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Treatment of Arthritis

Difficulty while going down stairs

I attend daily online queriesthat I have pain in knees when going down stairs. Almost above 50s mostly people especially ladies has this problem.

What is this problem?
What should I do now?
What tests are required to rule out disease?
Will I be able walk and go upstairs and downstairs easily?

First let’s talk about Arthritis. Arthritis means inflammation in joints. There are many types of arthritis. Pain is common symptoms in all arthritis.

In Rheumatoid Arthritis, pain may be in any small to large joint of body. There is morning stiffness in greater than hour or stiffness in joints after rest more than half hour. Ladies face difficulty making dough or rolling chapattis. But after some warming exercises, stiffness is reduced.In these type mostly young ladies are affected, especially after delivery.

In Gouty Arthritis, pain if felt only one joint at a time. Mostly young male adults are affected. Pain is aggravated after consuming alcohol, non vegetarian food, and proteins diets. Pain is mostly aggravated in night.

In Osteoarthrits, we can see people above 50 are most suffering from this type of arthritis. Weight wearing joints like knee, hip and spine are most affected parts. It occurs when the protective cartilage on the ends of bones wears down over time.One may hear or feel crackling sound while moving the joint.

Psoriatic Arthritis, psoriasis (silver scaly skin) is an autoimmune disease. Mostly above 30 year are affected.

What tests are required to rule out disease?

For Rheumatoid Arthritis following blood tests are to be done
• Rheumatoid Factor ( Qualitative and Quantitative)
• ESR
• CRP
• Complete CBC

For Gouty Arthritis following blood tests are to be done
• Serum Uric Acid
• Creatinine
• ESR

For OsteoArthritis following tests is to be done
X-ray of both knee and spine
MRI

What should I do when I see blood in my stool?

We have seen many people especially women , when the pass blood in stools, they got terrified. Some don’t disclose to their close family members Due to shyness.. Even if they disclose to family or friends, they are not able to guide what to do and whom to approach.

Bleeding in stools is due to many reasons like haemorrhoids, Ulcerative colitis, Anal fissure or colon cancer.

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Living with Ulcerative Colitis

Living with Ulcerative Colitis becomes comfortable, if we could manage the cause which triggers the disease

Common triggers include stress, smoking, missing doses of medication, and eating certain foods. Try to identify your personal triggers and take steps to avoid them, such as practicing meditation to manage stress or using a daily pillbox to remember every dose.

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Alternative Medicine: A new hope for patients of Ulcerative Colitis

“Doctor either KILL ME OR CURE ME” were the first words of Jasvir Kaur a patient of Ulcerative Colitis when she visited me at my Clinic in Punjab. Jasvir Kaur was suffering from Ulcerative Colitis (Inflammatory Bowel Disease) for the past 12 years and was under treatment from a premier institute in Chandigarh after that from Ludhiana. In the early 3 to 5 years her symptoms were controlled by Steroids which as expected gave her a lot of side effects but ignoring that she had relief in her symptoms and the disease used to get under control. But after 5 years of suffering Jasvir became dependent on steroids and the real problem began for her. She was continuously put on steroids for about 7-8 years, giving her merely any control of the symptoms. Then her treating doctors of leading institution in Ludhiana began to worry about the side effects of Steroids so decision was taken to give IV Infusion of Inj. Infliximab (Remicaid) Although very expensive for the family of Jasvir, they sold their land in the hope of getting any relief but all the efforts of family were in vain as the frequency of the stools and the bleeding did not decrease. After all the treatment failed she was referred to Gastro Surgeon for surgery in which the entire Large Intestine is removed (Colectomy).
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Treatment of piles using Sclerotherapy by Dr. Karun Verma

What are piles (hemorrhoids)?

Piles (hemorrhoids) are swellings or mass of swollen veins that develop inside and around the back passage (anus). Symptoms of piles include bleeding from anus while passing stools, feeling of anal mass and sometimes if pile mass gets swollen it may also cause pain in anal region.

The anal canal is the last part of the large intestine and is about 4 cm long. At the lower end of the anal canal is the opening to the outside (usually referred to as the anus), through which feces pass. At the upper end, the anal canal connects with the rectum (also part of the large intestine).

There is a network of small veins (blood vessels) within the lining of the anal canal. These veins sometimes become wider and engorged with more blood than usual along with the swelling of overlying tissue and then form into one or more small swellings called piles.

What are the different types of piles (hemorrhoids)?

Internal piles : are those that form above a point 2-3 cm inside the back passage (anus) in the upper part of the anal canal. Internal piles are usually painless because the upper anal canal has no pain nerve fibers.

External piles : are those that form below that point, in the lower part of the anal canal. External piles may be painful because the lower part of the anal canal has lots of pain nerve fibers.

Some people develop internal and external piles at the same time.

What are the stages of piles?

Internal piles can be classified into grades 1 to 4 according to their severity and size:

Grade 1 are small swellings on the inside lining of the anal canal. They cannot be seen or felt from outside the anus. Grade 1 piles are common. In some people they enlarge further to grade 2 or more.
Grade 2 are larger. They may be partly pushed out from the anus when you go to the toilet, but quickly spring back inside again.
Grade 3 hang out from the anus when you go to the toilet. You may feel one or more as small, soft lumps that hang from the anus but you can push them back inside the anus with a finger.
Grade 4 permanently hang down from within the anus, and you cannot push them back inside.

What causes piles (hemorrhoids)?

Constipation, is probably the most common cause. These increase the pressure in and around the veins in the anus and seem to be a common reason for piles to develop.
Pregnancy. Piles are common during pregnancy. This is probably due to pressure effects of the baby lying above the rectum and anus.
Ageing. The tissues in the lining of the anus may become less supportive as we get older.
Hereditary factors. Some people may inherit a weakness of the wall of the veins in the anal region.

Diagnosis Of Piles

If you think that you may have piles (hemorrhoids), or have bleeding or pain from your back passage (anus), you should visit your doctor as bleeding from anal region can be a sign of some serious problem like Cancer or Ulcers in large intestine.

Piles are diagnosed by doctor by doing physical examination and if required Video Proctoscopy and sigmoidoscopy can be done.

TREATMENT OF PILES

Following treatment modalities are being used for the treatment of piles:

Sclerotherapy – Phenol in oil is injected into the tissues at the base of the piles using a special type of syringe and needle. This causes a scarring (fibrotic) reaction which obliterates the blood vessels going to the piles. The piles then die and drop off. This technique is usually used by a doctor during an OPD.

Band Ligation: In this technique a rubber band is put over a pile mass and it cuts off the blood supply to the pile mass which dies and drops off. This technique can also be performed during a routine OPD visit of the patient.

Infrared coagulation/photocoagulation – this method uses infrared energy to burn and cut off the circulation to the hemorrhoid, which causes it to shrink in size. It seems to be as effective as banding treatment and injection sclerotherapy for first- and second-degree piles.

At our Centre we have been treating patients with combination of Sclerotherapy and Band Ligation and the results of technique are phenomenal. The benefits of this technique are that the patient can return to the work same day after the procedure with minimal or no pain. There is no need for any admission and bed rest. Moreover no tissue is cut during the procedure and thereby reducing the side effects which usually result from the surgery. Compared to the surgery the cost of this procedure is also very less.

Food Guidelines by body type in Ayurveda

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According to Ayurveda, diet is the most important tool for achieving balance of bio-energies (doshas). The Ayurvedic physician generally designs individualized diets for patients, based on various factors such as age, climate, place, the strength of the body tissues and the digestive fires, and the level of ama (toxins) in the body; the doshic tendencies that need to be balanced at a given time also being factors that affect dietary do’s and don’ts.

Food guidelines for ‘Vata’ type people

For VATA type people regularity in meal times is important for health. They can use more oil in cooking their foods than the other two doshas and experience better digestion if they limit their intake of raw foods. All dairy products are good for Vata with hard cheese being eaten sparingly. Well-cooked oats and rice are good for Vata because they are not too drying when cooked with plenty of water and butter or ghee. While cooked vegetables are best, the occasional salad with a good oily or creamy dressing is fine. Astringent and drying fruits, such as cranberries, pomegranates and raw apples should be avoided. Fruit should always be eaten by itself on an empty stomach.

Vegetables

Recommended are cooked vegetables. Asparagus, Beetroot, Cabbage, Carrots, Cauliflower, Coriander, Cucumber, Daikon radish, Fennel, Garlic, Green beans, Green chilies, Radishes (raw), Sweet corn (fresh), Tomatoes (cooked or raw), Turnips, Wheat grass sprouts.

Fruits

Sweet fruits are recommended. Apples (cooked), Apple sauce, Apricots, Avocados, Bananas, Berries, Cherries, Coconuts, Dates (fresh), Figs (fresh), Grapefruit, Grapes, Kiwi fruit, Lemons, Pomegranates, Prunes (dry), Raisins (dry), and Watermelons.

Animal Foods

Recommended
Beef, Buffalo, Chicken (dark/white), Duck, Eggs, Fish (freshwater/sea), Salmon, Tuna fish, Turkey (dark).

Best avoided
Lamb, Pork, Rabbit, Turkey (white), and Venison.

Dairy

Recommended
Most dairy food is healthy – Butter, Buttermilk, Cheese (hard/soft), Cottage cheese, Cow’s milk, Ghee, Goat’s cheese/milk, Ice cream, Sour cream, Yogurt (diluted/spiced).

Best avoided
Cow’s milk (powdered), Goat’s milk (powdered), Yogurt (plain, frozen, fruit).

Beverages

Recommended
Beverages are Alcohol (beer/wine in moderation), Almond milk, Aloe vera juice, Apple cider, Apricot juice, Berry juice (no cranberry juice), Carob, Carrot juice, Chai (Tea) with hot spiced milk, Cherry juice, Grain ‘coffee,’

Best avoided
Beverages are Apple juice, Black tea, Caffeinated beverages, Carbonated drinks, Chocolate milk, Coffee,

Nuts
Nuts are recommended in moderation – Almonds, Black walnuts, Brazil nuts, Cashews, Filberts, Hazelnuts, Macadamia nuts, Peanuts, Pecans, Pine nuts, Walnuts.

Condiments

Recommended
condiments are Black pepper, Kelp, Ketchup, Lime pickle, Mango chutney (sweet/spicy), Mango pickle, Mayonnaise, Salt, Spring onions.

Vinegar is best avoided.

Food guidelines for ‘Pitta’ type people

Pitta people diet should be cooling, light, dry or little heavy. Preferred tastes are sweet, bitter and astringent. Sour, salty, fried and overcooked foods are not recommended. Three meals a day are sufficient, and they should remain emotionally calm and thankful. No meals should be taken after 7 p.m.

Vegetables

Recommended
Sweet, Bitter Vegetables, Artichoke, Asparagus, Beetroot (raw), Bitter melon, Broccoli, Brussels sprouts, Cabbage, Carrots (raw/cooked), Cauliflower, Celery, Coriander, Cucumber.
b

Best Avoided

Pungent Vegetables, Aborigine, Beetroot (raw), Burdock root, radish, Garlic, Green chilies, Horseradish, Kohlrabi, Leeks (raw), Mustard, Olives (green), Onions (raw), Peppers (hot), Prickly pears, Radishes (raw), Spinach (cooked/raw), Sweet corn (fresh), Tomatoes, Turnips

Fruits

Recommended
Sweet Fruit, Apples (sweet), Apple sauce, Apricots (sweet), Avocados, Berries (sweet), Cherries (sweet), Coconuts, Dates, Figs, Grapes (red/purple), Limes, Mangoes (ripe), Melons, Oranges (sweet), Papayas, Pears, Pineapples (sweet), Plums (sweet), Pomegranates, Prunes, Raisins, Watermelons
f

Best Avoided
Sour Fruit, Apples (sour), Apricots (sour), Bananas, Berries (sour), Cherries (sour), Cranberries, Grapefruit, Grapes (green), Kiwi fruit, Lemons.

Animal Foods

Recommended
Buffalo, Chicken (white), Eggs (albumen/white only), Fish (freshwater), Rabbit, Shrimp, Turkey (white), Venison
egg

Best Avoided

Beef, Chicken (dark), Duck, Eggs (yolk), Fish (sea), Lamb, Pork, Salmon, Sardines, Seafood, Tuna fish, Turkey (dark)

Dairy

Recommended
Butter (unsalted), Cheese (soft, unsalted,not aged), Cottage cheese, Cow’s milk, Ghee, Goat’s milk, Goat’s cheese (soft, unsalted), Ice cream, Sour cream, Yoghurt (freshly made, diluted)
m

Best Avoided
Butter (salted), Buttermilk, Cheese (hard), Sour cream, Yoghurt (plain, frozen, fruit)

Beverages
Recommended
Alcohol (beer), Almond milk, Aloe vera juice, Apple juice, Apricot juice, Berry juice (sweet), Black tea, Carob, Chai (hot, spiced milk), Cherry juice (sweet), Cold dairy drinks, Grain ‘coffee’,

Best Avoided
Alcohol (spirits/wine), Apple cider, Berry juice (sour), Caffeinated beverages, Carbonated drinks, Carrot juice, Cherry juice (sour), Chocolate milk, Coffee, Cranberry juice.

Nuts
Recommended

Almonds (soaked/peeled)

Best Avoided
Almonds (with skin), Black walnuts, Brazil nuts, Cashews, Filberts, Hazelnuts, Macadamia nuts, Peanuts, Pecans, Pine nuts, Pistachios, Walnuts

Condiments

Recommended
Black pepper, Dulse, Hijiki, Kombu, Mango chutney (sweet), Tamar

Best Avoided
Chocolate, Gomasio, Kelp, Ketchup, Lime pickle, Mango chutney (spicy), Mango pickle, Mayonnaise, Pickles, Salt (in excess), Seaweed, Spring onions, Vinegar

g

Grains
Recommended

Amaranth, Barley, Cereal (dry), Couscous, Crackers, Durum flour, Granola, Oat bran, Oats (cooked), Pancakes, Pasta, Rice (basmati, white, wild), Rice cakes, Seitan (wheat ‘meat’), Spelt, Sprouted wheat bread, Tapioca, Wheat, Wheat bran

Best Avoided
Bread (yeast), Buckwheat, Corn, Millet, Oats (dry), Polenta, Quinoa, Rice (brown), Rye

Oils
Recommended
Internal and External Use:, Canola, Flax seed, Ghee, Olive, Primrose, Soya, Sunflower, Walnut, External use only, Avocado, Coconut

Best Avoided
Almond, Apricot, Corn, Safflower, Sesame

Pulses
Recommended

Black beans, Black-eyed peas, Chick peas, Kidney beans, Lentils (brown/red), Lima beans, Mung dal, Peas (dried), Pinto beans, Soya beans, Soya cheese, Soya flour, Soya milk, Soya powder, Split peas, Tofu, White beans

Best Avoided

Miso, Soya sauce, Soya sausages, Tur dal, Urad dal

Seeds
Recommended
Flax, Halva, Popcorn (no salt, buttered), Psyllium, Pumpkin, Sunflower

Best Avoided
Sesame, Tahini

Food guidelines for ‘Kapha’ type people

Kapha people need a warm, light and dry diet. They must avoid cold, heavy and oily food to prevent mucus formation within the body. Preferred tastes are pungent, bitter and astringent. Sweet, salty and sour, and fried foods are not recommended. Kapha types should eat less, should fast regularly, sometimes they avoid breakfast or lunch for their own benefit.

Vegetables

Recommended
Pungent, Bitter Vegetables, Artichoke, Asparagus, Aubergine, Beetroot, Bitter melon, Broccoli, Brussels sprouts, Burdock root, Cabbage, Carrots, Cauliflower, Celery.

v

Best Avoided

Sweet, Juicy Vegetables, Courgettes, Cucumber, Olives, Parsnips, Pumpkin, Squash (winter), Sweet potato, Taro root, Tomatoes (raw)

Fruits

Recommended

Astringent Fruit, Apples, Apples sauce, Apricots, Berries, Cherries, Cranberries, Figs (dry), Grapes, Lemons, Limes, Peaches, Pears, Persimmons, Pomegranates, Prunes, Raisins, Strawberries

Best Avoided

Sweet, Sour Fruit, Avocados, Bananas, Coconuts, Dates, Figs (fresh), Grapefruit, Kiwi fruit, Mangoes, Melons, Oranges, Papayas, Pineapples, Plums, Rhubarb, Tamarinds, Watermelon

Animal Foods

Recommended
Chicken (white), Eggs, Fish (freshwater), Rabbit, Shrimp, Turkey (white), Venison

Best Avoided

Beef, Buffalo, Chicken (dark), Duck, Fish (sea), Lamb, Pork, Salmon, Sardines, Seafood, Tuna fish, Turkey (dark)

Dairy

Recommended

Buttermilk, Cottage cheese (skimmed goat’s milk), Ghee, Goat’s cheese (unsalted, not aged), Goat’s milk (skimmed), Yoghurt (diluted)

Best Avoided

Butter (salted/unsalted), Cheese (soft/hard), Cow’s milk, Ice cream, Sour cream, Yoghurt (plain, frozen, fruit)

Beverages

Recommended
Alcohol (dry wine, red/white), Aloe vera juice, Apple cider, Apple juice, Apricot juice, Berry juice, Black tea (spiced), Carob, Carrot juice, Chai (hot, spiced milk), Cherry juice (sweet).

J

Best Avoided
Alcohol (beer, spirits, sweet, wine), Almond milk, Caffeinated beverages, Carbonated drinks, Cherry juice (sour), Chocolate milk, Coffee,

Nuts

Recommended

None

Best Avoided

Almonds (soaked/peeled), Black walnuts, Brazil nuts, Cashews, Filberts, Hazelnuts, Macadamia nuts, Pecans, Pine nuts, Pistachios, Walnuts

Condiments

Recommended
Black pepper, Dulse, Hijiki, Mango chutney (spicy), Mustard (without vinegar), Seaweed, Spring onions

Best Avoided
Chocolate, Gomasio, Kelp, Ketchup, Lime pickle, Mango chutney (sweet), Mayonnaise, Pickles, Salt, Tamari, Vinegar

Grains

Recommended
Amaranth, Barley, Buckwheat, Cereal (cold, dry, puffed), Corn, Couscous, Crackers, Durum flour, Granola, Millet, Muesli, Oat bran, Oats (dry), Polenta, Quinoa, Rice (basmati, wild), Rye, Seitan (wheat ‘meat’), Spelt, Sprouted wheat bread

Best Avoided
Bread (yeast), Oats (cooked), Pancakes, Pasta, Rice (brown, white), Rice cakes, Wheat

Oils

Recommended
Internal and External Use:, Almond, Canola, Corn, Ghee, Sesame (external), Sunflower

Best Avoided
Apricot, Avocado, Coconut, Flax seed, Olive, Safflower, Sesame (internal), Soya, Walnut

Pulses

Recommended
Black beans, Black-eyed peas, Chick peas, Lentils (brown/red), Lima beans, Mung beans, Mung dal, Peas (dried), Pinto beans, Soya milk, Soya sausages, Split peas, Tempeh, Tofu (hot), Tur dal, White beans

Da

Best Avoided

Kidney beans, Miso, Soya beans, Soya cheese, Soya flour, Soya powder, Soya Sauce, Tofu (cold), Urad dal

Seeds

Recommended
Flax, Popcorn (no salt/butter), Pumpkin, Sunflower

Best Avoided
Halva, Psyllium, Sesame, Tahini

Thanks for reading. We hope this information was benefitial for you, and gives you more knowledge of what type of food are more suitable for you, and what are to be avoided. If you have any further question please feel free to contact us by email: info@bestayurveda.ca

What is Ulcerative Colitis

 

Ulcerative Colitis is a chronic condition characterized by the inflammation & ulcers in the rectum & colon or large intestine Ulcerative Colitis can be distinguished based on how much Ulcerative Colitis of the large intestine is involved. Ulcerative Colitis is a form of IBD that has similar to chronic disease.

When Ulcerative Colitis involves only the rectum it is referred to as Proctitis if it is involve in left side it is called left sided colitis(Ulcerative Prostates). When the entire colon is involved it is known as Penn colitis(Universal Colitis).

Ulcerative Colitis is specialty of periods of time with active inflammation.

Remission:-

When the patient is experiencing symptoms and periods of the time when the inflammation is turned off and patients fells well. We call these periods Remission.

Flare:-

Many People of Ulcerative Colitis have long have long period remission alternating the periods of active inflammation which is called flare. Some patients with Ulcerative Colitis have more flares than others.

Although the cause a false rated colitis is not known. Many factors can contribute to a person’s risk of having Ulcerative Colitis. But most can br thought out in three categories.

1) Genetic Predisposition
2) Environmental Factors
3) Deregulated immune response

Which cause the inflammation. Environmental factors may include Infections, taking antibiotics and smoking or non steroidal, anti inflammatory drugs or Rinse Aid.

If ULCERATIVE COLITIS inflammation appears with in colon and the immune system works to combat the bacteria and viruses and as it does with a cut on the surface of the skin. However the difference is that the immune system is not able to turn itself off after it reads the body of the Bactria or virus. So the officers remain until they are treated with medicine or surgery .This Chronic inflammation is what causes the symptoms of Ulcerative Colitis.

In Ulcerative Colitis the rectum the last 6 inches of large intestine is always involved. The inflammation may involved additional area at the large intestine above this area. In some patients the inflammation may extends further up to the colon. It is thought in some patients the inflammation extends higher up over time. Nearly 50% of the patients who do not have the whole common involved at the time of diagnosis eventually progressed a more extensive disease which may resulting new symptoms or loss of responses to an existing therapy.

Symptoms of Ulcerative Colitis:-

1) Abdominal Pain
2) Bloody Diarrhea
3) Fatigue
4) Growth Failure(specially in children)
5) Joint Pain
6) Loss of Appetite
7) Loss of Body Fluids & Nutrients
8) Rectal Bleeding
9) Weight Loss
10) Frequent Fevers
11) Nausea
12) Small Stools
13) Low Energy

ULCERATIVE COLITIS can affect other part of the body symptoms outside the GI tract can include Join Pain, Liver Inflammation, Osteoporosis, Skin Problems, Eye Problems, Mouth Ulcers, Anemia. Most of the symptoms Ulcerative Colitis are related to the inflammation of the Rectum. When rectum is inflamed it is not able to store content or distinguish gas from liquid. Because if the patients frequently run to the bathroom or fear they will weak or have an accident.

How Ulcerative Colitis affects the bowels?:-

In Ulcerative Colitis, Swelling is triggered by some unknown elements. Hyperemia and inflammation occur as part of the vascular response. The swollen, engorged bowel is fragile and is therefore inclined to ulcerate, thus creating a break in the mucosal barrier. Digestive enzymes and intestinal bacteria act upon this exposed tissue, causing further irritation, swelling, ulceration and bleeding.

Risk of Colon Cancer

There is strong correlation between Ulcerative Colitis and Colorectal cancer. The risk of colon cancer begins to increase after someone has had Ulcerative Colitis for approximately ten years or whose entire colon is affected. The risk increases by ten percent for each decade it is suffered. However if only the rectum and lower colon is involved, the risk of cancer is not high. Someone who has had diagnose of Ulcerative Colitis for longer than five to ten years should undergo a complete colonoscopy at least every two years. The key to cancer therapy is early detection and early treatment.

Types of Ulcerative Colitis:-
1) Ulcerative Proctitis
2) Proctosigmoiditis
3) Left Sided Colitis
4) Pan colitis
5) Fulminant Colitis

Ulcerative proctitis:-

Ulcerative proctitis is a mild form of ulcerative colitis. In this form of ulcerative colitis, inflammation is limited to the area closest to the anus (rectum), and for some people, rectal bleeding may be the only sign of the disease.

Symptoms:-
1) Rectal Bleeding
2) Pain & Feeling
3) Feeling of urgency
4) Diarrhea
5) Mucus Charge
6) Accidental Bowel Leakage
7) Tenesmus

Proctosigmoiditis:-
Proctosigmoiditis form involves the rectum and the lower end of the colon, known as the sigmoid colon.This Type includes Involvement of lower end of the colon with Rectum.

Symptoms:-
1) Abdominal Cramps
2) Bloody Diarrhea
3) Rectal Bleeding
4) Urgency
5) Tenesmus

Left-sided colitis:-

In Left Sided Colitis, Inflammation Extends From the rectum up through the sigmoid and descending colon which are placed in the upper left art of the abdomen.

Symptoms:-
1) Bloody Diarrhea
2) Abdominal Cramps
3) Pain on the left side
4) Weight Loss

Pancolitis or universal colitis:-
Pancolitis is a very severe form of ulcerative colitis.Pan refers to the fact that the disease is spread throughout the large intestine, from the cecum to the rectum.

Symptoms are very similar to those of any ulcerative colitis patient except more severe. In this type of Ulcerative colitis affecting the entire colon (right colon, left colon, transverse colon and the rectum).Condition Where almost colon is affected.

Symptoms:-
1) Abdominal Craps
2) Fatigue
3) Weight loss
4) Rectal Bleeding
5) Fever
6) Nights Sweats

Fulminant colitis:-
This is life-threatening form of colitis affects the entire colon and causes severe pain, profuse diarrhea and, sometimes, dehydration and shock. People with fulminant colitis are at risk of serious complications, including colon rupture and toxic megacolon, a condition that causes the colon to rapidly expand. Type of Ulcerative Colitis where entire colon is involved.

Symptoms
1) Severe abdominal Pain
2) Profuse diarrhea
3) Dehydration
4) Shock
5) Acute
6) Distension
7) Continues Bleeding


Ulcerative Colitis Treatment:-

Ayurveda based Ulcerative Colitis Treatment provides some hope to patients with severe disease and those patients who never had a remission, went in remission & enabled them to avoid Operation.

Ulcerin Compound 1 and Ulcerin Compound 2 Capsules

Role of Ulcerin Compound 1 and 2 Capsules:

1. Stability of stool improves, however frequency remains similar, which recover later on with time.
2. Amount of blood in stool reduces.
3. Number of mucus in stool reduces.
4. Slowly steadily the urgency to go to toilet reduces.
5. Hemoglobin improves and energy level goes up.
6. After 6 to 8 months we advise the patients to go through colonoscopic examination which usually shows improved vascular pattern.

All patients of resistant as well as continuous Ulcerative Colitis took Bael fruit based Ayurvedic Compounds in powder and capsule form along with their main medication. Within 2-4 weeks their symptoms were controlled, after which they underwent a gradual tapering of allopathic drugs they had been using. Bael helps heal ulcerated intestinal surfaces.

The results of this treatment were assessed on the basis on suggestive relief only. Patient who became symptom-free, or gone in remission who have never had a remission and stopped using all medicines were termed “improved”. Patients who obtained no relief from the treatment were termed “not thankful “. After treatment only a few patients could be subjected to investigation like colonoscopy, sigmoidoscopy and biopsy.

Ulcerative Colitis Diet Plan:-

According to Doctor’s a good diet plan can also helpful in ulcerative colitis treatment. There’s a good & healthy plan for ulcerative colitis patient’s.

If you have any further query about treatment or you are facing ulcerative colitis disease and you want consult to our Dr. Harish Kumar you can fill our Patient History Form.

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Sandhivata (Osteoarthritis)

Osteoarthritis or OA is known as Sandhivaat in Ayurveda. It is also referred to by doctors as degenerative joint disease or degenerative arthritis. OA is a type of arthritis that is the result of the inflammation, degeneration and wearing out of the joint cartilage over time. In osteoarthritis, the top layer of cartilage breaks down and wears away. This allows bones under the cartilage to rub together. The rubbing causes pain, swelling, and loss of motion of the joint. People of all ages can develop osteoarthritis although people 50 years of age and above are the most likely one to acquire this disease. The joints most commonly affected are the knees, hips, and those in the hands and spine.

Causes
Getting older
Joint injury
Being overweight
Stresses on the joints from certain jobs and playing sports.

Symptoms
Osteoarthritis symptoms often develop slowly and worsen over time. Symptoms of osteoarthritis include:
Pain. …
Stiffness. …
Muscle weakness. …
Swelling. Osteoarthritis does not usually cause much swelling but may cause a little, especially in the knees.
Deformed joints. …
Reduced range of motion and loss of use of the joint. …
Cracking and creaking.

Diagnosis

A combination of the following methods are used to diagnose osteoarthritis:

Clinical history
Physical examination

X rays—X-rays will help determine the form of arthritis and how much damage there is, including cartilage loss, bone damage, and bone spurs.
Magnetic resonance imaging It is used if there is pain, X-rays don’t show much, or there is damage to other joint tissues.

Ayurvedic Treatment of Sandhivaat(Osteoarthritis):

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Benefits of Osteoarth Capsules & Osteoarth Oil

• Reduce pain and inflammation of affected joints.
• Protect cartilage and cushions the joints.
• Improve joint function and mobility.
• Safe for long-term use.

For refill, contact Dr. Harish Kumar

Sushruta Ayurvedic Health Centre
# 2250. Bovaird Dr. E. Spring Dale Professional Building.
Suite No. 411. Brampton, ON, L6R 0W3. Canada.
email: drharishverma@gmail.com
Website: www.sushruta.com

Ayurvedic Treatment of Piles or Hemorrhoids

Piles, also known as “Hemorrhoids”, are lumps or swellings around the rectum and anus that contain enlarged and swollen blood vessels. Usually patients hesitate to discuss a lot about Piles therefore this problem keeps on increasing with time. It is better to seek for the solution in the beginning stages of any kind of disorder but if it has become critical you need to consult a health expert and discuss over the issue.

In women Hemorrhoids are very common, especially during pregnancy and after childbirth. They result from increased pressure in the veins of the anus. The pressure causes the veins to swell, making them painful, particularly when you are sitting.

The most common cause is straining during bowel movements. Hemorrhoids may be inside or outside the body.

• Internal hemorrhoids occur just inside the anus, at the beginning of the rectum.

• External hemorrhoids occur at the anal opening and may hang outside the anus.

Major symptoms of hemorrhoids is bleeding during or after bowel movements, itching, and rectal pain. Bright red blood in the toilet bowl or on toilet tissue is seen.

Other conditions with symptoms similar to hemorrhoids include anal fissures, anal fistulas, Anal abscess, inflammatory bowel disease (IBD).

Types of Hemorrhoids

Hemorrhoids can be divided into two types, internal and external. Internal hemorrhoids lie inside the anus or lower rectum, beneath the anal or rectal lining. External hemorrhoids lie outside the anal opening. Both kinds can be present at the same time.

Internal Hemorrhoids

The most common symptom of internal hemorrhoids is rectal bleeding. You may find bright red streaks of blood on the toilet paper or bright red blood in the toilet bowl after having a normal bowel movement. Blood also may be visible on the surface of the stool. Other symptoms of internal hemorrhoids may include Itching. This is a frequent complaint, because internal hemorrhoids often seep mucus, which can irritate the anal skin and cause itching, Skin irritation. Large hemorrhoids that bulge from the anus may secrete mucus, causing mild irritation.

Discomfort. You may still feel the urge to pass stool right after having a bowel movement. This uncomfortable feeling is caused by the bulging of the hemorrhoid in the end portion of the large intestine (anal canal). In general, the larger the hemorrhoid, the greater the discomfort.

Internal hemorrhoids are classified according to the degree of prolapse, although this may not always reflect the severity of symptoms.

Internal Piles / Hemorrhoids :

Internal hemorrhoids are those that occur above the dentate line. As this area lacks pain receptors, internal hemorrhoids are usually not painful and most people are not aware that they have them. Internal hemorrhoids, however, may bleed when irritated. These form in the back passage about 2-4 cm above the rim (opening) of the anus. Their severity and size are classified into grades 1 to 4:

Grade I: Grade 1 are small swellings on the inside lining of the back passage. They cannot be seen or felt from outside the anus. Grade 1 hemorrhoids are common. In some people they enlarge further to grade 2 or more. No prolapse.

Grade II: Grade 2 are larger. They may be partly pushed out (prolapse) from the anus when you go to the toilet, but quickly spring back inside again. Prolapse upon defecation but spontaneously reduce.

Grade III: Grade 3 hang out (prolapse) from the anus. You may feel one or more as small, soft lumps that hang from the anus. However, you can push them back inside the anus with a finger. Prolapse upon defecation and must be manually reduced.

Grade IV: Grade 4 permanently hang down from within the anus, and you cannot push them back inside. They sometimes become quite large. Prolapsed and cannot be manually reduced.
External Piles / Hemorrhoids :

External hemorrhoids are those which appear in the lower part of rectum. They protrude out of the anus or they may actually be concealed from view however. They are painful, and often accompanied by swelling and irritation. Itching, although often thought to be a symptom of external hemorrhoids, is more commonly due to skin irritation. The skin irritation may be brought about by the inflammation of the external hemorrhoid which in turn leads to a barely noticeable watery discharge and skin irritation.
Prolapsed Hemorrhoids (Thrombosed Piles)

Most internal hemorrhoids are not painful. But large hemorrhoids that bulge from the anus may become painful if they swell and are squeezed by the muscles that control the anus. Severe pain may be a sign that the blood supply to the hemorrhoid is being cut off (strangulated hemorrhoid). Emergency treatment is needed.
Causes of piles (Hemorrhoids)

Researchers have identified a number of reasons to explain hemorrhoidal swelling, including the simple fact that people’s upright posture places a lot of pressure on the anal and rectal veins. Aging, obesity, pregnancy, chronic constipation or diarrhea, excessive use of enemas or laxatives, straining during bowel movements, and spending too much time on the toilet are considered contributing factors. Heredity may also play a part in some cases. There is no reason to believe that hemorrhoids are caused by jobs requiring, for instance, heavy lifting or long hours of sitting, although activities of that kind may make existing hemorrhoids worse.
Symptoms of piles (Hemorrhoids)

The commonest symptom of internal hemorrhoids is bright red blood in the toilet bowl or on one’s feces or toilet paper. When hemorrhoids remain inside the anus they are almost never painful, but they can prolapse (protrude outside the anus) and become irritated and sore. Sometimes, prolapsed hemorrhoids move back into the anal canal on their own or can be pushed back in, but at other times they remain permanently outside the anus until treated by a doctor.

Small external hemorrhoids usually do not produce symptoms. Larger ones, however, can be painful and interfere with cleaning the anal area after a bowel movement.

When, as sometimes happens, a blood clot forms in an external hemorrhoid (creating what is called a thrombosed hemorrhoid), the skin around the anus becomes inflamed and a very painful lump develops. On rare occasions the clot will begin to bleed after a few days and leave blood on the underwear. A thrombosed external hemorrhoids are usually very painful.
Diagnosis of piles (Hemorrhoids)

Diagnosis begins with a visual examination of the anus, followed by an internal examination during which the doctor carefully inserts a gloved and lubricated finger into the anus. The doctor may also use an anoscope, a small tube that allows him or her to see into the anal canal. Under some circumstances the doctor may wish to check for other problems by using a sigmoidoscope or colonoscope, a flexible instrument that allows inspection of the lower colon (in the case of the sigmoidoscope) or the entire colon (in the case of the colonoscope).
Treatment of piles (Hemorrhoids)

Piles can often be effectively dealt with by dietary and lifestyle changes. Softening the feces and avoiding constipation by adding fiber to one’s diet is important, because hard feces lead to straining during defecation. Fruit, leafy vegetables, and wholegrain breads and cereals are good sources of fiber, as are bulk laxatives and fiber supplements such as Isabgol (Psyllium Husk).

Exercising, losing excess weight, and drinking six to eight glasses a day of water or another liquid (not alcohol) also helps.

Soap or toilet paper that is perfumed may irritate the anal area and should be avoided, as should excessive cleaning, rubbing, or wiping of that area. Reading in the bathroom is also considered a bad idea, because it adds to the time one spends on the toilet and may increase the strain placed on the anal and rectal veins.

After each bowel movement, wiping with a moistened tissue or pad sold for that purpose helps lessen irritation.

Hemorrhoid pain is often eased by sitting in a tub of warm water for about 10 or 15 minutes two to four times a day (Sitz Bath).

Anopiles Or Pileswell THERAPY – Anopiles Or Pileswell Capsule

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• Anopiles Or Pileswell Capsules have astringent action that shrink blood vessels that cause bleeding from Hemorrhoids and very quickly stop bleeding from Piles.

• Anopiles Or Pileswell Capsules provides immediate relief of Symptoms. It controls bleeding in three to four doses. In some cases additional laxative (Isabgol Husk or Powder – 2 Table spoon full) are also recommended at evening time around 6 pm before dinner.

• Anopiles Or Pileswell Capsules help in maintaining healthy digestive functions and easy evacuation

Anopiles Or Pileswell Therapy is effective because :

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Prevention

There are two major steps you can take to minimize the symptoms of hemorrhoids. One is to increase the amount of fiber in your diet, a step that may also help hemorrhoids from developing. The other is to practice good anal hygiene. There are many other important factors and things you should know.

Since straining on the toilet, due to constipation, is the main cause of hemorrhoids, it follows that avoiding constipation is an important part of prevention and -in mild cases – relief. Many doctors consulted declared that adding fiber to the diet was the only treatment needed for about half of all cases of hemorrhoids. Fiber resists digestion and reaches the large intestine virtually unchanged. There, it speeds the passage of feces through the intestine, lessening the strain of bowel movement. Fiber also retains water and adds to the bulk, softness, and weight of stool, all factors in easing strain. Adding liquids to the diet contributes to the softening effect. The best way to increase the fiber intake is to eat fiber-rich foods such as fruits, vegetables, breads and cereals.

Good anal care can also help control irritation and itching, whether caused by hemorrhoids or not. The most important thing is to keep the skin around the anus clean and dry. Residual fecal matter keeps the area moist and can irritate the skin, but vigorously wiping with dry toilet paper may make things worse. Instead, swab the area after each bowel movement using toilet paper moistened with warm water, and then gently pat the area dry.

Soap residues can irritate, so always rinse off completely after showering or bathing. If soaps do cause irritation, you can clean the anal area with a product specially formulated for mildness, a perianal cleansing lotion. Perspiration can irritate the anal area, so avoid tight undergarments or pantyhose. Loose, cotton underwear is best. A light sprinkling of talcum powder in the area can help absorb moisture.

Avoid stress, excessive consumption of alcohol and seating for long periods without standing periodically to release the tension on the tissues around the anus. Exercise regularly, it will help you prevent hemorrhoids and many other ailments.
Prognosis

Hemorrhoids do not cause cancer and are rarely dangerous or life threatening.

Ayurvedic Treatment of Rheumatoid Arthritis

Rheumatoid arthritis is a chronic inflammatory disorder that typically affects the small joints in hands and feet.

rheumatoidarthritis

Although rheumatoid arthritis can occur at any age, it usually begins between the age of 20 to 40 years. The disorder is much more common in women.
The most commonly affected joints are the small joints of the fingers, thumbs, wrists, feet, and ankles. However, any joint may be affected. The knees are quite commonly affected. Less commonly, the hips, shoulders, elbows, and neck are involved. It is often symmetrical. So, for example, if a joint is affected in a right arm, the same joint in the left arm is also often affected. In some people, just a few joints are affected. In others, many joints are involved. In addition to causing joint problems, rheumatoid arthritis sometimes can affect other organs of the body — such as the skin, eyes, lungs and blood vessels.

Causes

Rheumatoid arthritis occurs when your immune system mistakenly attacks the synovium — the lining of the membranes that surround your joints.

The resulting inflammation thickens the synovium, which can eventually destroy the cartilage and bone within the joint.

The tendons and ligaments that hold the joint together weaken and stretch. Gradually, the joint loses its shape and alignment.

Doctors don’t know what starts this process, although a genetic component appears likely. While your genes don’t actually cause rheumatoid arthritis, they can make you more susceptible to environmental factors — such as infection with certain viruses and bacteria — that may trigger the disease.

Symptoms

The common main symptoms are pain and stiffness of affected joints. The stiffness is usually worse first thing in the morning, or after you have been resting. The inflammation causes swelling around the affected joints.

Other symptoms

These are known as extra-articular symptoms of RA (meaning outside of the joints). A variety of symptoms may occur. The cause of some of these is not fully understood:

• Small painless lumps (nodules) develop in about 1 in 4 cases. These commonly occur on the skin over the elbows and forearms, but usually do no harm.
• Inflammation around tendons may occur. This is because the tissue which covers tendons is similar to the synovium around the joints.
• Anaemia and tiredness are common.
• A high temperature (fever), feeling unwell, weight loss, and muscle aches and pains sometimes occur.
• In a few cases, inflammation develops in other parts of the body, such as the lungs, heart, blood vessels, or eyes. This is uncommon but, if it occurs, can cause various symptoms and problems which are sometimes serious.

Blood Test

People with rheumatoid arthritis tend to have an elevated erythrocyte sedimentation rate (ESR), which indicates the presence of an inflammatory process in the body.

Other common blood tests

• Rheumatoid factor
• Anti-cyclic citrullinate d peptide (anti-CCP) antibodies.

X-rays

RAHands

Soft-tissue swelling and early erosions in the proximal

interphalangeal joints are usually seen in patients of RA.

Ayurvedic Treatment of Amavaat (Rheumatoid Arthritis)

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Website: www.sushruta.com