AV or arterio-venous fistulas are unusual linkages between arteries and veins. In general, pure blood passes from the arteries to the capillaries to the veins and becomes devoid of nutrients and oxygen (becomes  impure ) by the time it reaches the veins. The capillaries in between absorb the nutrients, to supply them to the tissues and organs lying beneath them. In the case of AV fistulas, the capillaries are bypassed and blood passes directly between the arteries and the veins. Thus, organs are deprived of nutrients.

This can be a severe condition, leading even to heart failure.

AV fistulas and dialysis

Sometimes, AV fistulas have to be deliberately created on the body, to treat for severe kidney ailments requiring dialysis.

What is the surgical procedure for creation of AV fistulas for dialysis?

Following are the steps-

  A vascular specialist checks your arteries and veins to make sure they are sturdy enough to be able to support an AV fistula.
  Then, with the help of wave techniques or an angiogram, the depth of your blood vessels is recorded.
  Anaesthesia is then used on the spot, which is chosen for your AV fistula. Local anaesthesia (anaesthesia of only that spot) is preferred over central anaesthesia (anaesthesia of the whole body).
  With the help of a small cut on the skin surface, the surgeon accesses your blood vessels and makes a connection between arteries and veins.

After this process is completed, dialysis takes usually some weeks to begin.

Why should you go for AV fistula?

Following are the advantages-

  Foreign chemicals or devices, which may cause invasion and damage to vital internal organs, are not introduced in your body.
  As only local anaesthesia is administered, you have to spend significantly less recovery time or  downtime  after surgery.
  There is less chance of the wound becoming infected.
  There is a reduced danger of clotting.

AV fistulas are in essence an unusual connection between your arteries and veins, leading to undernourished organs due to capillaries being bypassed. In some cases like dialysis, AV fistulas need to be created and closely monitored. There are several advantages to this, but you will also need recovery time after the procedure is over.

AV Fistula - Its Surgery & Creation Of AV Fistula For Dialysis!

Hyper acidity (Amlapitta) is also called Acid Dyspepsia, which is one of the most common problem. Hyperacidity is a condition in which stomach secretes excess amount of acid.

Hyperacidity is very closely associated to Amlapitta in Ayurveda which is caused by the imbalance of agni or the digestive fire leading to the vitiation of pitta dosha.

Causes of Hyperacidity:

Hurry ,  Worry , and  Curry  are the three main reasons for the disease.

Diet (Ahara)

Spicy fried junk food

Carbonated drinks

Excessive use of chilly, mustard, garam masala powder (spice mixture), garlic etc. in diet

Salty and sour foods like chips

Eating of stale, fermented foods (dosa, uttappa, idli, dhokla etc. bakery food items).

Excessive intake of fast food

Excessive intake of Oily foods, pickles

Excessive intake of tea/coffee.

Lesser intake of water

Irregular meal times

Skipping meals

Repeated food intake (before the digestion of the previously taken food)

Incompatible food like taking non-veg with milk, sour fruits with milk, pizza followed by milkshake

Eating too late at night

Regimens (Vihara)

Lack of rest

Fast moving lifestyle.

Insufficient sleep at night.

Sleeping immediately after meals.

Sleeping in daytime

Mental factors

Stressful lifestyle
Excessive anxiety

Anger

Other causes of acidity include:

Medications: Some anti-inflammatory drugs, when taken for a long period of time can develop chances of hyperacidity.

Drinking alcohol

Smoking

Pregnancy

Obesity

Fasting

All the above factors result in an excessive increase of  Pitta dosha  in the body and exhibits symptoms of amlapitta.

The condition of Amlapitta is explained with a simile just as milk is poured into curd pot immediately attains sourness and gets into an inspissated form. In the same way, repeatedly eaten food gets improperly burnt and causes acidity.

Signs and symptoms

Vomiting

Loss of proper taste of food

Loss of interest of food

Headache

Heart &chest burn (retrosternal burning)

Sour or bitter test in mouth and belching.

Nausea

Throat burn

Regurgitation of food or sour substance

Gaseous distention/ bloating of abdomen

Pain in abdomen

Chest pain

Foul smelling loose motions.

Burning sensation over feet, hands

Mouth ulcers

Fatigue (especially in legs)

Tiredness

Fainting

Ayurveda has explained 2 main types of amlapitta:

Urdhvag Amlapitta: Mainly characterized by vomiting due to upward movement of pitta 

Adhoga Amlapitta: Mainly characterized by loose motions due to downward movement of pitta.

Investigations

If there is chronic hyperacidity, following investigations are useful:

Gastroscopy (Upper Gastrointestinal Endoscopy)

Barium Meal x-ray

Gastrin levels in blood

Serology + histology for H. Pylori

Stool routine examination

Complications 

If not treated at the proper time or if faulty diet, regimen and habits continued, it can complicate as

Gastric Ulcer
Chronic Gastritis
Duodenitis
Prevention

 Prevention is better than cure  it is better to avoid all the causative factors of acid-peptic disorders (amlapitta).

Avoid excessive salty, oily, sour and spicy foods

Avoid heavy and untimely food

Avoid smoking and alcohol intake

Avoid overcooked, stale and contaminated food

Avoid fried and junk food items

Do not skip meals

Avoid fast

Do not overeat

Avoid untimely and irregular food habit

Avoid foods containing excess amount of garlic, salt, oil, chilies etc. very often.

Avoid toor dal, horse gram, fenugreek

Avoid lying down immediately after food

Avoid, smoking, alcohol, tea, coffee and aspirin type drugs

Follow the meal times

Take Light food, Coconut water, articles having cooling properties

Take vegetables like white pumpkin, cucumber, leafy vegetables except Methi

Take Wheat, old rice, green gram

Fruits like gooseberry, dry grapes (black resins), black grapes, pomegranate, fig, dry fig, custard apple.

Take adequate amount of fluids like pomegranate juice, amla juice, kokam syrup.

Medicated water with ushir (wala) or coriander-cumin seeds or tulsi seeds (sabja) or laja (puffed rice). 

Take Warm water.

Take Moravla (jam made from amla), gulkand (jam made from rose petals) 

Take One teaspoonful of ghee with warm milk

Take adequate sleep

Exercise regularly

Avoid stress

Follow mental relaxation techniques like meditation, Yoga and Pranayama

Medical management

As the disease is of Pitta origin, all measures are undertaken to pacify pitta.

Some important drugs useful in Amlapitta

Shatavari, Yashtimadhu, Amalaki, Sunthi, Guduchi, Ushir, chandan shankhabhasma, suvarnamakshik bhasma, pravalpishti, sariva, bhunimb etc

Some important Ayurvedic Medicinal Preparations are helpful when taken under proper guidance

Kamdudha Rasa 

Sutashekhar Rasa 

Prawal Panchamrit 

Shankh vati

Bhoonimbadi kwath

Avipattikar Churna

Shatavarighrit etc

'Panchakarma procedures' like Vamana (induced vomiting) or Virechana (induced loose motions) whichever is needed as per the symptoms should be administered. In chronic cases, Asthapana basti (medicated enema) is indicated.

Hyperacidity And Ayurveda!

Colon cancer is believed to be one of the common types of cancer affecting people. As the name suggests, here, the point of origin of the cancer is the colon or the large intestine. Though colon cancer can affect anyone, people with unhealthy lifestyle (sedentary) and habits (excess smoking and consumption of alcohol), obesity, certain medical conditions like diabetes, or exposed to radiations (radiation therapy) are at a greater risk of colon cancer. Colon cancer may also be hereditary.

Colon cancer usually proceeds through five stages, stage 0 (zero), stage I, II, III and IV.

In stage 0, cancer remains in situ, (it remains confined within the innermost layer of the colon).
In stage I, cancer slowly starts spreading to the other layers (second and third) of the inner walls of the colon.
In stage II, cancer spreads further to the muscular walls of the colon (the lymph nodes, are, however, still not affected by this condition).
In stage III, cancer spreads outside the colon, affecting one or more lymph nodes.
Stage IV is more severe and metastatic. Here cancer has spread to and affected vital organs like the liver and the lungs.
Many of the symptoms do not appear at the initial stages. As a result, colon cancer mostly gets detected at a later (often metastatic) stage. Thus, a person should be alert. The initial symptoms, no matter how trivial, should be taken seriously. There is no harm in seeking medical help. It will only help you in the long run. 

The following symptoms are often the initial or first signs of something as big as colon cancer.

Unexplained poor appetite followed by sudden and rapid weight loss. Losing weight at an alarming rate without sweating it out needs thorough investigation. More than often, colon cancer interferes with the digestion process in a person. A person is not able to eat well. There is a feeling of being full (irrespective of how much you eat) all the time.
Constipation, gas or (and) diarrhea. Often overlooked and mistaken for common bowel disorder, these are some of the initial symptoms of colon cancer. The symptoms may be an outcome of polyps (abnormal tissue growths that can take place in any organs. These polyps are mostly benign in nature) or malignant tumors in the colon. Seek medical help if the conditions persist for more than a week. It is better to be safe than to be sorry.
A person feels exhausted, sleepy and weak all the time. The symptom may be an outcome of iron deficiency and anemia. Colon cancer can cause injury to the digestive tract. There may be bleeding followed by blood loss and hence the associated symptoms.
Mild to severe abdominal pain. The abdomen also appears tender than usual (in the case of metastatic tumor).
Stomach upset accompanied by pain, nausea, vomiting, cramps and at times, indigestion (an outcome of intestinal obstruction and inflammation).
There may be blood while passing stool.

Colon Cancer - What Signs You Must Watch Out For?

Fistula-in-Ano is a type of an abnormal hollow cavity that is lined with granulation tissue. It connects a primary opening inside the anal canal to the second opening in the perianal skin. Ayurveda has perfect surgical techniques which can help you root out this problem without leaving any chances of recurrence.

Kshar Sutra is basically an ayurvedic parasurgical treatment that involves management of Anorectal disorders for treating Fistula-in-Ano. The technique is minimally invasive in nature. Following are some of the tips related to the Ayurvedic Management & Kshar Sutra in Fistula-in-Ano:

Safe and Extremely Cost-Effective: This type of surgery uses a thread, also known as Kshar Sutra, especially prepared by herbal chemical cauterization. Cauterization is the medical practice of getting part of the body burnt, for either removing or closing off a particular part to cure diseases like Fistula-in-Ano. Hence, people can safely go for this treatment procedure because there is absolutely no risk element involved. Moreover, as the use of thread is involved in treating the problem, so basically, the minimum expense is involved. So, patients need not pay much.



Customized Treatment: Usually, three kinds of Kshar Sutra get used, depending upon the number of coatings and the quality of materials implemented. Coatings are created with ayurvedic herbs and treatment for each and every patient takes place in a customized manner depending upon their individual requirements.

Can Get Rid of Other Disorders: While undergoing the Kshar Sutra treatment for Fistula-in-Ano, patients are even routinely investigated with a special type of reference for any other associated disorder like Hypertension, Tuberculosis, Diabetes Mellitus etc.

So, Kshar Sutra not only helps people to get relief from the problem of Fistula-in-Ano but also assists in getting rid of other associated problems.

Maintenance of Diet as Part of Ayurvedic Management: Those patients, who suffer from the painful disease of Fistula-in- Ano, Ayurveda instructs them to maintain a healthy diet in the form of fruits and vegetables. On the contrary, they must avoid the excess amount of spicy foods, along with items that cause constipation and even make sure to not have too much of garlic, chillies and potato.
Keep Yourself Hydrated: Drinking plenty of water is extremely essential as this helps to clear off the channels and also allow people to flush off stools and toxins from the body.

Fistula-In-Ano - Ayurvedic Management & Surgery (Ksharsutra) For It! 

Appendicitis is a chronic or acute medical condition where the appendix gets inflamed and causes severe pain.  If left untreated, the condition can prove to be fatal. The appendix is a small tube-shaped sac at the end of the large intestine. In humans, it is typically not known to have any functional value although some studies suggest that it helps digestion by creating a conducive environment for friendly bacteria.

Surgical removal of the appendix is suggested as the most common treatment for the ailment. But homeopathy treatment for appendicitis issues is also available. One of the key causes of appendicitis is believed to be the partial or complete obstruction at the mouth of the appendix.

The common causes of obstruction include accumulation of fecal matter, worms, enlarged lymphoid follicles, trauma, or tumors. It is also possible that an infection in the stomach could have extended into the appendix.

Appendicitis can be treated with homeopathic medicine, it is commonly detected because of its progressive worsening pain in the stomach which narrows down to the lower right side of the abdomen is called Mc Burney point. Half of the patients though do not have this typical symptom and instead come in with a complaint of gastroenteritis, urinary tract infection, or even a kidney stone.

Further blood tests, urine tests, and MRIs or ultrasounds are used to pinpoint the area causing the pain. In most cases of the advance appendix, surgical intervention is necessary. The type of surgery will vary on a case to case basis.



Homeopathic Treatment for Appendicitis Pain
Homeopathy remedies can be tried in the early stages and are especially useful to treat chronic and recurrent cases. It works with the principle of 'like cures like', which means that the elements that cause the problem are a key to its solution too. It employs a holistic healing methodology getting rid of the signs and symptoms and restoring complete health. While other treatments focus on curing the 'problem', homeopathy also deals with the basic reason for the Appendicitis problem and the individual's susceptibility to it.

Homeopathic Medicines for Appendicitis Symptoms
Arsenicum album: This homeopathic cure for appendicitis is used when appendicitis has resulted in sepsis and the patient also suffers from diarrhea.
Belladonna: This is an early stage remedy for cases where appendicitis is accompanied by headache, fever
Bryonia alba: This homeopathic remedy for appendicitis is very effective when the pain aggravates with movement. 
Colocynthis: In appendicitis homeopathy treatment this home remedy "Colocynthis" used when the patient experiences spasmodic or entwining pain, which worsens with indigestion. Applying warm pressure over the area helps in such cases.
Rhus Tox: This natural home remedy is also called the 'homeopathic knife' to treat appendicitis. It is used when the pain is constant and the patient is never free from pain.
To customize the selection of the homeopathic remedies according to your specific symptoms, it is best to consult with a practitioner.

Update From Lybrate: To keep your Gut Health on track and to avoid constipation and gastric troubles, We suggest you to buy Gut Care products available on Lybrate GooKart at affordable prices.

Homeopathy Treatment & Medicine for Appendicitis Pain

Irritable bowel syndrome is a disorder, which generally affects the colon (large intestine). It usually show symptoms like abdominal pain, cramping, bloating, diarrhea, gas and constipation. IBS is a long term condition. It can result in sudden mood swings, depression and thus, holds you back from living your life to the fullest. IBS can be controlled by managing lifestyle, stress and managing your diet. Medication and counseling could also be required to manage IBS.

Symptoms of IBS:
1. Immense cramping and pain.
2. A feeling that your belly is bloated all the time
3. Severe gas
4. Alternating and sudden bouts of constipation and diarrhea.
5. Presence of mucus in the feces.

Whenever you experience such kind of symptoms, it is always advisable that you must consult a doctor, so that it doesn't lead to a serious condition.

When should you consult a doctor for IBS?
IBS is not a chronic disorder and can be controlled by home remedies. It may also require medical treatment if the symptoms become acute and persist for too long. If you experience certain symptoms like rectal bleeding, weight loss and heavy abdominal pain that might increase at night, you may be at a risk for colon cancer. If such symptoms persist, you should visit a doctor as soon as possible.

Causes of IBS:

Foods: Most people are susceptible to IBS if they consume foods like spices, fats, fruits, cabbage, beans, broccoli, cauliflower, carbonated beverage, milk or alcohol. These foods irritate the lining of the stomach and trigger IBS. However, the trigger may vary from person to person.
Stress: Signs and symptoms of IBS can also increase if you are very stressed out. Stress makes your muscles too worked up and this may result in IBS. However, you should know that stress aggravates or triggers the symptoms but doesn't cause IBS.
Hormones: Women are more likely to develop IBS. Fluctuations in the hormonal cycle can trigger IBS. This usually occurs around or during menstruation.
Other illnesses - Sometimes illness such as gastroenteritis (infectious diarrhea) or bacterial overgrowth in the intestines can trigger symptoms of IBS.
Age: You will be more likely to develop IBS if you are 45 years of age or above.
Hereditary: People having a family history of IBS are more susceptible to develop IBS.
Mental problems: Depression, personality disorder, anxiety and a history of sexual abuse can also trigger symptoms of IBS.

Irritable Bowel Syndrome - Can Severe Gas be a Sign of it

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