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

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 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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“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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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.

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.

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

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

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)

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

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.

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).

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

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

 

Ulcerative colitis

Ulcerative colitis (UC) is a chronic disease that causes inflammation and ulcers (open sores) in the innermost layers of the large intestine. UC is an inflammatory bowel disease (IBD), the general name for diseases that cause inflammation in the intestines. In UC, swelling typically occurs in the rectum and lower colon, but the inflammation can spread throughout the entire colon. The ulcers bleed and produce pus and mucus, and the inflammation causes the colon to empty frequently, resulting in diarrhea.

UC is a rare, but serious disease that affects 50 out of every 100,000 people in the United States. Although the condition most commonly affects those between the ages of 15 and 35, children and older adults may also develop the disease. UC occurs five times more frequently in those with a Jewish heritage than it does in the general population. Although most people with UC can be successfully treated without surgery, roughly 25% will need a colectomy (surgical removal of the colon).

 

Signs and Symptoms

The most common signs and symptoms of UC include abdominal pain and bloody diarrhea. The symptoms can range from mild to severe and may come on either very suddenly or more gradually.

Other common symptoms of UC include:

• Frequent, even continuous diarrhea
• Bloody stool
• Urgent desire to defecate
• Abdominal cramps and pain
• High fever
• Rapid heartbeat
• Weight loss
• Anemia
• Loss of appetite
• Joint aches

People with UC are at increased risk for malnutrition. UC can also cause a host of other problems, including arthritis, eye infections, liver disease, skin rashes, blood clots, or gallstones. Although it is not clear why such problems occur outside the colon, some researchers speculate that they may be linked to a faulty immune response.

 

Causes

There are many theories regarding the cause of UC, but none have been proven. The most likely theory is that UC is caused by a variety of factors ranging from genetics, faulty immune system reactions, stress, environmental influences, and even diet. For example, some people are genetically at risk for UC (it runs in their family), and an infection or other toxin may stimulate inflammation of the large intestine. In some cases, stressful events or sensitivities to certain foods may trigger symptoms of UC.

 

Risk Factors

• Family history of UC
• Jewish heritage, especially Ashkenazi Jews
• A diet high in sugar, cholesterol, and fat (particularly from meat and dairy products)
• Stress

 

Diagnosis

 

A healthcare practitioner will perform a thorough physical exam as well as a series of tests to diagnose UC. Blood tests may reveal a high white blood cell count (a sign of inflammation somewhere in the body). Stool samples may indicate whether there is bleeding or infection in the colon or rectum.

A procedure called colonoscopy—in which an endoscope (a long, flexible, lighted tube connected to a computer and television monitor) is inserted into the anus to enable investigation of the inside of the colon and rectum—may be performed. A colonoscopy can reveal any inflammation, bleeding, or ulcers on the colon wall. Tissue samples (biopsies) may be taken from the colon wall for examination under a microscope in order to make a definitive diagnosis of UC.

 

Preventive Care

A daily dose of sulfasalazine, one of the most common medications used to treat UC, is an effective means of reducing the number of UC relapses. Diet (especially a low-fat diet rich in fruits, fluids, magnesium, and vitamin C), exercise, and stress reduction techniques (including hypnosis) may also help prevent recurrences. Supplements and herbs are used successfully to treat UC, but whether or not they can prevent recurrences or stave off the disease in those who are genetically at risk is unknown.

 

Treatment Approach

The primary goal in treating UC is to control inflammation and replenish lost nutrients. The choice of treatment for UC depends on the severity of the disease. For example, people with mild to moderate UC are usually treated with medications that reduce swelling and suppress the immune response. More severe cases of UC may require surgery. In addition to medications, many people with inflammatory bowel diseases such as UC commonly turn to complementary and alternative remedies. Although these remedies still require extensive research, preliminary studies indicate that lifestyle changes, including stress reduction, dietary adjustments (such as including a rich variety of fruits and vegetables and maintaining low levels of fat and sugar), specific herbs and supplements (such as psyllium and Salai guggal) and mind/body techniques (such as hypnosis) can help prevent and/or treat the disease.

 

Lifestyle

At least one study has shown that IBD often begins within 1 year of a very stressful life event, such as the death of a family member. In addition, people with UC report that stress worsens their symptoms. Therefore, relaxation techniques, such as yoga, tai chi, and meditation are worth considering, particularly for people with chronic stress in their lives.

Exercise may also be very helpful for those with UC. Although exercise is generally considered safe for people with UC, those with the condition must take certain precautions when exercising and should talk to their healthcare practitioners before starting an exercise program. It is especially important for people with UC to drink one to two glasses of water before exercising and one glass of water every twenty minutes while exercising to prevent dehydration. Exercise should be avoided during symptom flare-ups or if the individual has a fever.

 

Medications

The following medications can help reduce the symptoms of UC and decrease the likelihood of recurrences:

• Sulfasalazine—the most commonly used medication for UC; taken orally; decreases inflammation, reduces frequency of recurrences
• Mesalamine—decreases inflammation; taken orally or as an enema
• Corticosteroids—reduce inflammation by decreasing the production of prostaglandins (fatty acids that produce pain and inflammation); taken orally, given intravenously in severe cases, or may be prescribed as an enema
• Medications that suppress the immune system (such as azathioprine and cyclosporine)

Antibiotics

Medications used to treat diarrhea (such as diphenoxylate, loperamide, or opiates) must be used only under medical supervision and with extreme caution. These medications slow down the normal movements of the gastrointestinal tract and, in severe cases of UC, may cause a complication known as toxic megacolon.

 

Surgery and Other Procedures

 

Approximately 20% to 30% of people with UC must eventually have their colons removed (colectomy) because of massive bleeding, severe illness, rupture of the colon, or the risk of cancer. There are several different types of surgery available for UC, and choosing the appropriate surgery depends on the severity of the disease and the individual’s needs, expectations, and lifestyle.

Many people with UC must have a proctocolectomy—a procedure in which the colon, anus, and rectum are surgically removed. The surgery cures UC, and removes any risk of colon or rectal cancer. When the intestines are removed, however, the body needs a new way for waste to leave the body so the surgeon creates a small opening (stoma) in the abdomen for stool to pass through. A pouch is worn over the opening to collect waste, and the individual empties the pouch as needed. Different types of procedures may be performed depending on which parts of the intestines are involved:

Ileostomy—colon and rectum are removed and the surgeon attaches the bottom of the small intestine to the stoma; waste travels through the small intestine and exits the body through the stoma

Colostomy—rectum is removed and the surgeon attaches the colon to the stoma (a temporary colostomy may be performed when part of the colon is removed and the rest needs to heal)

Ileorectal and ileoanal reservoir surgery—diseased part of colon and/or rectum is removed and the surgeon creates an internal pouch from the small intestine; waste is stored in the pouch and passed through the anus in the usual manner; bowel movements occur more frequently (on average, 5 to 7 times per day); risks include leakage of stool at night and infection of the pouch

 

Nutrition and Dietary Supplements

Diet

Preliminary evidence suggests that certain dietary patterns may be associated with UC. For example, some studies indicate that low fruit and vegetable consumption and high fat and sugar consumption may increase an individual’s risk for developing UC. Studies also suggest the following:

A bland, low-fiber diet is best during acute flare-ups.

Regular intakes of fruits and vegetables, and lowered fat and sugar consumption when UC is not active may reduce the likelihood of flare-ups.

High intakes of fluids and foods rich in magnesium and vitamin C on a regular basis may lower the risk of developing inflammatory bowel diseases.

Certain foods may aggravate symptoms of UC (including chocolate, dairy products, fats, and artificial sweeteners) and should be avoided by people with the condition.

After surgery, people with UC should avoid foods high in organic acids known as oxalates (for example, spinach, rhubarb, beets, coffee, tea, diet sodas, and chocolate) because oxalates can increase the risk of kidney stones.

People with significant malnourishment, severe symptoms, or those awaiting surgery may require total parenteral nutrition (nutrition maintained entirely by intravenous injection).

Vitamins and Minerals

Because many people with UC have vitamin and mineral deficiencies (due to decreased nutritional intake and absorption by the colon and excessive diarrhea), a multivitamin is recommended. Further research is needed to determine whether specific vitamin or mineral supplements may help treat the symptoms of UC.

Omega-3 Fatty Acids

At least one study has found that, compared to placebo, fish oil supplements containing omega-3 fatty acids may reduce symptoms of UC and prevent recurrence of the condition. The supplements are less effective than sulfasalazine, however, at reducing inflammation in people with mild to moderate UC. Some experts suggest that omega-3 fatty acids may prove particularly valuable when used in combination with sulfasalazine or other medications.

Vitamin B9 (Folate)

People with UC often have low levels of folate in their blood cells and some experts suggest that this may be due, at least in part, to sulfasalazine use. Some researchers speculate that folate deficiencies contribute to the risk of colon cancer in those with UC. Although preliminary studies suggest that folate supplements may help reduce tumor growths in people with UC, further research is needed to determine the precise role of folate supplementation in people with inflammatory bowel diseases.

N-acetyl glucosamine

Preliminary evidence suggests that N-acetyl glucosamine supplements or enemas may improve symptoms of UC in children with IBD who did not improve after using other treatments, but further research is needed to determine whether the substance is safe and effective for the treatment of UC.

Probiotics

Animal studies and preliminary human studies have found that probiotics, or “good” bacteria such as lactobacillus, may improve symptoms of UC and help prevent flare-ups. Further research is warranted.

 

Herbs

 

Psyllium seeds (Plantaginis ovatae)

A study comparing the use of psyllium seeds to the prescription drug mesalamine in people with UC reveal that the fiber-based supplement may be as effective as the medication in decreasing recurrences of the disease. More research is needed to confirm the conclusion of the authors of this study.

A professional herbalist may also recommend the following herbs to reduce inflammation and diminish abdominal cramps associated with UC:

• Marshmallow root (Althaea officinalis)
• Siberian ginseng (Eleutherococcus senticosus)
• Turmeric (Curcuma longa)
• Ginger (Zingiber officinale)
• Green tea (Camillia sinensis)
• Bromelain (Ananas comosus)
• Wild yam (Dioscorea villosa)
• German chamomile flower (Matricaria recutita)
• Yarrow (Achillea millefolium)

 

Mind/Body Medicine

 

Hypnosis

Studies have shown that hypnosis improves immune function, increases relaxation, decreases stress, and ease feelings of anxiety. Many healthcare practitioners and people with UC have reported that symptoms of the disease improve with relaxation methods such as hypnosis, meditation, and biofeedback.

 

Ayurveda

Salai guggal (Boswellia serrata)

Salai guggal is a traditional Ayurvedic therapy used to treat symptoms of IBD. Findings from one study suggest that this remedy may be as effective as sulfasalazine for the treatment of UC. Side effects of salai guggal use include nausea, abdominal fullness, stomach pain, and anorexia.

 

Other Considerations 

Pregnancy

 

Fifty percent of women in remission experience a recurrence of UC when they become pregnant, usually during the first trimester or during the postpartum period. For this reason, such women should continue maintenance therapy under the guidance of their healthcare practitioner. Corticosteroids or sulfasalazine are considered safe during this time because these drugs do not harm the fetus. Pregnant women with UC do not have increased risk for stillbirths or premature deliveries.

Pregnant women should avoid high doses of vitamins. An obstetrician can provide instructions regarding appropriate multivitamin use during pregnancy.

 

Warnings and Precautions

People with UC should avoid herbs that loosen the bowels. These include:

Buckthorn bark (Rhamnus frangula)

Cascara sagrada bark (Rhamnus purshiana)

Senna leaf and senna pod (Senna alexandrina)

The following foods should also be avoided by people with UC because they worsen symptoms of the disease:

• Milk (and milk products)
• Spicy foods
• Fats
• Sugars
• Following surgery, people with UC should avoid the following foods as they may increase the risk for kidney stones:
• Spinach
• Rhubarb
• Beets
• Coffee
• Tea
• Diet sodas
• Chocolate

 

Prognosis and Complications

If left untreated, people with UC can develop a wide range of chronic, sometimes dangerous complications. Fortunately, however, most of these complications can be treated successfully. They include:

• Hemorrhage (abnormal bleeding)
• Perforation of the colon
• Narrowing of the colon, which may cause obstruction
• Abscesses (pus-filled pockets of infection) in the colon
• Toxic megacolon (grossly swollen colon that may rupture)
• Colon cancer
• Nutritional problems (including weight loss and reduced muscle mass)
• Joint pain and arthritis (such as ankylosing spondylitis)
• Skin rashes, including erythema nodosum
• Eye infections/inflammation including uveitis
• Mouth ulcers
• Liver damage
• Blood clots
• Depression and anxiety

Although there is no complete cure for UC other than surgical removal of the colon, many people with the disease lead active lives by controlling their symptoms with medication. In fact, drug treatment is effective for about 70% to 80% of all people with the condition. About 45% of all people with UC are free of symptoms at any given time, but most suffer at least one relapse in any 10-year period. Although extensive research is still needed in the area of complementary and alternative medicine for UC, preliminary studies indicate that lifestyle changes, including stress reduction, dietary adjustments, and mind/body techniques can work well with conventional therapies to help prevent and/or treat the disease.

 

 

 

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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Acne

Acne is a skin condition that affects areas containing the largest oil glands, including the nose, forehead, cheeks, chin, back, and trunk. It is caused by a disorder of the oil glands that results in clogged pores and outbreaks of lesions commonly known as pimples. Acne affects between 17 million and 45 million people, making it the most common skin disease in the United States. While it tends to last longer in females, males are more likely to get acne and tend to have more severe cases than do females. Some infants may develop acne, but it is most common in adolescents and it generally disappears by age 30. Although it is not a serious health threat, severe acne can be painful and may cause permanent scarring, which can be upsetting for people who suffer from the condition. An estimated $100 million is spent annually on over-the-counter products to treat acne and reduce the pain, scarring, and emotional distress that can be associated with it.

Signs and Symptoms

There are various types of acne lesions:

• Comedone — general term for an enlarged hair follicle plugged with oil and bacteria. This is the first and smallest type of lesion. It is often referred to as a microcomendone because it cannot be seen by the naked eye.
• Open comedone (blackhead) — a plugged follicle that reaches the surface of the skin. Although dark in appearance, blackheads do not indicate the presence of dirt.
• Closed comedone (whitehead) — a clogged follicle that stays beneath the skin. Whiteheads usually appear on the skin as round, white bumps roughly 1 to 2 mm in diameter.
• Papules — inflamed lesions that appear as small, pink bumps on the skin
• Pustules (pimples) — inflamed pus-filled lesions that are red at the base
• Cysts and nodules — large, inflamed, pus-filled lesions that are lodged deep and can drain, causing pain and scarring

Lesions can cause scars ranging from small, depressed pits to large elevated blemishes, depending on the severity of the condition and the individual’s skin type.

Causes

Acne is a disorder of the skin’s oil glands. Oil glands make an substance called sebum that normally rises up through a hair-containing canal called a follicle and empties onto the skin surface. The precise cause of acne in newborns is not known, but some researchers speculate that it may be due to the transfer through the placenta of hormones from the mother or of acne-causing medication (such as lithium and phenytoin) that the mother may have been taking. During adolescence, rising hormone levels are thought to increase the number of oil glands and the amount of sebum they produce. The increased production of sebum causes blockage of hair follicles, leading to the formation of small bacteria-filled cysts called comedones. If these comedones remain intact and no not rupture, they can progress into open comedones (whiteheads) or closed comedones (blackheads). When comedones rupture, an inflammatory reaction occurs and can spread into the surrounding tissue. Papules, pustules, cysts, and nodules are all forms of inflammatory lesions.

Risk Factors

The following may cause or worsen acne:

• Family history of acne
• Greasy/oily cosmetic or hair products containing vegetable or animal fats
• Hormonal changes associated with adolescence, pregnancy, or menstruation (acne tends to flare up 2 to 7 days before menstruation begins)
• Certain medications such as corticosteroids, androgens, oral contraceptives, lithium, halogens, isoniazid, phenytoin, phenobarbital, and high levels of iodine (such as from kelp)
• Environmental irritants such as industrial cutting oils, tar, wood preservatives, sealing compounds, and other pollutants
• Sweating and friction, such as from headbands, back packs, bicycle helmets, or tight collars
• High levels of humidity
• Squeezing and picking comedones

Although still controversial, some researchers believe that stress and sun exposure can also cause or aggravate existing acne. This may be due to the use of oily sunscreens however, as some people with acne actually experience improvement in symptoms with exposure to the sun.

Diagnosis

Acne has a characteristic appearance and is not difficult to diagnose. General practitioners, pediatricians, and internists can treat most individuals with mild and moderate forms of acne. People with more severe cases of acne however, are often referred to a dermatologist or a skin disease specialist. The practitioner will take a complete medical history that includes questions about skin care, cosmetic use, and diet; factors that trigger flare-ups; medication use; occupational and environmental exposures; and prior treatment. The practitioner will also examine the face, chest, back, and other areas for blemishes, lesions, and scars. Several factors, including the size of the blemishes and whether or not they are inflamed, help a practitioner determine the most appropriate treatment.

Treatment Approach

 

The main goals of acne treatment are to prevent scarring, reduce the number of painful lesions, and minimize the stress and embarrassment related to the condition. The basic principle of skin care is to wash the affected area no more than one to two times per day with a mild, nondrying soap. Frequent washing and the use of harsh soaps can actually make the condition worse. Healthcare practitioners will often recommend topical medications as their first choice for treating acne (generally either benzoyl peroxide or a class of drugs known as retinoids). These are designed to wear away the top layer of skin (exfoliate) as well as to reduce abnormal clumping of cells in the follicles, oil and bacteria production, and inflammation. Additionally, facial steaming with accompanying manual extraction of the comedones (such as by a professional aesthetician) is valuable for exfoliation as well. Although more research is needed to investigate the safety and effectiveness of alternative remedies for acne, people with mild cases of acne may experience an improvement in symptoms from herbs, Ayurveda, or homeopathy. Mind/body techniques such as biofeedback or hypnosis may also help to alleviate feelings of anxiety and depression that some individuals experience with this skin condition. Expect to use medications and/or complementary and alternative remedies for at least 6 to 8 weeks before seeing a noticeable improvement in symptoms. Seek medical care if infantile acne does not improve within three months.