Category: Alcoholic Liver Disease

Treatment of Chylous Ascites with Herbal Remedies and Diet


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.


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


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


  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 )


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)


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.


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


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


  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..


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


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.


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

What is Ascites? – Types, Symptoms, Causes and Herbal Remedies


It frequently happens because of cirrhosis of the liver, heart failure, kidney failure, and infections. Mild ascites may not show any symptoms but if you are experiencing the fullness of the abdomen, weight gain, swelling in the ankles, nausea, or shortness of breath you have landed on the right page. Here we have discussed ascites in detail, its causes, symptoms, diagnosis, and its Ayurvedic treatment. Ayurveda, our age-old science, has wonderfully treated ascites with remarkable results. Read on to know more.


Ascites is a condition in which there is an accumulation of free fluid in the peritoneal or abdominal cavity, which gives a feeling of fullness and rapid weight gain. This free fluid leads the belly to swell and is called a ballooning belly. Ascites is a further complication of non-hepatic or hepatic disease. Mild ascites is hard to notice whereas severe ascites cause distension of the abdomen.



Ascites is categorized mainly into two types depending on the protein content in the fluid:

  • Exudate: Exudate has a protein content of more than or equal to 2.5g/dl.
  • Transudate: Transudate has a protein content of less than 2.5g/dl.

The other, more useful way to categorize ascites is by using the SAAG



Cirrhosis of the liver is the most common condition that can cause ascites. Other conditions that cause ascites can be heart failure, kidney failure, infections (such as tuberculosis ),or

How does cirrhosis cause ascites?

When a patient has cirrhosis, his liver doesn’t function normally as it should. The abnormal liver function combines with portal hypertension to cause ascites. This portal hypertension is the high pressure in portal veins (the veins that supply blood to the liver). This abnormally high pressure in portal veins causes fluid to leak out of the veins into the belly and collect there as a fluid.


Conditions causing cirrhosis of the liver puts a patient at a greater risk of developing ascites. These conditions are Non-alcoholic fatty liver disease, Hepatitis-B, Hepatitis-C, Autoimmune hepatitis, Alcohol use disorder, Genetic liver diseases that may include Wilson disease and alpha

1 antitrypsin deficiency, and hemochromatosis. Some of the other conditions that can cause ascites are cancers of the abdominal or pelvic organs, infections, congestive heart failure, and kidney failure.


Depending upon the cause of ascites, symptoms may develop gradually or suddenly. Mild fluid in the abdominal cavity is usually asymptomatic, that is without any symptoms but as the collection of the fluid increases, it thereby causes:

  • swelling in the abdomen
  • sense of fullness
  • Bloating
  • weight gain
  • nausea
  • indigestion
  • shortness of breath
  • back pain
  • fatigue
  • swelling in ankles.


Multiple steps are involved in the diagnosis of ascites. The patient’s complete medical history followed by a thorough abdominal examination/physical examination is carried out by a medical practitioner to look for any signs or symptoms. a patient’s history and physical examination help determine a diagnosis. Blood tests and imaging tests are likely needed. Tests to confirm the diagnoses are Ultrasound or CT scans in which the abdominal area can be seen deeply and detailed. CBC is carried out to look for the infections and organ functions that might lead to ascites. The second most important test is paracentesis in which the fluid accumulated is analyzed for signs of cancer, infection, portal hypertension, and other conditions.


  • Nidana parivarjana (avoiding causative factors): This is a complete diet restriction to minimize the symptoms along with medicines.
  • Agni Dipti (provocation of digestion)
  • Apyam Doshaharnam and sroto shodhan (removal of the fluid accumulated)
  • Nitya virechana(daily therapeutic purgation)


PLANET AYURVEDA provides the best and most effective treatment by the touch of herbs for the treatment of ascites. As the diseased liver is the main cause of ascites, The Planet Ayurveda provides a complete ASCITES CARE PACK which is a combination of herbal remedies for liver health. Remedies that are herbal and with the non-touch of artificial ingredients. chemical and preservative-free herbal remedies are used worldwide to treat diseases.

This ASCITES CARE PACK consists of


Ayurvedic Treatment For Ascites

Herbal Supplements for Ascites


1. Punarnava capsules

This ayurvedic remedy has a great tendency to control water retention in the abdomen as it is prepared from the standardized extract of Boerhaavia diffusa . It possesses diuretic properties that flush out the toxins from the abdominal cavity, through urine by increasing its flow.

Dosage: 2 capsules to be taken two times a day after meals with warm water.

2. Water ex-tablets

These water ex-tablets consist of natural herbs like gokshura (Tribulus Terrestris), Varuna (crataeva nurvala), etc which have the properties of fluid expulsion from the body and reduce inflammation caused by any infection.

3. Rencure Formula

It consists of palash (butea monosperma), gokshur (Tribulus terrestris), punarnava (boerhavia diffusa),varun (crataeva nurvala) etc. This formula has tremendous effects on kidney disease which can be a leading cause of ascites. It maintains the normal

functioning of the kidneys.

Dosage: 1 capsule is to be taken twice after meals with water.

4. Liver Detox Capsules

This combination of herbs helps in the detoxification of the liver byremoving harmful toxins that cause fluid to accumulate. The herbs in this formulation are kaansi (Cichorium intybus), kalmegh (Andrographis paniculata), makoy (Solanum Indicum), etc.

Dosage: 1 capsules to be taken two times a day after meals with warm water

5. Jalodarari ras

These herbal tablets have been prepared with the combination of pippali (piper longum), maricha (piper nigrum), jaiphala (Croton tiglium), Haridra (Curcuma longa), etc. This combination of herbs serves as an anti-inflammatory agent and eliminates accumulated fluid.


Ascites can be well managed at home along with these herbal remedies. Managing the diet with low salt intake can be beneficial. By Quitting alcohol and smoking the disease can be limited to a greater extent. A healthy lifestyle with exercising can prevent further liver


ASCITES mainly affects patients with cirrhosis of the liver. Another systemic disease can also lead to ascites. Important diagnostic tools are scans and blood tests. A physical examination plays an important role in diagnosis. PLANET AYURVEDA medicines are significantly effective in ascites under the guidance of well-experienced doctors. Management of diet and healthy lifestyle can add more value to the early recovery. Ayurvedic treatment is followed by the internal purification process, herbal remedies, a special diet, and meditation. The primary basis of Ayurveda is the interconnection between