It is a slowly and gradually progressing disease in which healthy liver tissue is replaced with scar tissue, hence preventing the liver from proper functioning. The developed scar tissue blocks the flow of blood through the liver and slows the processing of nutrients, hormones, drugs, and naturally produced toxins. It also slows the production of proteins and other substances made by the liver. Cirrhosis is a complication of liver disease which involves loss of liver cells and irreversible scarring of the liver. In other words, Cirrhosis is a condition in which the liver does not function properly due to long-term damage. Typically, the disease comes over months or years.

Although there are many other causes for cirrhosis, the commonest is excessive use of alcohol, viral hepatitis B and C infections and non-alcoholic fatty liver disease. Thus the scarring is most often caused by long-term exposure to toxins such as alcohol or viral infections.

According to the National Institutes of Health, it is the 12th leading cause of death. Men are more prone to develop cirrhosis than women. Globally approximately 57% of cirrhosis is attributable to either hepatitis B (30%) or hepatitis C (27%).Alcohol consumption accounting for about 20% of cirrhosis.

Persons most commonly affected: Adults of both sexes.

Unani approach to Cirrhosis of Liver (Talayyuf-e- Kabid)-

In Unani literature Cirrhosis of the liver is known as  Talayyuf-e- kabid ,  Sighr-al- kabid  or  Jigarki laghari . It is of two types.

1. AcuteType of Cirrhosis of Liver (Talayyuf-e- Kabid Hadd)-

It is rare but very dangerous. It is also called Yarqaan-e- khabees or Huzaal-e- asfar. Mainly occurs due to inflammation in hepatic cells, in which hepatic cells squeeze in few days resulting in improper functioning of liver. It is a disease in which cells throughout the liver are destroyed. Although they are replaced by areas containing normal new cells but also by much scar tissue, which alters the structure of the liver.

Causes and risk factors: Excessive use of alcohol/ chronic alcoholism, poor nutrition, highly toxic condition of the body system, viral infections caused by chronic viral hepatitis (types A, B and C), metabolic diseases such as alpha-1-antitrypsin deficiency, galactosemia and glycogen storage disorders,inherited diseases such as Wilson's disease and hemochromatosis, biliary cirrhosis, toxic hepatitis due to severe reactions to prescription drugs or prolonged exposure to environmental toxins and repeated bouts of heart failure with liver congestion etc.

Signs and Symptoms: The main signs and symptoms of this type are jaundice, pain at the site of liver, vomiting, headache, dizziness, increased body temperature, increased pulse rate, brownish coloured and dry tongue, increased thirst, initially whitish coloured diarrhoea, later on, colour becomes blackish due to contamination of blood, urine passes in less quantity and reddish in colour due to contamination of yellow bile in it,  haemorrhage from nose, stomach, intestine and uterus even abortion in women are seen. The size of the liver feels small on palpation.

2. Chronic type of Cirrhosis of Liver (Talayyuf-e- KabidMuzmin)

This type of the disease occurs due to the improper blood supply to the hepatic cells resulting in the size of liver very small in appearance but liver cells stay normal.

Causes and risk factors: The main causes of this type are the application of permanent pressure at the site of the liver such as ascites, alcohol abuse, hepatitis C virus infection, cardiomegaly, poor nutrition, highly toxic condition of the body system, peritoneal inflammation, improper diet in old age and starvation etc. Other causes which develop this disease are, obstruction of the external bile duct by stone, scar, inborn defect or tumour, use of certain medications, syphilis and passive liver congestion. Obesity has recently been recognized as a risk factor in non-alcoholic hepatitis and cirrhosis.

Signs and Symptoms: It is a slowly progressing disease. In early-stage symptoms, of indigestion like flatulence, constipation and diarrhoea may be present. General weakness, the feeling of being unwell, loss of appetite, loss of weight, and a loss of interest in sex may also be there. There may be a dull abdominal ache, nausea and vomiting. Eventually, the patient dies due to anaemia or ascites. The feeling of dullness is the peculiar sign of the disease. Other symptoms and signs include low-grade fever, bad breath, jaundiced skin and bloated and swollen abdomen.

Complications and Risks associated with Cirrhosis of Liver (Talayyuf-e-Kabid)-

Ascites (retention of fluid in the abdominal cavity) is the most common complication of cirrhosis and is associated with a poor quality of life, increased risk of infection and a poor long-term outcome. Other potentially life-threatening complications are hepatic encephalopathy (confusion and coma) and bleeding from oesophageal varices. Cirrhosis is generally irreversible, and treatment usually focuses on preventing progression and complications. In advanced stages of cirrhosis, the only option is a liver transplant.

Preventive measures for cirrhotic patients (Talayyuf-e- Kabid ke Mareezon ke liye Ehtiyaati Tadaabir):

Cirrhotic patients must completely avoid alcohol. Alcohol accelerates liver failure and hastens death in cirrhotic patients.
Avoid liver toxins. Acetaminophen (Tylenol), should be avoided because they can be toxic in cirrhotic patients.
Juice therapy helps the liver to detoxify toxins from the body. Cirrhotic patients should mix one part of pure juice with one part of water before drinking.
Cirrhotic patients are strongly advised to eat smaller meals. To avoid overworking the liver, five or six smaller, lighter meals per day are recommended.
Avoid fatty foods and processed foods, especially foods prepared with animal fats or hydrogenated oils. These types of foods put additional load on the liver.
Cirrhotic patients are also advised to eat only lean proteins (containing no fats) and in limited amounts.
Vegetable proteins are very beneficial in Cirrhotic patients. High protein intake causes increases of ammonia levels in the blood, possibly resulting in mental confusion, and in severe cases, coma. However, do not severely limit protein intake, as this may cause protein deficiency and impair the healing process.
Routinely increase consumption of fruits and steamed vegetables as fruits and vegetables are easy to digest, thus less work for the liver. In addition, they are good sources of vitamins, minerals, and antioxidants that help the liver detoxify and heal.
Cirrhotic patients are advised to practice intermittent fasting.
They are also advised to protect against hepatitis B, C and E.
Fundamentals of Management in Unani Medicine-

Identify the cause of the disease and treat it accordingly
Correct the digestive processes
Use hot dresses
Use mild and early digestible diet
In case of ascites treat it
Management/ Treatment-

In Unani medicine, very effective treatment is available for the Cirrhosis of Liver by strengthening the Liver cells and restoring normal size and functions of the Liver. In Unani medicine, there is a number of hepatoprotective drugs that protect the Liver either acute or chronic type.

SootshekharRas Swarna yukta 125 Mg twice a day
PittariAvleh 10 gm twice a Day
Duration of the treatment: 3 to 6 months or it depends upon the condition of the patients. If the patients with cirrhosis have diabetes, then the treatment may take long time for curing the disease. Diet plays a key role along with Unani Medicines. Hence, it is strictly advised to follow a proper diet plan.

Talayyuf - E - Kabid Or Cirrhosis Of The Liver - Know More About It!

Bowel movement is one of the most important clues about an individual s health, as it gives a real idea of the gastrointestinal condition as well as overall health. One shall have to get familiar with the regular appearance of stool to spot the issues beforehand; however, the day to day alterations in the appearance does not mean that there is a problem with your health as one may notice short-term abnormalities based on what he or she is eating every day. 

But in case an unexplained change lasts for over a week or so, it is a sign of some strange happening in the gastrointestinal tract.

Hard pieces of faeces that are hard to pass: If the bowel movement is straining to pass, then the individual is constipated. Some people think that they are not suffering from constipation, but their stool is always hard and comes out in pieces rather than soft stool that passes out effortlessly. The most common reason behind such stool is a lack of fibre in the diet. According to general recommendations, an adult male must take at least 38 grams of fibre while an adult female must take about 25 grams of fibre. It is recommended to maintain a food journal to track the daily nutrients intake, and in case there is a lack of fibre in the diet, it can be stacked up with whole grains, fruits, beans and nuts.
Black or bright red coloured poop: If the stool has a deep red appearance, it would indicate that a part of the bowel is bleeding. In most circumstances, the blood in the stool is caused by the benign haemorrhoids, but it could also be due to some ulcers in the colon or stomach or even cancer. That is why it is extremely crucial to bring it to the doctor s notice. There are different types of over-the-counter medications which turn the stool into black colour. This sort of discolouration is entirely temporary and may stay along for a few days even after stopping the medicine.
A loose stool which is not diarrhoea: Loose stool but not diarrhoea may mean that the individual is suffering from celiac disease. Although the illness is quite uncommon, most people who suffer from it are not aware of the condition. The appearance of the stool is the largest and most reliable signs of having celiac disease. Individuals affected with celiac disease are not able to tolerate gluten, and it destroys the villi in the lining of the small intestine. As a result, the nutrients are unabsorbed, and the stool becomes loose. Switching to a gluten-free diet for about 2 to 3 weeks can aid in alleviating the disease.
If the appearance of the stool remains abnormal for weeks together, it is important to talk to a doctor to find out if there is something serious underlying. Bowel movement is the truest sign of the intestinal health, and thus, should not be ignored. 

Bowel Movement - What It Says About Your Health?

Gastroparesis is a condition when your stomach feels full and heavy even after it has been more than a couple of hours after meal. Generally, it takes maximum 1 &   hours for the stomach to feel empty, but if the time taken for it is more, then this is a condition of gastroparesis. It means there is some change in your normal digestion process.

In this circumstance, the food in your stomach doesn t digest easily and creates a lump. As a result, you have hard time digesting your food. It also means the nerves connected to the stomach are not functioning well. There are a number of reasons for which you can get gastroparesis.

Diabetes is one of the most common causes of making you feel fuller.
Disorders in the nervous system, mainly Parkinson s disease or cerebral attack can create this problem.
Some medicines, especially antidepressants or anti-inflammatory in nature and certain painkillers can cause this problem.
Gastroparesis shows a number of symptoms:

Occasional vomiting as you feel unnecessarily fuller. When you vomit, it gives out chunks of undigested food
A feeling of nausea
You feel full after you have eaten very little
Bloating and pain in your abdomen
There is alteration in the blood sugar level
You don t feel like eating due to loss of appetite
You lose considerable weight as you don t eat much
A possibility of suffering from malnutrition, again due to lack of appetite
How it can be treated?
When you identify the reason for gastroparesis, then treating it becomes easier. If diabetes or nerve disorder is creating the problem, leave it to your doctor to treat. For other causes like lack of appetite, there are some natural ways of treating it.

Have frequent smaller meals. This way you don t push yourself to eat much and at the same time, the body doesn t lack nutrition and energy
Avoid fibrous fruits
Avoid high carbohydrate and high fat foods, which takes time to digest
Intake foods which you can swallow, like soups or stew. They are healthy and are also easy to digest
If the problem still persists, consult your doctor who may prescribe some medicines to stimulate the stomach muscles. They generally have no side-effects. There are some medicines which can control your vomiting and nausea. There are some surgical treatments for gastroparesis, where the doctors place a feeding tube in your small intestine. A gastric venting channel is another option, which helps you to get relief from excessive gas formation in your stomach, thus accelerating the process of digestion.

Gastroparesis - Nausea on Regular Basis Can be a Sign of it

Pancreas are a small, but a pretty important part of a person s digestive system. So when it needs to be removed, the reason has got to be quite serious, to say the least, doesn t it? The procedure is known formally as a pancreatectomy and it is most often required for people who are suffering from cancer of the pancreas. Ideally, these people would only need the cancerous tumours removed, but things are not always this simple. As a matter of fact, only a little more than a tenth of the people who have pancreatic cancer can have the tumour alone removed. As a result, most need to go for a pancreatectomy, which involves removing the entire pancreas. Whether the pancreas can be kept is usually related to how soon the cancer was detected, with people who have done so in time being a majority of the 10% of people with pancreatic cancer who have not needed pancreatectomies.

If a person does not have cancer, the reason he or she may need a pancreatectomy due to an accident which has injured the area significantly badly. In this case, a procedure which is known as a partial pancreatectomy is carried out on the patient. The good news is that the success rate of this sort of operation is generally quite high and the long-term effects on the body are nil. This is the case in spite of a lot of the normal tissue of the pancreas being removed, pretty amazing, isn t it?

While it may be called a pancreatectomy, it does not always mean that the pancreas is the only thing that is removed. In fact, in a lot of pancreatectomies, the surgeons also remove other parts of the digestive system which are usually the common bile duct, the spleen and the gallbladder.

There is, of course, the case of chronic pancreatitis, which occurs when the organ just swells up repeatedly. The repeated swelling leads to permanent damage of it, which affects the rest of the body, too. In most cases, the cause of this happens to be a sustained addiction to alcohol. When this is the case, it is really hard to perform a pancreatectomy and the utility of the pancreas is greatly reduced. Not a good situation to be in, under any circumstances, at all!

A pancreatectomy is a process which nobody would voluntarily wish to undergo, but there are advantages to knowing what it is, in any case!

Pancreatectomy - When To Go For It?

Gastroenteritis, also commonly referred to as infectious diarrhoea, is a gastric disorder. The gastrointestinal tract, which comprises of the small intestine and stomach gets inflamed. Gastroenteritis is indicated by the symptoms such as diarrhea, acute vomiting and pain in the abdomen. Fever, exhaustion and dehydration are also observed. This disease usually lasts not more than two weeks. It is also called the stomach flu. Infections caused by virus, bacteria, parasites or fungi may lead to gastroenteritis. Viruses account for this disease the most. This disease is transmitted mainly from food items and contaminated water. Important electrolytes like sodium and potassium are lost from our body.

The most common remedy in case of gastroenteritis is having ORS. However, homeopathy is also considered very effective if you have got infectious diarrhoea. Homeopathic medicines are considered very safe and result yielding in case of gastroenteritis. Homeopathy is a form of medicine, which is always given preference by all experts, as it is natural with no side effects. After conducting various surveys, it has been proven that homeopathic treatment is far more effective than other forms of medication for gastroenteritis.

Here is a list of the best homeopathic remedies for the treatment of gastroenteritis. There are many categories of homeopathic medicines for diarrhoea each with their own significance.

1. Aconite: This must be used for diarrhea caused in the season when the days are hot, and the nights are comparatively cold. The symptoms appear in the middle of the night. Heavy diarrhoea along with high-intensity  fever occurs and anxiety.
2. Aloe: This remedy should be used in case of a continuing urge for stool because of weakness of the anal sphincter. Mucus is accompanied along with pain in the rectum area. In case of adults, this diarrhoea is also characterized by blue hemorrhoids.
3. Arsenicum album: This medicine is used in case of food poisoning. The affected person feels cold, tired and panicky. Vomiting and diarrhoea take place after midnight. Burning pain in the abdomen is also observed.
4. Cinchona: Used in case of diarrhoea with the presence of excessive exhaustion and abdomen gas. The abdomen gets bloated up. 
5. Ipeca: When there is nausea and non stop vomiting or your mouth gets filled with saliva, Ipeca can be used. Thirst is lost, and the color of the stool may be green or bloody.
6. Podophyllum: This medicine is usually used by tourists in case of diarrhoea.  Abdominal vibration and frequent stools are indicated. The stool is characterized by an unpleasant smell.

Homeopathy is a very effective category of medication when it comes to gastroenteritis, however, still it is advisable to get regular full body check up done.

Best Homeopathic Remedies for Gastroenteritis Treatment

Food poisoning happens when a person eats contaminated food that contains e-Coli and fungus. Food poisoning may lead to vomiting, nausea, and stomach ache. When the person recovers from the condition, doctors may suggest bland food for some time. It is necessary that patient eat simple food with lots of fluid to regulate their digestive system. Clear liquids will help you to rehydrate your body and gain strength for the recovery.

Best Food to Eat After Food Poisoning

When a person is recovering from food poisoning, it is suggested by the doctors that patients eat food items which are easy to digest and light on the stomach. The best food items to eat after food poisoning is:

  Banana

  Rice

  Apple sauce

  Toast

The four food items suggested above are bland in taste and high in starch. These food items are easy to digest and helps the upset stomach. It also helps in reducing the symptoms of diarrhoea. These are readily available and also works with kids. Since banana is high in potassium, it helps in the regulation of lost electrolytes. You can also introduce food items like yoghurt, bone broths, turkey, plain potato to gain strength after food poisoning.

Recovery From Food Poisoning

Food poisoning is life-threatening, and immediate doctors treatment is required. If you have consumed contaminated food in small quantity then there are chances that you will recover from food poisoning within 48 hours.

However, severe levels of food poisoning require hospitalization and an IV dose of medicines.

Food Items to Avoid After Food Poisoning

Food poisoning weakens your digestive system and pathogens in your body. So the foremost thing you should discard from your kitchen is the food that you suspect is the culprit of food poisoning. Also relax your stomach with clear liquids, juices, and soups. They are easy to drink and does not make you feel nauseated.

Avoid food items and drinks like:

  Alcohol

  Caffeine

  Spicy food items

  Dairy products like butter and cheese

  Sugar juices

  Junk food

  Processed food like eggs and meat are not suggested by the doctors since they are heavy to digest and may bloat your stomach. You must try green leafy vegetables in your diet and keep your food clean and bland. You must also avoid food that causes bloating and gas.

Who Are at Risk of Food Poisoning?

Mostly, kids, infants, and pregnant women are at risk of food poisoning. Kids and infants are prone to food poisoning and may suffer from severe conditions like botulism and diarrhoea. They can also come in contact with cold easily which may result in stomach illness. Pregnant women are also at serious risk of food poisoning. Eating contaminated food during this fragile condition can affect the child in the womb. Conclusion Food poisoning is an unpleasant condition and requires medical attention immediately. This situation may take a few days to recover completely. It is highly dangerous to kids and infants as compared to adults. The person recovering from food poisoning should not haste into a regular lifestyle and should start with a healthy diet for fast recovery. Bland food not only helps in digestion but also relieves the patient from diarrhoea and bloody stools.

Food Poisoning - Know Diet After It!

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