Category: Liver Health

Treatment of Chylous Ascites with Herbal Remedies and Diet

Abstract

CHYLOUS ASCITES occur when chyle collects in the belly. Chyle is a milky fluid which is made in the intestines. It is an uncommon and a rare type of condition arising from obstruction of lymphatic drainage or trauma. It was first reported in 1912. It has an incidence of approximately 1 per 20,000 people. The present ascitic fluid  can turn into chylous fluid as a secondary event. It can occur in children, although most are infants and toddlers and adults.

INTRODUCTION

Chylous ascites is defined as the milky appearance that results from leakage of lipid rich lymph into the peritoneal cavity. This usually occurs due to trauma and increased peritoneal lymphatic pressure or rupture of the lymphatics. Presence of the ascitic fluid with high fat (triglyceride), usually more than 200 mg/dL is defined as true chylous ascites.

Chylous ascites

SYMPTOMS

Chylous ascites are usually asymptomatic, but the following symptoms can be seen.

  1. Weight gain
  2. Shortness of breath
  3. Increased abdominal pressure
  4. Enlarged lymph nodes
  5. Malaise
  6. Anorexia
  7. Vomiting or Diarrhea
  8. Abdominal pain due to sudden leakage of chyle into the peritoneum.
  9. Bulge or swelling

CAUSES

  1. Injuries due to Trauma or surgery
  2. Rupture of lymphatics
  3. Increased peritoneal pressure
  4. Obstruction
  5. Malignancy
  6. Congenital lymphatic malformations
  7. Systemic infections such as tuberculosis, It can also occur from Cirrhosis,  pericarditis etc
  8. Inflammatory causes such as peritonitis .
  9. Mediastinal tumors

Diagnosis of chylous ascites

  1. Paracentesis – sample of the fluid is taken from the belly with the help of the needle and examined under the microscope.
  2. Ultrasound
  3. Lymphoscintigraphy
  4. Magnetic resonance (MR) lymphography
  5. Blood culture – triglyceride test
  6. CT ( computed tomography )

MANAGEMENT

As per modern : The management will be in two types : Conservative and Surgical.

CONSERVATIVE -Low fat diet

  • IV nutrition
  • Removing fluid from the belly ( Paracentesis)
  • Placing a drain in the belly to let fluid flow out.
  • Transjugular intra hepatic porto systemic shunt (TIPS)

AS PER AYURVEDIC OVERVIEW

Ayurveda is a holistic way of healing which heals on the basis of dosha , dhatu , mala through herbs with different diagnostic tools such as dashavidha pariksha. Ayurved helps in treating the disease from the roots without any harmful reaction to the body .It aims to restore the health of the healthy person and to treat the diseased person.

Chyle Ascites is due to either vata and kapha dosha , vata dosha helps in  the movements of the body and maintains the normal functions of the body whereas kapha provides stability to the body. It comes under udara roga as per ayurveda It happens  due to accumulation of the toxic fluid into the peritoneal cavity.

Diagnosis

  • Darshana ( Direct perception)
  • Sparshana (Touch Perception)
  • Prashan (Questioning)

Management

  1. Dietary management
  2. Lifestyle changes
  3. Shaman chikitsa  (Herbal formulations)
  4. Shodhana chikitsa (Purificatory measures)
  5. Shastra chikitsa (surgical or para surgical procedures)

Tips

  1. Diet –Take warm and liquid food such as soups and stews , Avoid salty, heavy ,oily, spicy food and carbonated drinks. Have fresh vegetables and fruits , a high fibre diet and low sodium diet.
  2. Lifestyle – Gentle exercise , Meditation and yoga to cope up with stress.
  3. Shodhana chikita – snehana , swedana, nitya virechana , asthapan and anuvasana basti.
  4. Shaman chikitsa – Using herbal drugs or formulations to manage the condition such as triphala , guggulu , punarnava , Kalmegh etcc..

HERBAL REMEDIES FOR CHYLOUS ASCITES BY PLANET AYURVEDA

PLANET AYURVEDA is an ayurvedic clinic which provides holistic healing through herbs and diet. They also have a manufacturing unit which is GMP and ISO certified. They provide natural supplements such as herbal oils, tablets, capsules, powders ,syrups etc which are 100% pure and natural. They also provide classical medicines and serve the society for more than 20 years.

Product Lists

  1. Punarnava capsules
  2. Shothari mandoor
  3. Tribulus power
  4. Indian echinacea
  5. Yakrit plihantak churna

Herbal Remedies for Chylous ascites

Chylous ascites herbal supplements

PRODUCT DESCRIPTION

1. Punarnava capsules

It is one of the patent medicines of the planet ayurveda consisting of punarnava (Boerhavia diffusa) available in capsule form.. Punarnava is a classical ayurvedic herb which is used to reduce inflammation, in liver disorders, increases digestive fire, useful in wounds , abdominal disorders.

DOSAGE: 2 Capsules twice a day after meal with plain water.

2. Shothari mandoor

It is one of the classical as well patent medicines by planet ayurveda available in tablet form . It consists of various herbs such as Triphala(Haritaki, amalaki, vibhitaki), Trikatu(Sunthi, maricha, pippali), madhu(honey) , nirgundi swarasa(vitex negundo), chavya(Piper chaba) , gomutra etc.. It is useful in treating edema, inflammation, in case of injury bleeding.

DOSAGE – 2 tablets twice a day after meal with plain water.

3. Tribulus Power

This is a patent medicine by planet Ayurveda available in capsule form. It is a single herb formulation consisting of gokshura (Tribulus terrestris) .This is useful in balancing all the doshas, relieves from pain and it has anti-inflammatory and diuretic properties

DOSAGE– 1 Capsule twice daily after meal with plain water.

4. Indian echinacea

Indian echinacea is a patent herbal formulation by planet ayurveda available in capsule form which includes indian echinacea (Andrographis paniculata) in sanskrit it is known as kalamegha. It pacifies kapha and pitta dosha and increases immunity.

DOSAGE: 1 capsule twice daily after meal with plain water.

5. Yakrit Plihantak churna

It is one of the planet ayurveda’s patent formulation in powder form which includes kalmegh  (Andrographis paniculata), bhringraj (eclipta alba) , bhumi amla (Phyllanthus niruri) , sharpunkha(Tephrosia purpurea) etc.. It is useful in liver and spleen disorders. It relieves from disorders like liver cirrhosis, liver damage , infections etc.

DOSAGE: 1 Tablespoon twice daily after meal with plain water.

CONCLUSION

Chylous ascites have a milky appearance , which arises due to above mentioned causes . It results from leakage of lipid rich lymph into the cavity .Chylous ascites  have both conservative and surgical management which makes it curable. According to ayurveda it comes under udara rogas which can manifest due to no. of causes and can be treated by different methods such as diet, lifestyle , shodhana and shaman therapies as well as shalya karma( surgery). As this condition can be managed by conservative treatment herbal remedies play a major role. You can find the classical as well as patent medicines for this condition at www.planetayurved.com

Treatment of Biliary Atresia in Ayurveda with Herbal Remedies

Abstract

Bile ducts are thin tubes that carry bile from the liver to the stomach. The bile carried by them is helpful in digestion. Due to blockage of the bile duct, several disorders occur that lead to increased bilirubin levels in the body. The blockage of bile ducts is known as Biliary Atresia. This condition is rare but can be fatal if not diagnosed and managed on time. In this article, we will look at various causative factors, symptoms, and ayurvedic management of Biliary Atresia.

Introduction

Biliary Atresia is a condition in children in which the bile duct is blocked. The bile cannot flow through the ducts and builds up in the liver itself. That can cause various liver disorders including liver damage, jaundice, etc.

There are types of Biliary Atresia

  • Perinatal Biliary Atresia
  • Fetal Biliary Atresia

Premature children are at greater risk for developing Biliary Atresia. A baby with Biliary Atresia usually seems healthy at birth but the symptoms start occurring after two weeks to two months. Two types of surgeries are used to treat this condition, which may include liver transplant and Kasai procedure. Ayurvedic treatment has a great effect on its management. Both treatment options are discussed further in the article. Choose the best for your child’s safe and healthy future.

Ayurvedic Aspect

In Ayurveda liver is known as ‘Yakrit’ and disorders related to it are called ‘yakrit rogas’. The excess formation of bilirubin is due to an imbalance of tridosha in the body, which will cause excessive production of bilirubin. The imbalance of tridoshas in the fetus will cause damage to the newborn’s biliary system/bile ducts. All these conditions together will cause the disorder of Biliary Atresia. The treatment includes herbs for the management of the liver and normal production of bilirubin in the liver.

Causes

The causes of Biliary Atresia are unknown, but scarring and damage to bile ducts can occur due to-

  • Infections at birth
  • Autoimmune problems
  • Genetic mutation

Symptoms

Due to blockage of bile ducts, the bilirubin cannot get out from the liver and is not excreted from the body. It gets collected in the liver and causes these symptoms

symptoms of Biliary Atresia

  • Jaundice
  • Light colored stools
  • Yellowish urine
  • Inflammation in the abdomen
  • Loss of appetite
  • Weight loss
  • Liver failure (in some cases)

These symptoms look like other liver conditions like jaundice but the proper diagnosis is needed to rule out possible causes and disorders.

Diagnosis

Diagnosis is confirmed by a pediatrician after a full examination of the baby. Diagnosis may include one or more of the following diagnostic methods-

  • Physical examination
  • Liver function tests
  • Ultrasound
  • Liver biopsy
  • Hepatobiliary scan

Differential Diagnosis

Symptoms of Biliary Atresia may correlate with symptoms of the following conditions, but proper diagnosis is a must to rule out the exact condition-

  • Lipid storage disorder
  • Caroli disease
  • Alagille syndrome
  • Neonatal hemochromatosis
  • Congenital herpes simplex virus
  • Congenital cytomegalovirus

Complications

  • Bleeding in liver
  • Blockage in intestines
  • Hole in intestine
  • Liver failure

Treatment

In modern pathology, there is no Treatment for Biliary Atresia. Surgery is the only option for its management. The surgical procedure for the treatment of Biliary Atresia is known as the ‘Kasai Procedure’.. In this surgical procedure, the damaged bile ducts are removed and replaced with a piece of the small intestine that will allow the drainage of bilirubin into the small intestine directly from the liver. However, the success rate is low in many children, and the recurrence rate even after the surgery is high. This can be subjected to loss, with side effects, and undergoing surgery has several side effects. Ignoring side effects it still has chances of reoccurrence. Then what is the option for management besides antibiotics? Well here is the solution. Ayurveda is the solution to your problem. Ayurvedic herbs and therapies help you to recover from this condition and prevent its recurrence. Let us have a detailed look into it.

Herbal remedies for Biliary Atresia  by Planet Ayurveda

Planet Ayurveda is a herbal medicines manufacturing company in India. Planet Ayurveda. It has been preparing several herbal medicines that are successfully treating several diseases worldwide. All their preparations are 100% pure and free from chemicals, and preservatives. The medications are used in the treatment of several health conditions. Planet Ayurveda provides the following preparations for the effective treatment of Biliary Atresia.

herbal remedies for Biliary Atresia

Herbal Remedies For Liver Failure

1. Livoplan Syrup

This syrup is prepared with a combination of various herbs such as Bhringra (Eclipta alba), Kalmegh (Andrographis paniculata), Shyonak (Oroxylum indicum), Bhumi amla (Phyllanthus niruri), Rohitaka (Tecomella undulata), Patol (Trichosanthes dioica), Ghritkumari (Aloe vera), Sharpunkha (Tephrosia purpurea), Dugdhapheni (Taraxacum officinale), Kasni (Cichorium intybus), etc. This tonic helps protect the liver from several hepatotoxins by eliminating toxins from the liver and body. It also allows the healing of damaged liver tissues. It is helpful for damaged liver, alcoholic liver, and viral hepatitis. It promotes strength and helps in maintaining healthy stimulating sluggish liver.

Dosage–  Have 1 teaspoon twice daily.

2. Arvindasav

This herbal formulation contains Arvvinda (Nelumbo nucifera), Mansi (Nardostachys jatamansi), Ela (Elettaria cardamomum), Mulethi (Glycyrrhiza glabra), Neelkamal (Nymphaea stellata), Arjuna (Terminalia arjuna), Bala (Sida cordifolia), Nilini (Indigofera tinctoria), Gambhari (Gmelina arborea), Manjishtha (Rubia cordifolia), Vacha (Acorus calamus), Pitpapra (Fumaria parviflora), Amalaki (Emblica officinalis), Patola (Trichosanthes dioica), Muramansi (Selinum tenuifolium), Shyama (Ipomoea turpethum), Bibhitaki (Terminalia bellerica), Draksha (Vitis vinifera), etc. This asav is indicated in all conditions of children. It manages indigestion issues, diarrhea, cough, and weakness by enhancing immunity in children. It strengthens the immune system of a child to fight against several diseases.

Dosage– Take 10-20 drops two times a day.

3. Yakrit Plihantak Churna

It consists of herbs Bhumiamla (Phyllanthus niruri), Bhringraj (Eclipta alba), Kalmegh (Andrographis paniculata), Kaansi (Cichorium intybus), and Sharpunkha (Tephrosia purpurea). This churna promotes healthy liver functioning. It also maintains the spleen functioning along with the liver. All these herbs work together to sustain the good functioning of the hepatic system.

Dosage- Take 1/4th spoon of churna, and mix with Livoplan Syrup and Arvind Asav.

4. Acidoplan Syrup

This syrup consist of herbs- Patol (Trichosanthes dioica), Ghritkumari (Aloevera), Saunf (Foeniculum vulgare), Kokum (Garcinia indica), Pittapapada (Fumaria indica), Shatavari (Asparagus racemosus), Sajjikhar (Soda bicarbonate), etc. This syrup is used in the management of acidity. Bile is an acid in the human body. Excess production of bile is controlled by this syrup which can help in easing the symptoms of biliary atresia.

Dosage- Have 1 spoon two times a day.

Conclusion

Biliary Atresia is corrected through surgery which does not have high success rates.  Also, the child may need a liver transplant even if the surgery is successful. Ayurvedic herbs provide proper management of this condition with no side effects and no failures. Keep your child safe and away from side effects with herbal management. For any queries visit us at www.planetayurveda.com

Stay Healthy!! Stay Alive!!