Peptic Ulcer- Ayurvedic Treatment, Diet, Exercises, Research Papers, Yoga & Pranayama

PEPTIC ULCER Ayurvedic Treatment

A peptic ulcer is a sore that develops on the lining of stomach, small intestine or esophagus. A peptic ulcer in the stomach is called a gastric ulcer. A duodenal ulcer is a peptic ulcer that develops in the first part of the small intestine (duodenum). An esophageal ulcer occurs in the lower part of your esophagus. Ulcers occur when stomach acid damages the lining of the digestive tract. Common causes include the bacteria H. Pylori and anti-inflammatory pain relievers including aspirin. Upper abdominal pain is a common symptom. Treatment usually includes medication to decrease stomach acid production. If it is caused by bacteria, antibiotics may be required.

Signs & Symptoms

The most common symptom is a burning sensation or pain in the middle of the abdomen between your chest and belly button. Typically, the pain will be more intense when the stomach is empty, and it can last for a few minutes to several hours.

Other common signs and symptoms of ulcers include:

  • dull pain in the stomach
  • Trouble breathing.
  • Feeling faint.
  • Nausea or vomiting.
  • Unexplained weight loss.
  • Appetite changes.
  • Vomiting or vomiting blood — which may appear red or black.
  • Dark blood in stools, or stools that are black or tarry.

Verursacht

Stomach ulcers are almost always caused by one of the following:

  • H.pylori infection
  • long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs), such as aspirin, ibuprofen, or naproxen
  • Zollinger-Ellison syndrome (a rare medical condition)

Pathophysiologie

Peptic ulcer disease (PUD) is characterized by discontinuation in the inner lining of the gastrointestinal (GI) tract because of gastric acid secretion or pepsin. It extends into the muscularis propria layer of the gastric epithelium. It usually occurs in the stomach and proximal duodenum. Peptic ulcers are defects in the gastric or duodenal mucosa that extend through the muscularis mucosa.

Under normal conditions, a physiologic balance exists between gastric acid secretion and gastroduodenal mucosal defence. Mucosal injury and, thus, peptic ulcer occur when the balance between the aggressive factors and the defensive mechanisms is disrupted. Aggressive factors, such as nonsteroidal anti-inflammatory drugs (NSAIDs), H pylori infection, alcohol, bile salts, acid, and pepsin, can alter the mucosal defence by allowing back diffusion of hydrogen ions and subsequent epithelial cell injury. The defensive mechanisms include tight intercellular junctions, mucus, bicarbonate, mucosal blood flow, cellular restitution, and epithelial renewal.

H pylori can cause a major part of the pathology which includes acid and pepsin, that contributes to primary peptic ulcer disease. The unique microbiologic characteristics of H. pylori, such as urease production, allows it to alkalinize its microenvironment and survive for years in the hostile acidic environment of the stomach, where it causes mucosal inflammation and, in some individuals, worsens the severity of peptic ulcer disease.

When H pylori colonizes the gastric mucosa, inflammation usually results. In patients infected with H pylori, high levels of gastrin and pepsinogen and reduced levels of somatostatin have been measured. In infected patients, exposure of the duodenum to acid is increased. Virulence factors produced by H pylori, including urease, catalase, vacuolating cytotoxin, and lipopolysaccharide, are well described.

Most patients with duodenal ulcers have impaired duodenal bicarbonate secretion, which has also proven to be caused by H pylori because its eradication reverses the defect. The combination of increased gastric acid secretion and reduced duodenal bicarbonate secretion lowers the pH in the duodenum, which promotes the development of gastric metaplasia (i.e., the presence of gastric epithelium in the first portion of the duodenum). H pylori infection in areas of gastric metaplasia induces duodenitis and enhances the susceptibility to acid injury, thereby predisposing to duodenal ulcers.

Diagnose

  • Medical history
  • Blood test, stool test, or a breath test to rule out H.pylori infection.
  • Other tests and procedures used to diagnose stomach ulcers include:
  • Barium swallow test
  • Endoscopy (EGD)
  • Endoscopic biopsy

Behandlungen

It’s important to promptly treat an ulcer. Treatment will vary depending on the cause of the ulcer. Most ulcers can be treated with medicines but in rare cases, surgery may be required. In an actively bleeding ulcer, hospitalisation and intensive treatment including endoscopy, IV ulcer medications or blood transfusion is needed.

  • Nonsurgical treatment

Antibiotics and proton pump inhibitors (PPIs) are used to treat H. pylori infection. PPIs block the stomach cells that produce acid.

In addition to these following therapies are also advised in some cases:

  • H2 receptor blockers
  • stopping use of all NSAIDs
  • follow-up endoscopy
  • probiotics
  • bismuth supplement
  • Surgical treatment

In very rare cases, a non-healing or recurring and complicated stomach ulcer will require surgery.

Surgery may include:

  • removal of the entire ulcer
  • taking tissue from another part of the intestines and patching it over the ulcer site
  • repairing a bleeding artery
  • cutting off the nerve supply to the stomach to reduce the production of stomach acid

Prognose

When the underlying cause of peptic ulcer disease is addressed, the prognosis is excellent. Most patients are treated successfully with the eradication of H pylori infection, avoidance of nonsteroidal anti-inflammatory agents (NSAIDs), and the appropriate use of antisecretory therapy.

Komplikationen

If left untreated, peptic ulcers can result in:

  • Internal bleeding
  • A hole (perforation) in the stomach wall
  • Obstruction in the digestive tract
  • Gastric cancer

Krankheit & Ayurveda

In Ayurveda, abdominal pain and colic comes uder shola and peptic ulcer can be compared with parinama soola or annadravasoola in chronic stage. The word parinama means transformation and here it implies digestion. Abdominal pain which is related with the stages of digestion is called parinaama soola. Anna means solid foods and drava means liquids. Abdominal pain developing while the intake of solid or liquid diet (regardless of food intake) is called annadravasoolawhich is said to be incurable.

Nidana

  • Causative factors for the vitiation of Vaata dosha
  • Unwholesome diet
  • Untimely diet
  • Unhealthy eating habits
  • Sleeping disorders

Purvaaroopa

                Nicht erwähnt

Samprapti

        Due to the causative factors, gets covered with the misplaced or aggravated Kapha or Pitta or both and produce pain in the abdomen. When the Kapha is moved from its normal site, along with Pitta blocks the Vaayu and causes pain during the digestion process.

Lakshana

  • Pain during the digestion of the food
  • Pain in the abdomen
  • Pain in the flanks and sides of abdomen
  • Pain in the navel region
  • Pain in the area of urinary bladder
  • Pain in between the breasts
  • Pain in the sacral area

Abteilungen

  • Parinaama soola
  • Annadrava soola

Prognose

Kashtasaadhya/Asaadhya when 3 doshas are involved, with complications or when the strength, muscles and digestive power of individual is deteriorated.

Chikithsa

The Ayurveda treatment of this disease is primarily langhanam(weight reducing therapies like fasting). Also vamana(therapeutic emesis), virechana(therapeutic purgation)and vasti(therapeutic medicated enema) are recommended for a detoxified body and a well-balanced agni(metabolism)

Samana

  • Aamapaachanam
  • Agnideepanam
  • Pathya aaharam

Sodhana

  • Vamana
  • Virechana
  • Vasti

Commonly used Medicines

Verfügbare Marken

  • AVS Kottakal
  • AVP Coimbatore
  • SNA oushadhasala
  • Vaidyaratnam oushadhasala

Hausmittel

There is no proven home cure for peptic ulcer but as it is directly related with digestion, some changes in diet regimen are believed to be beneficial like including the following into daily diet:

  • Coconut
  • Virgin coconut oil
  • Kurkuma
  • Tulsi leaves
  • Carrot juice
  • Rosinen
  • Bananas

Diät

  • Zu vermeiden sind

Schwere Mahlzeiten und schwer verdauliche Lebensmittel - verursachen Verdauungsstörungen.

Hot, spicy and pungent items like pickle

Junk Food - stört die Verdauung und verringert die Bioverfügbarkeit des Medikaments

Kohlensäurehaltige Getränke - erhöhen den Säuregehalt des Magens und stören die Verdauung

Gekühlte und gefrorene Lebensmittel - verursachen eine schwache und träge Verdauung durch Schwächung von Agni (Verdauungsfeuer)

Milch und Milchprodukte - erhöhen Kapha, verursachen Verstopfung in den Kanälen und Fettleibigkeit

Quark - verursacht Vidaaha und damit viele andere Krankheiten

  • Noch zu ergänzen

Leichte Mahlzeiten und leicht verdauliche Lebensmittel

Green gram, soups, fresh vegetables and fruits, raisins, pome granate

Frisch gekochte und warme Speisen, verarbeitet mit Kreuzkümmel, Ingwer, schwarzem Pfeffer, Ajwain usw.

Verhaltensweisen:

  • Protect yourself from cold climate.
  • Vermeiden Sie übermäßige Sonneneinstrahlung, Wind, Regen oder Staub.
  • Halten Sie einen regelmäßigen Essens- und Schlafplan ein.
  • Vermeiden Sie es, Triebe wie Urin, Stuhlgang, Husten, Niesen usw. zurückzuhalten oder zu erzwingen.
  • Avoid sedentary lifestyle.

Yoga

Regelmäßige Dehnübungen und leichte Kardioübungen werden empfohlen. Außerdem wird spezifisches Yogacharya einschließlich Naadisuddhi Pranayama, Bhujangaasana, Pavanamuktasana empfohlen.

Regelmäßige Bewegung trägt dazu bei, die Bioverfügbarkeit der eingenommenen Medikamente und Nahrungsmittel zu verbessern, und führt zu einer positiven Gesundheit.

Yoga kann die Harmonie im Körper und mit dem umgebenden System aufrechterhalten.

Pavanamuktasana

Nadisudhi Pranayama

Bhujangasana

Einfache Übungen für die Gesundheit von Lunge und Herz

Alle Übungen und körperlichen Anstrengungen dürfen nur unter der Aufsicht eines medizinischen Experten durchgeführt werden.

Forschungsartikel

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6140150/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3952291/

 

Diese Aussagen wurden nicht von der Food and Drug Administration der Vereinigten Staaten bewertet. Dieses Produkt ist nicht dazu bestimmt, Krankheiten zu diagnostizieren, zu behandeln, zu heilen oder zu verhindern. Bitte konsultieren Sie Ihren Hausarzt vor der Einnahme.

Autorin:
Dr. Rajesh Nair, der Mitbegründer und Hauptberater von Ayurvedaforall.Com, ist Absolvent des renommierten Vaidyaratnam Ayurveda College (angegliedert an die Universität von Calicut) in Kerala, Indien. Außerdem hat er ein Postgraduierten-Diplom in Yogatherapie von der Annamalai University.

Dr. Nair bietet Beratungen in zwei vielbeschäftigten Kliniken in und um Haripad, Alleppey, Kerala, dem südlichen Staat, der weltweit für authentische ayurvedische Behandlungen und Ärzte bekannt ist. Neben der Beratung zu allen Aspekten ayurvedischer Behandlungen hat Dr. Nair ein besonderes Interesse an Panchkarma, Yoga und Massage.

Über Ayurvedaforall bietet Dr. Nair Patienten weltweit Online-Konsultationen an und hat in den letzten 20 Jahren Hunderte von Patienten betreut. Zusätzlich zu seiner ayurvedischen Praxis ist er Chefredakteur von ayurveda-amai.org, dem Online-Portal der Ayurveda Medical Association of India, und Mitglied des Landesausschusses der Ayurveda Medical Association of India.

Dr. Nair ist ein regelmäßiger Redner auf Ayurveda-bezogenen Konferenzen und hat Deutschland besucht, um Ayurveda zu propagieren. Sie können direkt an ihn schreiben.
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