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Overview

Inflammatory Bowel Disease: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Inflammatory bowel disease is the term used to describe two medical conditions, namely, Crohn's disease and ulcerative colitis

How is the treatment done?

Inflammatory bowel disease (IBD) is a group of intestinal disorders that cause prolonged inflammation of the digestive tract. The two major types of inflammatory bowel disease are ulcerative colitis and Crohn's disease. They cause sores (ulcers) in the digestive tract and also inflammation which causes extreme pain in the patient. Ulcerative colitis disease can cause inflammation and sores (ulcers) which are long lasting in the innermost lining of the large intestine (colon) and rectum. Crohn's disease can cause inflammation of the lining of the digestive tract, which often spreads deep into affected tissues.

Depending on the severity of inflammation and location of occurrence, the symptoms of inflammatory bowel disease can vary a lot. Main symptoms caused by intestinal ulcers are predominantly abdominal pain, cramps, and bleeding. Sometimes, however, ulcers may be present in IBD but are not associated with any symptoms (asymptomatic). In Crohn's disease, the symptoms can be diarrhoea, fever and fatigue, abdominal pain and cramping, blood in the stool, reduced appetite, unintended weight loss.

Treatment for Crohn’s Disease and Ulcerative Colitis in the patients will depend on how severe the symptoms are, and how much of the gut is affected. Inflammatory bowel disease can be treated with medicines and drugs that aim to reduce inflammation in the gut and bring relief from the symptoms. These anti-inflammatory drugs include steroids, 5ASAs, immunosuppressants such as azathioprine, methotrexate and ciclosporin, and biological drugs like infliximab and adalimumab. If the condition does not improve with medicines, then patients may be required to undergo surgeries. Some IBD surgeries include strictureplasty to widen a narrowed bowel, closure or removal of fistulas, removal of affected portions of the intestines for people with Crohn’s disease and removal of the entire colon and rectum for severe cases of ulcerative colitis.

Who is eligible for the treatment? (When is the treatment done?)

A number of tests are performed in order to diagnose the signs and symptoms of inflammatory bowel disease. The tests include blood tests, endoscopic procedures and imaging tests. Blood tests are done as tests for anemia or infection to detect the amount of red blood cells to carry adequate oxygen to the tissues or to check for signs of infection from bacteria or viruses. Fecal occult blood test is done with a stool sample. Doctors test for hidden blood in the stool. Colonoscopy is an endoscopic exam that allows the doctor to view the entire colon using a thin, flexible, lighted tube with an attached camera. During this procedure, the doctor can also take small samples of tissue (biopsy) for laboratory analysis. Sometimes a tissue sample can help confirm a diagnosis. In other endoscopic exam, called Flexible sigmoidoscopy, the doctor uses a slender, flexible, lighted tube to examine the rectum and sigmoid, the last portion of the colon. Upper endoscopy is done if the patient is having nausea and vomiting, difficulty eating or upper abdominal pain. Capsule endoscopy is used to help diagnose Crohn's disease that involves the small intestine. Balloon-assisted enteroscopy enables the doctor to look further into the small bowel where standard endoscopes don't reach. This procedure is very useful when a capsule endoscopy shows abnormalities. Imaging tests like X ray, Computerized tomography (CT scan) and magnetic resonance imaging (MRI) tests are also done to assist the diagnosis of inflammatory bowel disease.

The treatment of inflammatory bowel disease depends on the degree of severity and location of the syndrome. Treatment aims to reduce the inflammation that triggers the signs and symptoms. IBD treatment usually involves either drug therapy or surgery. Anti-inflammatory drugs are used primarily in the treatment of inflammatory bowel disease. Anti-inflammatory drugs include corticosteroids and aminosalicylates, such as mesalamine (Asacol HD, Delzicol, others), balsalazide (Colazal) and olsalazine (Dipentum). Prescribed medicine depends on the location of the disease. Immunosuppressant drugs like azathioprine (Azasan, Imuran), mercaptopurine (Purinethol, Purixan), cyclosporine (Gengraf, Neoral, Sandimmune) and methotrexate (Trexall) suppress the immune response that releases inflammation-inducing chemicals in the intestinal lining. Drugs called tumor necrosis factor (TNF)-alpha inhibitors, or biologics also help to relieve the symptoms of IBD. It works by neutralizing a protein produced by the immune system. Examples of these drugs include infliximab (Remicade), adalimumab (Humira) and golimumab (Simponi). Other biologic therapies that may be used are natalizumab (Tysabri), vedolizumab (Entyvio) and ustekinumab (Stelara).Apart from these medicines, antibiotics may also be used. Frequently prescribed antibiotics include ciprofloxacin (Cipro) and metronidazole (Flagyl). In addition to this, some over-the-counter medications may also be used which help to relieve the symptoms. Depending on the severity of the IBD symptoms, doctor may recommend anti-diarrheal medications, pain relievers, iron supplements and Calcium and vitamin D supplements. The doctor may also recommend a special diet given via a feeding tube (enteral nutrition) or nutrients injected into a vein (parenteral nutrition) to treat the symptoms of IBD. Some IBD signs and symptoms are so severe that the doctor may recommend surgery. Surgery can often eliminate ulcerative colitis by removing entire colon and rectum (proctocolectomy). This procedure involves an ileal pouch anal anastomosis. People with Crohn's disease will require at least one surgery. However, surgery is not able to cure Crohn's disease. During surgery, the surgeon removes the damaged portion of the digestive tract and then reconnects the healthy sections. Surgery may also be used to close fistulas and drain abscesses.

Who is not eligible for the treatment?

People should consult a doctor when they experience a persistent change in their bowel habits. They may have any of the signs and symptoms of inflammatory bowel disease and pain which they have not experienced before. Inflammatory bowel disease usually is not fatal, but it can be a serious disease and in some cases, may cause life-threatening complications. It is always advisable to consult a doctor and seek medical assistance and care.

Are there any side effects?

People with normal bowel movement and no signs and symptoms of inflammation do not need to undergo medical treatment. Many times, the bowels become inflated and cause pain but this can be cured with home remedies. If the symptoms are not chronic and do not cause hamper in the daily lives of the people, they do not need to undergo medical treatment.

What are the post-treatment guidelines?

Medications used in the treatment of inflammatory bowel disease (IBD) have certain side effects. Side effects of the corticosteroids used in the treatment include weight gain, facial swelling, sweating, insomnia etc. Side effects such as nausea, vomiting and loss of appetite, are noted in case of Oral 5-aminosalicylates drugs. Antibiotics can cause upset stomach, loss of appetite, diarrhea and vomiting and also the feel of an urgent need to urinate, as well as vaginal itching and/or discharge. There can be some serious side effects caused by the immunosuppressant. Despite the side effects, these medications are effective in the treatment of IBD.

How long does it take to recover?

After treatment, people need to follow certain rules to prevent relapse of the disease and also cut down the risk of developing inflammatory bowel disease. They need to maintain a healthy diet, take proper medicines and exercise regularly. They should also quit smoking and avoid taking stress in order to prevent the recurrence of the disease even after treatment.

What is the price of the treatment in India?

In general, it takes around 6 weeks to recover from the treatment of inflammatory bowel disease. People should be careful and avoid complications. Medicines and other opinions from the doctor, when followed, can help in speedy recovery.

Are the results of the treatment permanent?

IBD is an expensive chronic disease without a cure. Patients incur a huge amount for the treatment fo inflammatory bowel disease. Surgical procedures for IBD typically cost about Rs. 600000/- to Rs. 2000000/-. For mild symptoms, doctors may prescribe a number of drugs which can cost about Rs 6000 to Rs 50000/-. Additional costs are needed for the consultation fees, various diagnostic tests etc.

What are the alternatives to the treatment?

The treatment can be considered permanent only on certain basis. Medications and drugs can help to cure the inflammation and reduce symptoms. However, the benefits of surgery for Crohn's disease are usually temporary. This disease can recur often, and frequently near the reconnected tissue. Patients must take proper medication to minimize the risk of recurrence and cause the treatment be permanent.

Safety: Condition Effectiveness: Medium Timeliness: Medium Relative Risk: High Side Effects: Medium Time For Recovery: High Price Range:

Rs. 600000/- to Rs. 5000000/-

Popular Health Tips

Inflammatory Bowel Disease - Risk Factors Associated With It!

MD - Medicine, MRCP - Gastroenterology, MBBS
Gastroenterologist, Chandigarh
Inflammatory Bowel Disease - Risk Factors Associated With It!

Inflammatory bowel disease (IBD) is a group of conditions wherein the intestines become inflamed. IBD is a collective term used for the diseases like Crohn's disease, ulcerative colitis (UC) and indeterminate colitis. So it won’t be wrong to say that IBD is an umbrella term used to denote various diseases.

These are the painful diseases which, involving an abnormal response by the immune system, damages the lining of the digestive system, hence causing fatigue and/or weight loss, inflammation and ulceration, severe abdominal pain, diarrhoea and bloody stools.

  1. Ulcerative colitis: This causes a long-lasting inflammation and sores in the innermost lining of large intestine and rectum.
  2. Crohn's disease: This causes inflammation of the lining of digestive tract, which penetrates deep into affected tissues.

The symptoms of IBD mainly depend upon how severe the inflammation is and also its location. Symptoms can be mild or severe. In this condition, there are periods of active illness and remission.

  1. Diarrhea
  2. Fever and fatigue
  3. Abdominal pain and cramping
  4. Blood in your stool
  5. Loss of appetite
  6. Weight loss

Though the exact cause of inflammatory bowel disease remains unknown, it is said that diet and stress lead to this condition. However, doctors say that there are many factors which aggravate IBD which are:

  1. Immune System Malfunction: One of the predominant cause for this conditions is when immune system attempts to fight an invading virus or bacterium, and there is an abnormal immune response—which causes the immune system to attack the cells in the digestive tract.
  2. Heredity: It is also considered to be a cause of IBD. It is said that IBD occurs mostly in people who have a family history of this disease. However, not only people who suffer from this disease have any family history.

Risk factors you should know about:

  1. Smoking: Smoking is one of the main factors for developing this condition. It aggravates the symptoms of this disease hence compounding the problem.
  2. Race: IBD can occur in all races. However, there are certain ethnic groups such as Caucasians and Ashkenazi Jews that have a higher risk.
  3. Age: IBD usually starts before the age of 35. Although it can happen at any age.
  4. Genetics: If you have a parent, child etc with IBD, there are chances that you are at higher risk to get this condition.

Complications due to IBD

  1. Obstruction in bowels
  2. Weight loss
  3. Ulcers that penetrate the bowel wall
  4. Colon cancer

There are some rare cases where a serious bout of IBD can make a person go into shock – which can be life-threatening. In case you have a concern or query you can always consult an expert & get answers to your questions!

2031 people found this helpful

Inflammatory Bowel Disease - Symptoms and Treatment

MBBS, MS - General Surgery , DNB (General Surgery), MNAMS (Membership of the National Academy), Fellow HPB Surgery & Liver Transplant (Singapore) , FICS - RPSLH - RPSLH
Gastroenterologist, Hyderabad
Inflammatory Bowel Disease - Symptoms and Treatment

Inflammatory Bowel Disease needs to be controlled in the initial stage only so that severe symptoms can be prevented. There are a few easy treatments that need to be followed for getting instant relief and quickest recovery. 

What are the commonest signs of Inflammatory Bowel disease?

  1. Fatigue and fever: Low-grade fever can be experienced, which might invite fatigue, tiredness and weakness. Your energy levels will become too low, and thus you will lose your concentration to work. 
  2. Diarrhea: This is regarded as the commonest signs of all, and it can be quite severe in a few cases. 
  3. Stool with blood: If you find blood with stool, then it is a serious case, and this sign confirms clearly that you have got IBD.
  4. Cramping and abdominal pain: Ulceration and inflammation within digestive tract might invite both cramping and abdominal pain. Vomiting and nausea are the other two symptoms that are associated with the same.
  5. Weight loss: Your digestive system can get disturbed as a result of which you might lose weight on a frequent note. On the other hand, your appetite will get disturbed, and you will suffer from malnutrition.

What are the best ways to treat Inflammatory Bowel disease? 

  1. Lifestyle change: Proper diet should be maintained, and you should include foods with low fats, high fiber and others. Non-spicy and non-dairy foods are quite suitable in this case. Smoking, alcohol drinking and other bad habits should be curtailed from the diet. Eat healthy and drink water in abundance. 
  2. Surgery: Only for dealing severe conditions, especially ulcerative colitis and crohn's disease, surgery is chosen as the best option but this decision is normally taken by the doctor. 
  3. Medications: Specialized medications are being used like anti-diarrhoeal medications, pain relievers, and iron supplements, Vitamin-d and calcium supplements, vitamin-12 supplements and many more.
  4. Home remedies: There are few commonest homemade therapies that can treat IBD, and they are meditations, probiotics, acupuncture, turmeric, aloe Vera, fish oil and others. These remedies are the safest of all, and thus no side-effects will be faced.
  5. Doctor's assistance: Without doctor's help, you will not be able to get the quickest recovery from IBD. Therefore, you got to visit the clinic regularly in order to get the perfect treatment. There are a few therapists who can help you to get rid of unwanted emotional difficulties. A support group can also be joined for receiving moral support. If you wish to discuss any specific problem, you can consult a gastroenterologist.
4509 people found this helpful

Homeopathic Approach For Anal Fissure!

BHMS, PGNAHI, Diploma In Naturopathy & Yogic Science (DNYS)
Sexologist, Bhopal
Homeopathic Approach For Anal Fissure!

An anal fissure is a small tear in the thin, moist tissue (mucosa) that lines the anus. An anal fissure may occur when you pass hard or large stools during a bowel movement. Anal fissures typically cause pain and bleeding with bowel movements. You also may experience spasms in the ring of muscle at the end of your anus (anal sphincter).

Anal fissures are very common in young infants but can affect people of any age. Most anal fissures get better with simple treatments, such as increased fiber intake or sitz baths.

Causes

Common causes of anal fissure include:

·        Passing large or hard stools

·        Constipation and straining during bowel movements

·        Chronic diarrhea

·        Inflammation of the anorectal area, caused by Crohn's disease or another inflammatory bowel disease

·        Childbirth

Less common causes of anal fissures include:

·        Anal cancer

·        HIV

·        Tuberculosis

·        Syphilis

·        Herpes

Symptoms

Signs and symptoms of an anal fissure include:

·        Pain, sometimes severe, during bowel movements

·        Pain after bowel movements that can last up to several hours

·        Bright red blood on the stool or toilet paper after a bowel movement

·        Itching or irritation around the anus

·        A visible crack in the skin around the anus

·        A small lump or skin tag on the skin near the anal fissure

Risk factors

Factors that may increase your risk of developing an anal fissure include:

·        Infancy. Many infants experience an anal fissure during their first year of life; experts aren't sure why.

·        Aging. Older adults may develop an anal fissure partly due to slowed circulation, resulting in decreased blood flow to the rectal area.

·        Constipation. Straining during bowel movements and passing hard stools increase the risk of tearing.

·        Childbirth. Anal fissures are more common in women after they give birth.

·        Crohn's disease. This inflammatory bowel disease causes chronic inflammation of the intestinal tract, which may make the lining of the anal canal more vulnerable to tearing.

·        Anal intercourse.

Complications

Complications of anal fissure can include:

·        Failure to heal. An anal fissure that fails to heal within six weeks is considered chronic and may need further treatment.

·        Recurrence. Once you've experienced an anal fissure, you are prone to having another one.

·        A tear that extends to surrounding muscles. An anal fissure may extend into the ring of muscle that holds your anus closed (internal anal sphincter), making it more difficult for your anal fissure to heal. An unhealed fissure can trigger a cycle of discomfort that may require medications or surgery to reduce the pain and to repair or remove the fissure.

Homeopathic Remedies

Homeopathic remedies are very effective for curing anal fissure. Some of the important remedies are given below

NITRIC ACID 30-Nitric Acid is one of the top remedies for anal fissure. Nitric acid is prescribed when stitching and tearing pains in the anus, or cutting or stinging pain is experienced by the patient. The stool is hard and is accompanied by bright red blood bleeding from the anus. There are much tenesmus and constriction, and a constant oozing of fetid matter from the parts, with burning rawness and smarting.

RATANHIA 30-Ratanhia is a very effective medicine for the treatment of Anal Fissures. It is prescribed when for long-lasting pains in the rectum with excessive burning that follows stool passage is experienced. Patients often describe the pain as being similar to broken glass or a knife piercing in the rectum. The stool requires much effort to be passed out due to the constricted anus.

GRAPHITES 30-Graphites is prescribed when the persons who are susceptible to eczema. The anus is extremely sore and the stools are covered with mucus, with no tenesmus or constriction. The patient usually obese and overweight. The patient is usually chilly and cannot tolerate cold air or cold weather. It is also indicated when anal fissures occur in women around or just after menopause.

PAEONIA 30-Paeonia is an effective medicine for anal fissure with offensive discharge from the anus due to cracks in it. Paeonia is also the best medicine for violent pains in the anus during and after passing stool. The anus is ulcerated and fissured. Itching and burning usually accompany the fissures. There is much rawness and smarting.

SULPHUR 200-Sulphur is prescribed when the stool is hard and dry, causing tears and immense pain in the anus while passage. The patient is fearful of even going to the toilet as he thinks of the pain that will accompany the passage of stool. The pain is accompanied by burning. Sulphur is also effective for itching in anus due to fissure.

PHOSPHORUS 30-Phosphorus  is effective for painless anal fissures. The patient is usually tall, thin and narrow chested. There is increased thirst and that too for cold water. The patient is unable to tolerate warm water and as soon as the water turns warm in the stomach, it is vomited. This medicine is known to irritate, inflame and cause degeneration of the mucous membranes all over the body. The stool is long, narrow and hard, like that of a dog. The stool may be white and hard too. The patient is very sensitive to light, sound and all sorts of external impressions.

AESCULUS HIPPO. 30- Aesculus is prescribed when severe pain is experienced in the anus following stool passage. The stool is mainly hard and large followed by severe pains. 

SILICEA 30-  Silicea is effective when the discharge contains the pus of offensive odor. The stool is passed with difficulty and straining. The stool comes out partially and then recedes again.

ALUMINA 30- Alumina is another effective remedy for fissures with severe constipation and much straining. The mucus membrane of anus is thickened and swollen.

PLATINA 30-Platina is effective for fissures of the anus with crawling and itching every evening.

LACHESIS 30-Lachesis is effective when the person is constipated, anus feels tight as if nothing could pass through it. There is hammering pain in fissure.

 

1 person found this helpful

Anal Fissure Treament!

Graduate of Ayurvedic Medicine and Surgery (GAMS)
Ayurveda, Delhi
Anal Fissure Treament!

Anal fissure

दोस्तों आज की भागदौड़ भरी जिंदगी में लोगों की जीवनशैली कुछ ऐसी हो गयी है की लोगो को बवासीर से ज्यादा फिशर हो रहा है, 

फिशर अक्सर तब होता है, जब आप मल त्याग के दौरान कठोर और बड़े आकार का मल निकालते हैं। फिशर के कारण आमतौर पर मल त्याग करने के दौरान दर्द होना और मल के साथ में खून भी आता है। 

फिशर के दौरान आपको अपनी गुदा के अंत में मांसपेशियों में ऐंठन महसूस हो सकती है। फिशर छोटे बच्चों में काफी सामान्य स्थिति होती है, लेकिन यह किसी भी उम्र में हो सकता है।

फिशर के सामान्य तौर पर दो प्रकार होते हैं: 
तीव्र (acute) – त्वचा की ऊपरी सतह पर छेद या दरार को एक्यूट फिशर कहा जाता है। 
दीर्घकालिक (chronic) - अगर त्वचा की सतह पर हुआ छेद या दरार ठीक ना हो पाए, तो समय के साथ-साथ क्रॉनिक फिशर विकसित होने लगता है।

गुदा में फिशर के लक्षण व संकेतों में निम्न शामिल हो सकते हैं

मल त्याग के दौरान दर्द, कभी-कभी गंभीर दर्द होना। 
मल त्याग करने के बाद दर्द होना जो कई घंटों तक रह सकता है। 
मल त्याग के बाद मल पर गहरा लाल रंग दिखाई देना। 
गुदा के आसपास खुजली या जलन होना। 
गुदा के चारों ओर की त्वचा में एक दरार दिखाई देना। 
गुदा फिशर के पास त्वचा पर गांठ या स्किन टैग दिखाई देना।

फिशर के अन्य संभावित कारणों में निम्न शामिल हो सकते हैं

लगातार डायरिया (दस्त) रहना। 
इंफ्लेमेटरी बाउल डिजीज (ibd), जैसे क्रोहन रोग, अल्सरेटिव कोलाइटिस। 
लंबे समय तक कब्ज रहना। 
कभी-कभी यौन संचारित संक्रमण (sti), जैसे कि सिफिलिस या हर्पीस, जो गुदा व गुदा नलिका को संक्रमित और नुकसान पहुंचा सकते हैं। 
एनल स्फिंक्टर की मांसपेशियां असामान्य रूप से टाइट होना, जो आपकी गुदा नलिका में तनाव बढ़ा सकती हैं। जो आपको एनल फिशर के लिए अतिसंवेदनशील बनाता है।

एनल फिशर से बचाव

आप कब्ज की रोकथाम करके एनल फिशर विकसित होने के जोखिमों को कम कर सकते हैं। अगर पहले कभी आपको फिशर की समस्या हुई है, तो कब्ज की रोकथाम करना बहुत जरूरी है। 

आप निम्न की मदद से कब्ज की रोकथाम कर सकते हैं

एक संतुलित आहार खाएं, जिसमें अच्छी मात्रा में फाइबर, फल और सब्जियां शामिल होती हैं। 
पर्याप्त मात्रा में तरल पदार्थ पीएं। नियमित रूप से व्यायाम करते रहें। 
यह महत्वपूर्ण है कि आप मल त्याग करने के बाद अपने गुदा को धीरे-धीरे पोंछें। 
जब शौचालय जाने की इच्छा महसूस हो तो उसे अनदेखा नहीं करना चाहिए। क्योंकि आंतों को खाली ना करना बाद में कब्ज का कारण बन सकता है। ऐसा इसलिए होता है, क्योंकि आंतों में जमा होने वाला मल कठोर बन जाता है, जो गुदा के अंदर से गुजरने के दौरान दर्द व गुदा में दरार (खरोंच) पैदा कर कर सकता है। 
टॉयलेट में अधिक देर तक ना बैठें और अधिक जोर ना लगाएं। ऐसा करने से गुदा नलिका में दबाव बढ़ता है। अगर आपको कोई अन्य स्वास्थ्य संबंधी समस्या है, जो फिशर होने के जोखिम को बढ़ाती है, तो इस बारे में डॉक्टर को बताएं। वे आपसे इस बारे में बात करेंगे कि इस स्थिति को कैसे मैनेज करना है और एनल फिशर होने के जोखिमों को कैसे कम करना है।

फिशर का परीक्षण कैसे किया जाता है? 
 

डॉक्टर आमतौर पर गुदा के आस-पास के क्षेत्र की जांच करके फिशर का परीक्षण कर सकते हैं। लेकिन वे परीक्षण की पुष्टी करने के लिए गुदा का भी परीक्षण कर सकते हैं। परीक्षण के दौरान डॉक्टर मरीज की गुदा में एंडोस्कोप (endoscope) डालते हैं, जिससे वे दरार को आसानी से देख पाते हैं। एंडोस्कोप एक मेडिकल उपकरण होता है, यह एक पतली ट्यूब होती है जिसकी मदद से डॉक्टर गुदा नलिका की जांच करते हैं। एंडोस्कोप के प्रयोग की मदद से डॉक्टर गुदा व गुदा नलिका से जुड़ी अन्य बीमारियों का पता भी लगा सकते हैं, जैसे बवासीर।

अनल फिशर के लिए नवीनतम आधुनिक उपचार
लेटरल इंटरनल स्फिंक्टरोटॉमी anal fissure का नया आधुनिक उपचार है, इसमें पेशेंट मात्र 7 से 15 दिन में बिलकुल ठीक हो जाता है साथ में anal dilatation करना होता है ताकि गुदा की मासपेशिया नरम मुलायम बने और गुदा की चिकनाहट बड़े, 
 

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Ayurveda Can Cure Ulcerative Colitis ?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda, Ph.d Arthritic Disorder
Ayurveda, Surat

Ulcerative colitis is an inflammatory bowel disease (IBD) that causes long-lasting inflammation and ulcers (sores) in your digestive tract. Ulcerative colitis affects the innermost lining of your large intestine (colon) and rectum. Symptoms usually develop over time, rather than suddenly.

Causes

  • Heredity
  • Overactive immune response in the intestine

Diagnosis

A flare-up may be sudden and severe

A flare-up may begin gradually

  • Urgency to defecate
  • Mild cramps in lower abdomen
  • Blood and mucous found in stool

Investigations

Treatment

Chikitsa Siddhant (Principle)

  • Vata –Pitta Samana Chikitsa
  • Vranaropana
  • Sita Virya Durgs
  • Sodhan, Saman & Stambhan Chikitsa

Re-search medicine by (Vaidyaratnam Sandip Patel)

  • Tablet  Diex   1 or 2 Two Times / Three Times a Day
  • Tablet  Diex-B    1 or 2 Two Times / Three Times a Day
  • Tablet Coag  1 or 2 Two Times / Three Times a Day
  • Tablet Tindukvati   1 or 2 Two Times / Three Times a Day
  • Tablet Paxid  1 or 2 Two Times / Three Times a Day
  • Paxid Syrup  1 Teaspoon Two Times / Three Times a Day

Home remedies

Fried Methi (Fenugreek)   100gm

Haldi (Turmeric)   100gm

Ganthoda (Granthik)  10gm

Mix  it properly

Dose: one teaspoon Morning & Evening

Castrol oil –one teaspoon with warm water/milk/tea at bedtime once or twice in weak

Fried Lahsun- with ghee and take one to two pieces everyday morning.

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Popular Questions & Answers

Hello Doctor, I am diabetic suffer from inflammatory bowel disorder .i read about the low carbohydrate high protein diet online 1.with regard to south indian meals what should be eliminatedplease? 2.does it really cure diabetes-in your opinion?

F.D.R.C.
Diabetologist, Raipur
It is always best to take balanced diet with more fibre and moderate protein, fat and carbohydrate in the diet, don't get confuse with online literature. Avoid oily, fatty and fried items with regular physical activity with meditation and yoga will help. All the best.
1 person found this helpful

I have irrational bowel syndrome along with gas issue, acidity and lactose intolerance How can I find a improvement? What are the tips that I should follow for a better diet and happy digestion. Thank you.

BHMS, MD - Alternate Medicine
Homeopath, Nagpur
Irritable bowel syndrome is a condition were a person tends to have frequent bowel habits with pain, mucous and sometimes blood in the motion. Technically, cause of this is not known but we may accredited it to stress, overuse of laxatives or causative. As this comes in either an infective nor an allergic disease, therefore their are limitations of it's cure in modern medicine. Here homoeopathy has got upper hand by not only relieving the patient symptomatically to a great extent but it also has shown to relieve patient from the frequent relapsing episodes of loose motion. This is the last and best option for you if you want permanent relief.
1 person found this helpful

I take Asafoetida tablet everyday before going to bed. It helps in my bowel movement. Is it ok?

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
It is fine to take asafoetida if it suits you . FOr bowel movement you take high fiber diet , eat fruits and drink lot of water ( 2-3 liters)
1 person found this helpful

Sir. I have burning mouth and tongue recurring. Especially my tip of tongue feel soft and hypersalivation is present. I am on Tab. Metolar 50 mg. Trika. 5.mg. cholecystectomy done 2016. Food poisoning is very common and irregular bowels. Acid reflux is high. My teeth is misaligned. Please advice.

Mahatma Jyotiba Phule Rohilkhand University, MDS - Oral & Maxillofacial Pathology and Microbiology
Dentist, Bareilly
For burning mouth and tongue syndrome you should use curd use daily curd or probiotic tablets in your diet and for Malalligned tooth you should undergo orthodontic treatment.
1 person found this helpful

I am having intestinal swelling and infection from last two months. Doctor has prescribed me to take dose of 2 tablets of secnil forte 1g together at same. Time after lunch. theses tab look very large .is it safe to eat both of them at once?

MBBS
General Physician, Mumbai
Tips- Avoid spicy food items and not to eat junk food and we also need to avoid peanuts and potatoes in our daily diet and take dose as has been advised to you by a registered medical practitioner

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Irritable Bowel Syndrome
Irritable Bowel Syndrome explained in detail

Hi I am Dr Chhavi Bansal and I am practicing homeopathy at Homeo Sure in Pritampura. Today I would like to discuss about irritable bowel syndrome.

Most of us do not know the disease by its name but its symptoms are very well known to us. Most commonly symptoms produced by this disease are Sensation of being full all the time, bloated sensation, being more windy, Bouts of constipation and diarrhea, unsatisfactory stool, sensation of discomfort, weakness and stool etc. All these symptoms point towards irritable bowel syndrome. Irritable bowel syndrome is one of the emerging diseases because of the poor lifestyle we are all living.

It is a very much functional disorder which is basically deranges the brain cut access. Which leads to some kind of disturbances in the functioning of digestive system. Now coming to what causes irritable bowel syndrome. It is a very much functional disorder so there is no pathology involved behind this. It is because of certain things which then affects the functioning of the digestive system. Like if a person is very much prone to Stress anxieties and disappointments. It also deranges the brain access or if a person is having a very poor lifestyle eating unhealthy food or it can happen after some kind of gastric infections as well. So the management would include controlling the same.

Letting go the stress free life which is quite difficult But still can be managed regular physical workouts and maintaining The routine and Taking a healthy diet containing Much of fruits and vegetables. It is also being found that the people who take probiotics Are less prone to these diseases because Probiotics Promote gut bacteria. Coming to the homoeopathic management of irritable bowel syndrome. Irritable bowel syndrome is a disease which is very well managed and controlled with homeopathy.

It is the functional disorder Which has no Treatment in any kind of petty. Because it basically need to treat your constitution. It is your constitution that predisposes you to develop irritable bowel syndrome. A person who is more prone to take anxiety and stress are going to develop to irritable bowel syndrome earlier than the individual who keeps herself or himself calm. Homeopathy is the only system of medicine which basically treats the constitution and has wonderfully treated a lot of cases of irritable bowel syndrome.

In any other query related to in any other query related to irritable bowel syndrome feel free to consult me through lybrate.
Play video
Stomach Diseases And Homeopathy
Homeopathic remedies can be highly effective in treating acute digestive conditions such as the stomach flu, bloody diarrhea, and pancreatitis, as well as chronic digestive conditions such as inflammatory bowel disease and hemorrhoids.
Play video
Lumbar Degenerative Disc Disease
Different methods to treat Disc problems

Hello friends, I am Dr Gaurav Khera. I am an orthopaedic surgeon, doing joint replacements and spine surgeries at the Access healthcare. Now today I will be talking about the lumbar degenerative disc disease. Now it sounds very big, but it is not as complicated as it sounds. It basically is what you people commonly know as a disc disease. So it is a fairly common problem that is seen in our population today. In fact about 30 or 40% of the patients who come to our OPD have lower back pains, some have other disc problems and very commonly seen after 40 years of age and this incidence gradually increases up to 60-70 years of age. The other ecological factors which are associated with this are, first of all smoking, secondly it is, mild to moderate trauma, thirdly its seen in people who lift heavy weights, fourth is obesity, especially central obesity, that is if you have a very heavy waistline.

Now what is Lumbar degenerative disc disease? Now, our spine is composed of multiple bones, which are starting from your neck and they come all the way down to your hip, divided into the cervical, dorsal, lumbar and sacral spine. And between these bones, there are these small pieces of discs, which act as cushions. When your body walks, these act as shock absorbers between your body s bones. Now this discs, when these come out of their normal place, it gives or presses against the nerves which are passing through these areas and it causes pain. This is what happens in the disc disease. Basically, in the patient it will come as a lower back pain, and this pain will be travelling down to the hip, and it will also be coming down to the legs. Some people complain that as they walk, the pain increases.

They also complain of tingling numbness. They complain that sometimes their fingers or their toes are feeling numb. These are some of the very common symptoms which are being seen. Few people may have only lower back pain, and these are the people who do not have very significant disc disease. Now there are two main causes of the disc disease. First is an inflammatory reaction that occurs in the disc, and second is the micro motion instabilities that occur. Inflammatory reactions may occur as a result of some small traumas which may occur such as when you may injure your back. Such inflammatory reactions occur in the form of small swellings in the body. And micro motion instabilities are when the body ages, the disc which has an outer fibrous thick layer, that degenerates, and as it degenerates, the pulp which is there at the centre, of the discs, tends to degenerate. What I mean is it comes out of its normal space. And as it comes out of the normal place, it comes and tends to press on the nerves and these are the two most common causes.

All disc patients are not to be operated. When we get these patients, the first and foremost investigation that we do is a X-Ray. And if required, we go in for a MRI. Frankly MRI is the known standard to diagnose the disc disease. The findings of a MRI are always coordinated with the clinical findings. Once we have diagnosed that it is a disc problem, we have to establish that what the compression on the nerves is. If the nerve compression is a lot, and if we think that we cannot do anything other than surgery, then we take the patient for a surgery.

If not, we take the patient fro physiotherapy, lifestyle changes and few medications. These medications may carry on for few weeks to few months. And a lot of exercise has to be carried on regularly. Lifestyle changes such as weight loss, stoppage of smoking is very important. And if you can achieve this, then your problems are very easily solved. If you have any queries regarding your disc problems or back pains, then you can get in touch with me for the same.

You can reach me in my clinic, which is there in Indrapuri, by the name of Dr Khera s Wellness Clinic or you can also contact me through Lybrate for the same. Thank You.
Play video
Treatments for Pilonodal Disease
Hi, I m Dr Ashok Gupta. I m a general surgeon gastroenterologist. I m practicing since last 35 years. Today we will discuss pilonidal disease.

First, let s know what this disease is?

This is the first fistula formation on the back side of the body. Where there is the lower portion of the human body, where the pus starts coming from the fistula and quite often it is not being treated by the repeated treatment of antibiotics and anti-inflammatory drugs and the person feel very much annoyed by this. This can be a pilonidal disease.

What pilonidal disease is?

When the hair enters in the skin and it goes in and creates an infection there, until and unless that track is being exercised or being operated that remains a permanent fissure. This is called a pilonidal disease. The surgery is very simple for it. only the thing is if it is being done by an experienced person and one day you have to stay in the hospital and it can even be done under local anaesthesia. The foreign body is being removed from the wound and the wound is remained open for a long time only the dressing is required for two three weeks and another if it is the primary closure is being done then it can be cured in seven to ten days.

You can connect me at lybrate.com. if you have question, query or any clarification you are most welcome to contact on lybrate.com to me. Thank you.
Play video
Degenerative Joint Disease
Hello,

I am not a Hardik Gondia practicing Orthopaedic surgeon in Mumbai. So, today I would like to speak about osteoarthritis of the knee joint there are various type of Arthritis of the knee joint broadly they are divided into a primary and secondary osteoarthritis is comes in the primary category of the secondary categories post-traumatic for post-infectious Arthritis. However, today I will talk only about the osteoarthritis of the knee osteoarthritis is a progressive form of Arthritis is characterized by breakdown of the cartilage of the knee joint it is also called as wear and Tear Arthritis it is usually found in the people more than 60 years of age however young people can also have it the common joints affected for the Arthritis is the knee joint spine is also affected Indians.

In some Western countries hip joint is also affected the common symptom of operators is the pain which is gradually increasing over a period of time and which is disability disabling to the patient. The other symptoms being stiffness is usually present in the morning times and as the patient vox stiffness comes down the other symptoms of the deformity of the legs in which the bro the bones become crooked the last thing is the bone grating sensation as the patient makes the movement of the knee joints.

The bones rub against each other which causes the patient to gives a grating sensation when the patient moves his knees the most common factor for the osteoarthritis is the age as one gross cold osteoarthritis is pretty much evident for the needs in the knees are the factors being the gender females are more affected in osteoarthritis then the mails maybe because of postmenopausal arthritis most winner whistle osteoporosis which leads to the Apparatus weight being III important factor which causes osteoarthritis why did the weight is less the stress and strain is reduced at the joint which causes delayed osteoporosis. osteoporosis also one of the important actors causing osteoarthritis if the calcium levels of the bones are less the Bourne grating and the Oscar for osteoarthritis increases there is no specific treatment for osteoarthritis.

How to join functions can be improved with daily exercises in the form of swimming swimming is the best exercise for the patient is osteoarthritis II exercises is the walking routine works of at least 30 minutes per day is sufficient enough the other exercises are by cycling yoga can be done loss of weight is the most important modifying factor for the osteoarthritis various Plains are available for osteoarthritis which help in preventing the deformity of the lake medications are available in the form of non steroidal anti inflammatory drugs steroids or disease-modifying agents with all these medications and the exercises with a weight loss if the deformity and the pain causes the last option to go in his for total knee replacement knee replacement is actuary surfacing of the bones of the needs in which a part of a leg bone and part of a thigh bone is cut and it is replaced by metallic objects with a plastic part in between the metallic objects so that the bone grating is avoided the metal parts bride against the plastic and hence the pain of the knee joint is almost negligible and the movements are preserved.

Having issues? Consult a doctor for medical advice