ASCITES

DEFINATION:-

Ascites is a condition in which accumulation of excess fluid in the peritoneal cavity of the abdomen. this is commonly due to cirrhosis of the liver, metastatic cancer, and severe liver disease. Ascites can because other medical problems in the body, like cirrhosis. In this condition, the blood flow of the liver is blocked. This Liver blockage can cause an increase in the pressure in the portal vein (main vein of the heart), that supplies blood from the liver. In this condition, there are more than 25 ml of fluid in the peritoneal cavity. The fluid volume is may greater than one liter.

SIGN AND SYMPTOMS:-

     ∙ Increased Abdominal size

     ∙ Increased Weight

     ∙ Abdominal Discomfort

     ∙ Shortness Of Breath

     ∙ Complications can induce spontaneous bacterial 

        peritonitis    

     ∙ Portal System Hypertension

     ∙ Hepatitis B, and Hepatitis C

     ∙ Alcoholism or Alcohol Abuse

     ∙ Swelling of the ankles 

     ∙ Fatigue

     ∙ Backache

     ∙ Indigestion of Food

     ∙ Constipation

CAUSES OF ASCITES:-

    ∙ Liver Cirrhosis

    ∙ Pancreatitis

    ∙ Cancer

    ∙ Heart Failure

    ∙ Abdominal Tuberculosis

    ∙ Blockage of hepatic vein

    ∙ Vasculitis

    ∙ Hypothyroidism

   ∙ Renal Disorders

   ∙ Congestive Heart Faliure

   ∙ Peritoneal Mesothelioma

   ∙ Alcoholic Abuse from many years

   ∙ Chronic Hepatitis B or C Infections

   ∙ Fatty Liver Disease

   ∙ Portal Vein Thrombosis (Clots in the Liver)

  ∙ Pericarditis:- Thickening and Scarring of the sac-like covering of the heart

  ∙ Kidney Dialysis may also cause the Ascites

  ∙ Cirrhosis caused by Genetic disease

  ∙ Ascites also caused by Cancer of the Appendix, Colon, Ovaries, Uterus, Pancreas, and Liver.

  ∙ A disorder that causes severe liver damage can lead to Ascites

  ∙ A low level of Protein can cause Ascites

  ∙ Non- alcoholic Steatohepatitis or NASH 

COMPLICATIONS OF ASCITES:-

1. Abdominal pain:- This may occurs when the fluid volume is greater than one liter.
2. Difficulty in breathing
3. Ascitis can cause the problems in eating, walking and in daily activities performance.
4. Infection:- The Ascitic fluid may be infected with the bacteria. this condition is called Spontaneous bacterial peritonitis.
5. Fever:- The bacterial infection can cause the fever.
6. Hepatic Hydrothorax:- In this condition, the Fluid is filled in the Lungs. Abdominal fluid fills in the lungs mostly on the right side of the lung. This may cause difficulty in breathing, shortness of breath, coughing, hypoxemia (lack of oxygen in the blood).
7. Hepatorenal syndrome:- In Severe cases of cirrhosis, The liver can failure of the kidney.

DIAGNOSIS:-

    ∙ Ultrasound

    ∙ CT Scan

    ∙ Paracentesis:- In this procedure a local anesthesia given to the patient, after that a needle is inserted through the abdominal wall and fluid is removed.

TREATMENT:-

    ∙ Reduce your salt from daily diet

    ∙ Reduce the quantity of fluids you drink

    ∙ Stop drinking alcohol

    ∙ Intake diuretic medicines, it helps reduce the body fluid

    ∙ Your Physician may require to remove a large amount of    

       fluids from your abdomen through a needle

AYURVEDIC REVIEW:-

According to the Ayurveda, Jalodhar can be correlated with Ascites. It’s a type of Disease of the abdomen called Udararoga. In this condition, there is an imbalance of Vata dosha in Jalodhar. In this, the fluid gets accumulated in the abdomen (udar) between the skin (twaka) and muscles (mamsa) which leads to Swelling of the abdomen.

TREATMENT OF JALODHAR ACCORDING TO AYURVEDA:-

According to the Ayurveda, there are pure Herbal Medicines for Ascitis which improve digestion and give relief without any side effects.

CHANDIGARH AYURVEDA CENTRE provides ASCITIS CARE KIT. This kit contains Ayurvedic Herbal Medicines which is helpful to reduce Ascitis and improves digestion and balances the aggravated levels of Vata dosha. This kit contains 5 Herbal Medicines products:–

∙ Gokhru capsules

∙ Detox Premium Powder

∙ Yakrit Vati

∙ Sheet Dhara syrup

∙ Trikatu tablets

∙ Gokhru churna. 

Chandigarh Ayurved Centre have very effective methods to treat ascites/Jalodhar through Ayurvedic medicines & Panchakarma Treatments. There are different types of Panchakarma procedures which are recommended to treat the   ascites are following:-

∙ Patra Potli Pind Sweda

∙ Niruh Vasti

∙ Anuvasana Vasti

These procedures are performed by the experienced Ayurvedic therapist and give effective results.

∙ PATRA POTLI PINDA SWEDA:-

In this method Therapist providing heat by using Herbal leaves of medicinal plants. In this procedure, medicated herbal leaves are tied in bolus which is dipped into Herbal oil after that it is heated. This bolus should be lukewarm and applied over the whole body. This Patra potli pinda sweda procedure gives relief from swelling, pain, stiffness, inflammation, and improves circulation of the blood.

 ∙ NIRUH VASTI:-

Niruh vasti is the procedure in which therapists giving enema by using herbal decoction. This Niruh vasti helps in balances the body’s metabolism, cleansing the body, provides strength, improves complexion. It also helps to remove extra fluid and toxins from the body.

∙ ANUVASANA VASTI:-

In this procedure of Anuvasana vasti there is an enema which is  prepared from herbal medicated oil or ghee. it is used to administer through the anal route. In this vasti, it nourishes the body, improves digestion, provides lubrication to the body, beneficial in chronic constipation, helps to reduce the distension of the abdomen and backache.

Healthy Diet and Tips for Ascites:-

There are some healthy Diets and Healthy tips that gave benefits in ascites. These tips are very effective and give good results that are mentioned below in details:-

    ∙ Stop daily drinking alcohol.

    ∙ Reduce the amount of fluid intake.

    ∙ Reduce the quantity of salt from your daily diet.

    ∙ Ginger is a great herb that helps to improve digestion and  

       helps to improves the feeling of abdominal discomfort.

    ∙ Garlic juice mixed in water, This drink helps to cure ascites.

    ∙ Fresh bitter gourd juice mixed in water, and drink thrice daily.

    ∙ Crush the fennel seeds and boil in hot water. Fennel seeds 

      contain oils that bacteria causing bloating and reduce

      inflammation.

     ∙ Eat healthy food and avoid processed, fried, & stale food.

     ∙ Intake of Diuretics drugs 

        like gokshura, punarnava, arjuna. These drugs help to reduce 

        the excess fluid in your body.

     ∙ Exercise daily is helpful in developing abdominal muscle.

The Ayurvedic medicines of Ascites are following:-

1. Gokhru Capsule (Tribulus terrestris):-

Gokhru capsule is a pure form of Ayurvedic Herbal Medicine, This capsule is very effective in ascites as it has diuretic and anti-inflammatory properties that reduce the inflammation of the abdomen. It also has diuretic properties which cause increased urine secretion from the Kidneys and remove all the toxins from the body. These capsules contain a pure form of Gokshura.
Recommended Dosage: One capsule twice daily with   normal water.

2. Detox Premium Powder:-

This Detox premium powder contains various types of herbo-mineral ingredients. This Detox premium herbal powder is prepared from Moti pishti, Prawal pishti, Shukta pishti, Giloy satva, Kamdudha ras, Jahar mohra, Akik pishti, Gandhak rasayan, Tal sindoor, Shankh bhasm, Sutshekhar ras, Sudhyog tab, Shwet parpati, and Yavakshaar. This herbal powder is very  helpful to remove all the toxins out from the whole body. It also gave strengthens the body, and helps to maintain general body health.
Recommended Dosage: One sachet twice daily with normal water.

3. Panchsakar Churna:-

This Panchsakar churna prepared from ingredients that is Shatapushpa, Balaharitaki, Shunthi, Swarnapatri, and Saindhav lavana. This Churna is very effective in the patients of  constipation, and it also shows properties of antioxidant, anti-inflammatory, laxative, and analgesic. This churna also helps to remove the toxins from the body and the regular use of this churna helps to remove the sign and symptoms of constipation.

Recommended Dosage: Take 1 teaspoonful at bedtime with warm water.

4. Sheet Dhara Syrup:-

Sheet Dhara Syrp is a Herbal syrup prepared from Ajwain satav, peppermint, and mushak kapoor. This syrup helps to improve digestion, appetite, reduces hyperacidity, and helps to maintain overall body health.

Recommended Dosage: Take a half teaspoon in a half cup of water twice daily on an empty stomach.

5. Trikatu Tablet:-

Trikatu tablets are prepared from three herbs these are Saunth (Zingiber officinale), Marich (Piper nigrum), Pippali (Piper longum). These tablets help to improve digestion, boost your immunity, improves metabolism, helps to eliminate fat tissues and kapha dosha from the body and also support respiratory functions, and also remove the impurities and ama from the body.
Recommended Dosage: Take one tablet twice daily with normal water.

6. Gokhru Churna:-

Gokhru churna is a medicinal herbal powder that contains the pure extract of herb that is Gokshura. This herbal powder has diuretic properties. So this powder decreases inflammation of the body, it also used to remove renal calculi, and cure urinary tract infections.
Recommended Dosage: Take one teaspoonful twice daily with normal water.

Ascites Care Kit

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