladder, bile ducts and liver and aims to maintain a healthy digestion, absorption of nutrients, removal of waste and metabolic processes.
The Gastrointestinal (GI) system/gastric system is also called as the digestive system and includes the various organs of the human digestive tract from the mouth to the anal opening, plus the liver, pancreas and gallbladder. Any diseases in the GI system that affects the functioning of this system is called gastrointestinal disease.
The act of eating is life-giving. All human beings & even non-living things required food or fuel to work properly. But the requirement is not just the food but the correct time, quantity & quality of taking that food. The most important thing need to be considered is that the above things are not same for everybody .But tragedy is that people are getting very well educated of outside things except about their own body.
It is true that slowly people are getting health conscious but as we say half knowledge is more harmful than no knowledge, people either follow the nutritious diet or lifestyle of some healthy people or just follow some diet instructions available at internet. Then, they keep complaining that they are suffering from digestion problem in spite of having a well balanced diet & lifestyle. They must know that everyone has its own food requirements according to their body components & lifestyle. Sometimes, digestion disorder can occur due to heavy intake at special occasion or due to skipped meal because of some reason. But if you are suffering from a regular digestion disorder, it's better to consult a physician in time to find the root cause of it rather than doing self medication as it can convert a simple curable problem to a serious health issue.
HEALTH AND MIND :
Furthermore, psychological distress plays an intrinsic role in the ecology of the digestive system. Chronic exposure to inflated cortisol can directly change the ecology of the gut, causing permeability and increasing inflammation which are both associated with a diagnosis of depression.
The digestive system has long been an area of critical importance within the Ayurvedic system and is only now being acknowledged by modern science as a key component in the regulation of physical and mental well-being. The gut microbiome and enteric nervous system are two particular areas in which the onset of psychiatric disorders, such as depression, have been associated. Major Depressive Disorder (MDD) is becoming increasingly linked with gut dysregulation in contemporary literature and is a pathology explored within both the Ayurvedic and Western systems of medicine.
Ayurveda has long proposed a mechanism of causation for depression which is strikingly similar to a new biomedical understanding which links MDD to a dysregulation of the GI tract. The following review of an Ayurvedic and biomedical understanding of depression seeks to highlight the importance of the digestive system when diagnosing and treating MDD.
Various Digestion problems faced by the people :-
- Constipation
- Hyper acidity/Heartburn/GERD
- Gallstones
- Diarrhea
- Inflammatory Bowel Disease (IBD)
- Irritable bowel syndrome (IBS) or spastic colon
- Appendicitis
- Bowel obstruction
- Celiac disease
Factors responsible for causing various digestion problems :-
- Dietary habits
- Less physical work
- Lifestyle
- Overeating
- Frequent meals
- Sitting postures
- Seasonal food intake
- Intake of incompatible food
- Indulgence in other activities while eating
Ayurveda always focuses on eating food according to the prakurti of a person as well as in right quantity at right time as the eating habits are always the major cause behind almost all the health related problems.
Personal, education & professional burdens are so much these days that have hamper the physical activeness all of us to a great extent.
Lifestyle of the people has changed very much. Stress & electronic gadgets have taken the place of relaxed fresh walk in natural air.
Here in our hospital we provides very effective & genuine ayurvedic medicines for Indigestion & other digestion related disorders which are formulated & manufactured in our own pharmacy.SanthoshAyurvidhanaSpeciality Hospital provides treatment with a professional touch of care aiming to worship the body you live in and a good health.
Various Panchkarma therapies are also very effective to cure digestion related problem which are also available at our hospital
- Vaman & Virechan - for detoxification & cleansing.
- Vasti (Enema therapy) - very beneficial therapy.
Health is the state of having balanced doshas (biological energies which maintain one's physiology and psychology), balanced digestion, balanced tissues, and proper expulsion of wastes. It is a state of peace/contentment in the soul, senses and mind."
SASH Deparment of Gastroenterology
1. Gastroesophageal Reflux Disease (GERD)
When stomach acid backs up into your esophagus ,a condition called acid reflux , you may feel a burning pain in the middle of your chest. It often occurs after meals or at night.
- A burning sensation in your chest (heartburn), usually after eating, which might be worse at night.
- Chest pain.
- Difficulty swallowing.
- Regurgitation of food or sour liquid.
- Sensation of a lump in your throat.
TREATMENT
- Wide range of treatment is available in terms of avoidance of dietary items, weight loss, lifestyle modification etc.
- In Ayurveda various treatment modalities such as Langhana, Vamana, Virechana, Bastikarama, Ghritapana, Stambana and BrimhanaChikitsa.
- Among these Bastikarma and Ghritapana seems to be more effective in providing distinct and instant relief.
2. MUKHA PAKAM (Mouth Sore / Canker Sore )
Canker sores, also called aphthous ulcers, are small, shallow lesions that develop on the soft tissues in your mouth or at the base of your gums. canker sores don't occur on the surface of your lips and they aren't contagious.
- They can be painful [ increases on taking spicy food ].
- And can make eating and talking difficult.
- Mild Fever.
TREATMENT
- Lepanam
- Gandush [ Mouth gargle]
- Raktamokshana[ means drainage of vitiated blood outside the body]
- Nasyam
- Virechanam [ Body purification ]
3. Gastritis : [ Amlapittam]
Gastritis is a general term for a group of conditions with one thing in common ,inflammation of the lining of the stomach .Gastritis may occur suddenly (acute gastritis), or appear slowly over time (chronic gastritis). In some cases, gastritis can lead to ulcers and an increased risk of stomach cancer. For most people, however, gastritis isn't serious and improves quickly with treatment.
- Gnawing or burning ache or pain (indigestion) in your upper abdomen that may become either worse or better with eating.
- Nausea.
- Vomiting.
- A feeling of fullness in your upper abdomen after eating.
TREATMENT
- Shodhana therapy (bio purification) has been given an importance as it is based on expulsion of vitiated. Doshas produced by the non homological factors from the body and avoids the relapses of diseases.
- Virechana(purgation) is best measure for Paittika disorder as a Shodhana remedy of disease.
4. Anorexia/ Loss of Appetite [ Mandagni]
- Anorexia simply manifests as a decreased appetite.
- This can present as not feeling hungry or lacking the desire to eat.
- Sometimes people do not even notice they lack an appetite until they begin to lose weight from eating less. In other cases.
- It can be more noticeable, such as when a person becomes nauseated from just the thought of eating.
- Any form of decreased appetite that leads to changes in the body (such as weight loss or muscle loss) that is not done intentionally as part of dieting is clinically significant.
TREATMENT
- Ayurveda aims in treating the root cause and is categorised under the individualised constitution-based treatment.
- The mind and the psychological factors are also given importance as these factors are important affecting the appetite.
- The diet and lifestyle advices are to be followed as recommended along with the herbal home remedies aiming towards a carminative and digestive outcome.
- Yoga has proven its effect over anorexia and certain yoga postures along with the ayurvedic medicines gives a good result.
5] Constipation [ Vibandha ]
- Constipation refers to bowel movements that are infrequent or hard to pass. The stool is often hard and dry.
- Other symptoms may include abdominal pain, bloating, and feeling as if one has not completely passed the bowel movement.
- Complications from constipation may include hemorrhoids, anal fissure or fecal impaction.
TREATMENT
Constipation is easier to prevent than to treat. Following the relief of constipation, maintenance with adequate exercise, fluid intake and high fiber diet is recommended.
- Snehapaana [ ex. Grita and taila ].
- Swedanayogya.
- Niruha and anuvasanavasti.
- Use of ANULOMANA drugs , which carries out the paaka of the mala and which facilitates their easy elimination through anus by breaking the bandha is called anulomana. Ex: Harithaki.
- BEDHANAdrug which pushes the malas downwards after breaking down the scybal (hardened faecal mass) irrespective of their state Ex: Katuki.
- RECHANA drug which liquifies the malas irrespective of their paka and expulses them is called RechanaEx: Trivrit, Aragvadha.
- SRAMSANA drug which takes no part in digestion but which drives downwards the products that remain impacted in the intestines Ex: Aragvadha.
- Yoga practices are beneficial inconstipation.
6. Irritable bowel syndrome [ Grahani]
Irritable bowel syndrome (IBS) is a group of symptoms-including abdominal pain and changes in the pattern of bowel movements without any evidence of underlying damage .These symptoms occur over a long time, often years. It has been classified into four main types depending on whether diarrhea is common, constipation is common, both are common, or neither occurs very often .IBS negatively affects quality of life and may result in missed school or work. Disorders such as anxiety, major depression, and chronic fatigue syndrome are common among people with IBS.
- The primary symptoms of IBS are abdominal pain or discomfort in association with frequent diarrhea or constipation and a change in bowel habits.
- Symptoms usually are experienced as acute attacks that subside within one day, but recurrent attacks are likely.
- There may also be urgency for bowel movements, a feeling of incomplete evacuation (tenesmus) or bloating.
- In some cases, the symptoms are relieved by bowel movements.
TREATMENT
- The treatment module may be modified according to the predominant symptoms.
- Langhana, Agnidipana, Pachana, Vatanulomana, Manonukulata drugs are given in the initial stage.
- It can be controlled by managing diet, lifestyle and stress.Patient should be advised to follow appropriate food regimen for the utmost care of health.
- Together with it psychic factor are involved so appropriate counseling has to done and Manaprasadakara treatment given.
7. Dyspepsia / Indigestion[ Ajirnam ]
Indigestion, also known as dyspepsia or upset stomach, is a condition of impaired digestion. Dyspepsia is a common problem and is frequently caused by gastroesophageal reflux disease (GERD) or gastritis. In a small minority of cases it may be the first symptom of peptic ulcer disease (an ulcer of the stomach or duodenum) and, occasionally, cancer.
- Symptoms may include upper abdominal fullness, heartburn, nausea, belching, or upper abdominal pain.
- People may also experience feeling full earlier than expected when eating.
TREATMENT
- Laghana[fasting] are the basic management in Ajirna.
- Along with internal Medicine like Trikatu,Triphala, HingwastakaChurna etc.,
Ayurveda consider Health and Disease both as the products of food and life style. Today when population is moving with modernization in the 21st century a lot of new diseases emerge out due to faulty life style, improper diet and unhealthy food lack of exercise, mental stress and sleep all are disturbs the biological clock of human being and produce many new life style diseases.
