Microscopic colitis is a chronic inflammatory bowel disease that affects the tissue of the digestive tract (colon).
- SIGNS AND SYMPTOMS OF MICROSCOPIC COLITIS
- CAUSES OF MICROSCOPIC COLITIS
- PATHOPHYSIOLOGY OF MICROSCOPIC COLITIS
- DIAGNOSIS OF MICROSCOPIC COLITIS
- TREATMENTS FOR MICROSCOPIC COLITIS
- PROGNOSIS OF MICROSCOPIC COLITIS
- COMPLICATIONS OF MICROSCOPIC COLITIS
- MICROSCOPIC COLITIS AND AYURVEDA
- NIDANA- AYURVEDIC CAUSES OF MICROSCOPIC COLITIS
- PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF MICROSCOPIC COLITIS
- SAMPRAPTI – AYURVEDIC PATHOGENESIS OF MICROSCOPIC COLITIS
- LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF MICROSCOPIC COLITIS
- AYURVEDIC PROGNOSIS OF MICROSCOPIC COLITIS
- CHIKITSA- AYURVEDIC TREATMENT FOR MICROSCOPIC COLITIS
- AYURVEDIC SAMANA TREATMENT FOR MICROSCOPIC COLITIS
- COMMONLY USED AYURVEDIC MEDICINES FOR MICROSCOPIC COLITIS
- HOME REMEDIES FOR MICROSCOPIC COLITIS
- DIET AND BEHAVIOUR FOR MICROSCOPIC COLITIS
- YOGA FOR MICROSCOPIC COLITIS
SIGNS AND SYMPTOMS OF MICROSCOPIC COLITIS
- Diarrhoea
- Dehydration
- Nausea
- Fatigue
- Weight loss
- Faecal incontinence
- Abdominal pain
- Bloating
- Loss of appetite
- Urgent need to defecate
CAUSES OF MICROSCOPIC COLITIS
- The exact cause is not known
- Hereditary factors
- Diet modifications
- Certain medications
- Bacterial infections
- Malfunctioning of the immune system
PATHOPHYSIOLOGY OF MICROSCOPIC COLITIS
Multiple factors are involved in the pathophysiology of microscopic colitis. In most patients, microscopic colitis is associated with autoimmune disease. Microscopic colitis is also found in association with immunosuppressant medications. It is similar to inflammatory bowel disease (IBS) and ulcerative colitis. Collagenous colitis and lymphocytic colitis present with very similar symptoms.
DIAGNOSIS OF MICROSCOPIC COLITIS
- Colonoscopy is the ‘gold standard’ method of detecting intra-luminal colonic lesions.
- Sigmoidoscopy
- Tissue biopsy
· Laboratory tests
TREATMENTS OF MICROSCOPIC COLITIS
· Anti-inflammatory drugs
· Steroids
· Immune suppressors
· Treatment for diarrhoea
· Nutrition therapy
PROGNOSIS OF MICROSCOPIC COLITIS
- Symptoms are manageable in the early stage. Undiagnosed and untreated microscopic colitis leads to complications.
COMPLICATIONS OF MICROSCOPIC COLITIS
- Ulceration
- Dehydration
- Colon cancer
MICROSCOPIC COLITIS AND AYURVEDA
- In Ayurveda, microscopic colitis can be managed based on the principle of grahani and pravahika.
- Symptomatic treatments are more effective with ayurvedic medicines
NIDANA- AYURVEDIC CAUSES OF MICROSCOPIC COLITIS
- Excess consumption of acrid, dry, ununctuous food
- Vata and pitta dosha vitiation
- Suppression of natural urges
- Defect in digestion – Agni mandyam
PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF MICROSCOPIC COLITIS
- SULA – abdominal pain
SAMPRAPTI – AYURVEDIC PATHOGENESIS OF MICROSCOPIC COLITIS
Due to the causative factors, doshas become vitiated with the predominance of vata and pitta dosha, reside in the intestines and finally microscopic colitis is manifested.
LAKSHANA – AYURVEDIC SIGNS AND SYMPTOMS OF MICROSCOPIC COLITIS
- Anaha – abdominal discomfort
- Adhmana
- Atisara – diarrhoea
- Dehydration – nirjaleekarana
- Sula – abdominal colic
AYURVEDIC PROGNOSIS OF MICROSCOPIC COLITIS
- Symptoms are manageable with proper ayurvedic management
CHIKITSA- AYURVEDIC TREATMENT FOR MICROSCOPIC COLITIS
AYURVEDIC SAMANA TREATMENT FOR MICROSCOPIC COLITIS
- Kutajarishtam
- Dadimashtaka churna – mixed with buttermilk
- Kapithashtaka churna
- Varanadi kashayam
- Triphala guggulu
- Gandhaka rasayana
- Ashtakshari gulika
COMMONLY USED AYURVEDIC MEDICINES TREATMENT FOR MICROSCOPIC COLITIS
Ayurvedic medicines for internal administration for microscopic colitis
- Gandharva hasthadi kashaya
- Ashtakshari gulika
- Triphala guggulu
- Gandhaka rasayana
- Kutajarishtam
- Dadimashtaka churna
- Kapithashtaka churna
- Varanadi kashaya
HOME REMEDIES FOR MICROSCOPIC COLITIS
- Intake of water frequently to avoid dehydration due to diarrhoea
- Intake of water boiled with coriander and cumin seeds
DIET AND BEHAVIOUR FOR MICROSCOPIC COLITIS
- Avoid food items that produce dosha imbalance like cold and dry food, hard to digest. Because dosha imbalance aggravates the symptoms.
- Consume easily digestible food items
- Avoid dietary fibres and dairy products
YOGA FOR MICROSCOPIC COLITIS
- Nadi Shuddi Pranayam – calms the mind and is effective in abdominal discomfort
The patient needs to be seated in a meditative posture with the head and spine erect, with the body relaxed. The patient has to close his one nostril (e.g. left nostril if using the right hand and vice versa) with the thumb and exhale completely through the other nostril. Again, he will have to breathe in deeply through the other nostril while the opposite nostril is still closed with the thumb.
- The practices of shatkriya or yogic cleansing techniques purify the body and prevent digestive problems.
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