Natural Cure For Portal Hypertensive Gastropathy

ABSTRACT

In today’s era portal hypertension is the most common disease related with gastropathy that relates with gastropathy. Portal hypertensive gastropathy is most probably related with alcohol consumption . This disease can also be related with chirrotic and non chirrotic portal hypertension. The disease is most probably related to the liver and its performing functions. The disease also clarifies on occurrence due to over consumption of beverages,cakes,soft drinks. but in ayurveda it can be fully treated with dosha,dhatu and mala pareeksha.

INTRODUCTION

Portal hypertensive gastropathy is both manifestations and complication of portal hypertension.it is clinically came to now in jugular vein manifestations . It is very important and under appreciable cause of the morbidity in cirrhocic and non cirrhocic patients but there is a difference between chirotic and non chirotic patients that erosive gastritis in chirrotic patients results from mechanical venous pressure rather than other mucosal factors.

Portal hypertension gastropathy differs from varices; it may be the further complications of this disease. Clinically varices occur acute onset of upper git bleeding which can be gone life threatening condition because due to distension of veins under high pressure there will be oozing from veins and capillaries in small amount .Then after this patient may suffers from anemia otherwise this not a medical emergency condition but however in case of severe blood loss patient may to be in blood transfusion.

IN AYURVEDA

As per Acharya charaka said – due to mandagni vata, pita, and kapha and mal mutra (stool and urine) get increased due to which this gastropathy hypertension occurs. Due to manda agni food does not digest properly then dosha got there sanchaya avastha then they get effects on main strothas of our body that is pranavaha strothas and also get effects to apana vayu and effects twacha and mansa in stomach and causes this portal hypertensive gastropathy.

PATHOPHYSIOLOGY

There are haemodynamic changes in this disease which specially increased portal pressure which is cause of hypertension and with haemodynamic changes leads to congestion with a change in gastric mucosal blood flow leads activation of cytokines , growth factors which hamper gastric circulation.the hyperdynamic portal hypertension is increased by intra hepatic vascular resistance then generalised vasodilation occur then decreased in arterial pressure and systemic vascular resistance. These hyperdynamic circulation impairs or hampers gastric mucosal functions and leads to inflammatory mediators and then inhibits the growth factors which are the susceptible injury to impair mucosal healing.

CAUSES

Following are the causes of this disease as per Ayurveda.

charak chikitsa 13/12.13.14.15

Overeating and excessive intake of ushna bhojna (hot food) and over intake of salt and salty food ,pickles, virudh and apavitra bhojna (dry and dirty food) ,piles, hemorrhoids, due to excessive usage of all samshodhana vidhi that is vaman,virechan , nasya etc, fasteating, due to dushit of Apana vayu, external and internal injury to the intestines,and mostly due to manda agni.

Sushrut nidan 7/5

Durbala pachaka agni (low digestive fire) and dry and long time consumption of cold food, snehana and swedana ,over usage of panchakarma, cause this disease Excessive intake of vidhajank and abhishyandi bhojana(beverages and dry food) due to these intake of food the dosha that is rakta and kafa get higher and leads to the formation of this disease.

Following are the causes according to modern aspects.

• Main causes of portal hypertension is alcoholic cirrhosis
• Hepatitis is the most inflammatory cause.
• Liver infections
• Reaction of allopathic drugs like methotrexate
• Non alcoholic fatty liver disease.
• The blood clot in portal  veins may increase the blood flow and blood pressure to the walls of veins and arteries.                                           

SIGNS AND SYMPTOMS

Following are the sign and symptoms of portal hypertensive gastropathy

• Anaemia -people due to chronic blood loss get anaemic.
• Blood vomiting -due to heavy pressure on veins and arteries sudden haemorrhage occurs and  patient get vomit
• The alimentary canal gets gas fluences which leads to flatulence.
• Upper abdominal pain-the pain can be for long and short period of time
• Presence of blood in stools
• Vomiting
• Nausea
• Constipation  

Following are the sign and symptoms as per ayurveda

charak chikitsa 13/38

Patient get lean and thin. Digestion power gets slower than earlier. Difficulty in urine and stool,anorexia,urge of intake water increases,pain in lower limbs, vomiting, while walking patient get lethargic, cough, fever, low digestion power, cracking sounds from joints , pain in stomach, intestine and urinary bladder, redness of outer surface of abdomen, red and green lines are clearly visible on abdominal cavity.

DIAGNOSIS

Endoscopy — endoscopy appearances shows the speckling bleeding spots redness of area and cherry red spots scarlet fever like rashes. Endoscopy also shows the mosaic pattern of lesions in mucosal backgrounds Endoscopy also shows the dilated capillaries and veins distinct expansion of capillaries and venules that collect blood in gastric mucosal region Endoscopy also shows the patient of portal hypertension gastropathy is in size of mucosal blood vessels.

TREATMENT

• The first is the use of beta blockers when reduce portal pressure
• Non selective beta blockers such as propranolol  or nadolol have been used   to decrease the pressure in portal vein with esophageal varices
• Propranolol are also have been evaluated in patient with portal hypertensive gastropathy
• Other medications which are primarily  used to treat bleeding include anti fibrinolytic medications such as tranexamic acid.
• Sucralfet, a coated medication, has been used.

Following are the classical treatment said by acharyas

Charak chikitsa 13\18

In all type of gastro and hypertensive disorder do treatment while remain in doshas and all three doshas that is vata,pitta and kafa and when these three doshas get higher these causes indigestion and lowers the digestive  fire so as to increase the appetite and digestive fire of patient do tridoshara chikitsa and for increasing digestion power patient should be on  dugdapaan of camel

shlok ref sushruta chikitsa 14\13

The patient suffering from portal hypertensive gastropathy gives snehana, swedana and gives food with curd .Do surya bhedana of right karpura sandhi then do panchkarma. Give milk medicated with heeng and sajikshara or plashakshara and even patients can take kshar of apamarga which is very effective in portal hypertensive gastropathy.

HERBAL REMEDIES BY PLANET AYURVEDA

The products of planet ayurveda are very good effective in this disease. The products of planet ayurveda are long lasting and are 100% pure. The ingredients are purely ayurvedic and ancient time remedies which are very effective and have 100% capable to this particular disease.

1. Digestion Support Capsules
2. Sarpagandha Ghan Vati
3. Arjuna Capsule
4. Mahashankh Vati
5. Gotukola Capsules

Products Description

1. Digestion Support Capsules

It contains amla(emblica officinalis),Haritaki(terminalia chebula),bahera(terminalia billerica),sounf(foeniculum vulgare), dhania (coriandrum sativum),pippali (piper longum), jeerak( cuminum cyminum) digestion support is purely a herbal formulation without any chemical added into it . a blend of unique herbs control acidity, flatulence and gas it stimulates liver, pancreas and intestines to secrete digestive juices timely. Useful in alleviating gaseous distension of abdomen , pain of abdomen due to gas and acidity. Digestion support is a blend of unique and effective herbs as best digestive. The likes amala , haritaki etc maintain the natural ph balance in stomach and aid in digestion of all types of food. These herbs act together in a synergistic manner and control acidity, flatulence , gas and also constipation. The herbal formulation removes excessive kapha which is the main cause of loss of appetite. It removes the coating of kapha from the intestine and aids in the proper excretion of juices.

Dosage: 1-2 capsules once or twice in a day with lukewarm water.

2. Sarpagandha Ghan Vati

It is a classical ayurvedic medicine. It is very effective in lowering high blood pressure, insomnia, psychological disorders and hysteria. It helps to regulate blood pressure and maintains the normal balance of myocardial oxygen. Sarpagandha in ayurveda is a powerful herb for calming vata dosha. It was found that essential oils contained in it have clear hypotensive and sedative effects , lasting for several hours. It also has an effective impact in the treatment of cardiac arrhythmias. It also regulates high blood pressure, treats hysteria, epilepsy, and schizophrenia. It also acts as a tranquilizer and relieves anxiety. 

Dosage: 1-2 tablets once or twice a day with lukewarm water.

3. Arjuna Capsules

It contains arjuna (Terminalia arjuna) it is very useful natural cure for heart problems and is useful in blocked coronary arteries, high cholesterol and chf .it helps in clearing away the blockage in the arteries and improves pumping activity of heart , improves cRDIc muscle strength and decrease in LDL ,triglycerides, VLDL cholesterol levels . It also improves HDL levels naturally . arjuna capsules obtained from herb terminalia arjuna which is a huge tree that grows wild in many parts of south asia . The bark of this arjuna contains natural alkaloids, which are a useful natural cure for heart problems. Arjuna contains specific medically active constituents namely triterpene glycosides like arjunestosides, arjunine and arjunetein. Arjuna is a 100% vegetarian dietary supplement and purely a natural product without any chemicals added into them. It is a blessing to mankind for its role in cardiovascular problems.

Dosage: 1-2 capsules once or twice a day with lukewarm water.

4. Mahashankh Vati

It contains chitrak(plumbo zeylanica),danti( baliospermum montanum), sarjikakshara(natural sodium carbonate).this is the herbal formula for indigestion, abdominal pain due to gas and irregular food habits, acidity, duodenal ulcers. Natural treatment of digestive disorders like loss of appetite, indigestion, hyperacidity.it is effective as a CNS stimulant. It also has various properties like anti- inflammatory,haematinic, sedative, cholagogue, digestive, appetizer and carminative. These herbs make this formula no 1 choice of all ayurveda experts for conditions like indigestion, hyperacidity, and abdominal pain due to gas and irregular food habits

Dosage: 1-2 tablets once or twice a day with lukewarm water.

5. Gotukola Capsules

It contains gotukola (centella asiatica). It is useful for lack of concentration, low memory, exhaustion,stress,depression, and anxiety. It improves circulation, causes alertness and helps in relaxation. It is also used in the treatment of various skin diseases and varicose veins . gotukola capsules are made from pure herbal extract of the leaves of the herb centella sciatica. It is traditionally used in ayurvedic medicines since ages for improving memory and boosting concentration . It contains many nutrients that support the body vitality and feed the nervous system, including vitamin A,B,E and magnesium. Gotukola contains various alkaloids , triterpenes, sterols, tannins, and glycosides. The gotu kola capsules are 100% vegetarian, purely natural and free from any side effects.

Dosage: 1-2 capsules once or twice a day with lukewarm water.

CONCLUSION

Generally in today’s time these gastro and hepato mainly portal hypertensive gastropathy is the most common disease and there is no proper cure in allopathy medicines they do only symptomatic treatments in this disease. But in ayurveda our acharya gave proper and long acting treatments. The products of planet ayurveda are all are according our ancient acharya which are very effective. In case of any query kindly visit www.PlanetAyurveda.com