Slow Digestion- Ayurvedic Treatment, Diet, Exercises, Research Papers, Yoga & Pranayama

Slow Digestion - Ayurvedic Treatment

Slow digestion or Gastroparesis is a condition in which food stays in the stomach for longer than it should. It may also be called delayed gastric emptying. Peristalsis is the normal movement of muscles of GIT, mainly stomach & intestine which helps in the movement of food bolus from mouth downwards to the rectum while digestion & absorption occur. Speed of peristalsis should be rhythmic & normal for proper absorption & assimilation. Digestion will be disturbed when the movement of the intestines are very slow. This may lead to chronic malnutrition, deficiency disorders and other complications. Water and electrolyte balance also get impaired in such a condition. Medications and lifestyle changes are needed to manage the disease.

 

Signs and Symptoms

  • Heartburn
  • Gastroesophageal reflux disease (GERD)
  • Stomach upset
  • Throwing up undigested food
  • A feeling of fullness after first few bolus of food while eating
  • Bloating & belching
  • Lack of appetite and weight loss
  • Abnormal values of blood sugar
  • Abdominal pain

Causes

  • Diabète
  • Injury to vagus nerve, mostly  from surgery
  • Hypothyroidism
  • Gastro-entérite
  • Medications such as narcotics and some antidepressants
  • Parkinson’s disease
  • Multiple sclerosis
  • Rare conditions such as amyloidosis and scleroderma

 

Physiopathologie

The pathogenesis of primary intestinal motility disorders probably is multifactorial, but neither biochemical abnormality nor structural abnormality has been demonstrated commonly, except in some forms of intestinal pseudo-obstruction. More recently, there is evidence that low-grade mucosal inflammation and immune activation (particularly with mast cell involvement) in association with impaired epithelial barrier function and aberrant neuronal sensitivity may play a role in functional GI disorders.

Diagnostic

  • Clinical examination
  • Blood tests
  • Barium X-Ray
  • Gastric scintigraphy
  • 13C-GEBTs
  • Gastric manometry
  • Electrogastrography
  • Ultrasound
  • Upper endoscopy

Traitements

Treatment highly depends upon the cause.

Changes in Diet and Habits

  • Eating six small meals each day rather than three larger ones.
  • Have more liquids and low-residue foods,
  • Drink plenty of water and fluids like broths, soups, juices, and sports drinks. Avoid high-fat foods, which can slow digestion, and high-fibre foods, which are harder to digest.
  • Make sure to take nutritious, yet light & easy to digest food items
  • Try walking after eating a main course. Do not lie down immediately after taking food.

Médicaments

Medicines like Metoclopramide, Erythromycin and antiemetics can help improve the situation for a while. It is not recommended to take long term medications which cause remarkable adverse reactions.

Other Treatments

  • Botox injections to relax the valve, keeping it open for longer so that the stomach can empty.
  • Electrical stimulation uses electrodes attached to the stomach wall to trigger stomach contractions.
  • In a procedure called per-oral pyloromyotomy (POP), an endoscope is used to cut the pylorus valve so it’s easier for the stomach to empty.
  • Patients with obesity and diabetes can have gastric bypass surgery. A small pouch is created from the top part of the stomach and attaches it to the lower end of the small intestine. This limits the quantity of food the patient can eat.
  • In severe cases, intravenous nutrition or parenteral nutrition will be needed in which nutrients go straight into the bloodstream through a catheter in a vein.

Pronostic

Primary intestinal motility disorders which are not associated with malignancy or debilitating pathology have a good prognosis.

 

Complications

  • Dehydration
  • Malnourishment
  • Deficiency disorders
  • Formation of bezoars and obstruction in GIT

Maladies et Ayurveda

Ajeerna

Nidana

  • Intake of excess food or food which is not familiar or with different/opposite potency
  • Intake of food before the previously had meals get digested
  • Untimely food intake
  • Heavy, cold and heavy foods
  • Drinking large quantity of cold water
  • Day sleep and keeping awake at night
  • Suppression of natural urge
  • Other chronic systemic diseases
  • Emotions like envy, anxiety and anger
  • Food intake with worry, fear, anger, jealousy
  • Le stress
  • Grief
  • Food and habits causing vitiation of Kapha

Purvaaroopa

Non mentionné

Samprapti

When the causative factors vitiate kapha, it gets smeared on the walls of intestines and all channels into and out of it gets obstructed. This causes a loss in the digestive fire. Proper digestion and absorption will not happen in this case. Due to this weakened Agni, undigested and partially digested food retained in the stomach and is called Ama. It contains many toxic produscts to the body and entering into the channels & circulatory system, Ama causes many diseases. This is why Loss of appetite (Agnimaandya) is considered as the root cause of all the diseases in Ayurveda.

Lakshana

  • Indigestion
  • Decreased appetite
  • Loss of taste & salivation
  • Sour belching/heartburn
  • Heaviness and distension of abdomen
  • General malaise
  • Maux de tête
  • Giddiness/fainting
  • Stiffness in the back/hip
  • Yawning
  • Body aches
  • Fièvre
  • Vomissements     

Divisions

        Ama

            Vidagdha

            Vishtabdha

            Rasasesha

Pronostic

        Sukhasadhya

Chikithsa

The Ayurveda treatment of Ajeerna is normalising the Agni. It is done by two steps. One is to remove any Aama (mixture of digested and undigested food particles in stomach which turns toxic to the body) or obstruction in the channels. The next step is to enhance the Agni (digestive fire) and bring it into normal.

Samana

  • Upavasam
  • Langhanam
  • Aamapachana oushadhas
  • Agnideepana oushadhas

 

Sodhana

Sodhana therapies other than Sadyovamana (Therapeutic vomiting) are not indicated in a person with Loss of appetite/indigestion in the initial stage. Once the undigested food is cleared and the person is devoid of Ama, medicines and procedures to improve the Agni can be administered. The panachakarma therapies include:

  • Vamanam
  • Virechanam
  • Asthapanavasti
  • Anuvasanavasti
  • Sneha-sweada

 

Médicaments couramment utilisés

Ayurvedic Supplements

Marques disponibles

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

Home Remedies

People may find it easier to eat several smaller meals a day instead of three bigger ones.

Aim to make these meals high in calories and protein to make sure the body is getting plenty of nutrients and energy. People may also find having liquid meals, such as smoothies and protein drinks, easier to take.

Adding herbs, spices, or other flavourings to meals may also encourage people to eat more easily. Eating meals in relaxing or social settings may make eating more enjoyable.

Gentle exercise, such as a short walk, will increase appetite & digestion.

Régime alimentaire

  • À éviter

Les repas lourds et les aliments difficiles à digérer provoquent des indigestions.

Junk foods- cause disturbance in digestion and reduces the bioavailability of the medicine

Boissons gazeuses - rendent l'estomac plus acide et perturbent la digestion

Refrigerated and frozen foods – causes weak and sluggish digestion by weakening agni (digestive fire)

Caillé - provoque le vidaaha et, par conséquent, de nombreuses autres maladies

  • A ajouter

Des repas légers et des aliments faciles à digérer

Gramme vert, soupes, babeurre bouilli avec du curcuma, du gingembre et des feuilles de curry.

Aliments fraîchement cuits et chauds traités avec des graines de cumin, du gingembre, du poivre noir, de l'ajwain, etc.

Comportement :

  • Avoid day sleeping
  • Avoid sedentary lifestyle. Be active.
  • Avoid stress and emotional hurricanes.
  • Il est préférable d'éviter une exposition excessive à la lumière du soleil, au vent, à la pluie ou à la poussière.
  • Évitez de soulever des poids lourds et de pratiquer d'autres activités physiques intenses.
  • Maintenir une alimentation et un sommeil réguliers.
  • Évitez de vous asseoir continuellement pendant une longue période et évitez de vous accroupir.

 

postures de Yoga

 

Regular stretching exercises, cardio work out, and following a specific Yogacharya with yoga asanas like pavanamuktasana, vajrasana, etc are recommended for improving digestion.

L'exercice régulier contribue à améliorer la biodisponibilité des médicaments et des aliments ingérés et favorise la santé.

Le yoga permet de maintenir l'harmonie à l'intérieur et avec l'environnement.

In fever conditions, no exercises are recommended.

Pavanamuktasana

Vajrasana

Tous les exercices et les efforts physiques doivent être décidés et effectués uniquement sous la supervision d'un expert médical.

Research Articles

https://pubmed.ncbi.nlm.nih.gov/12121888/

Ces déclarations n'ont pas été évaluées par la Food and Drug Administration des États-Unis. Ce produit n'est pas destiné à diagnostiquer, traiter, guérir ou prévenir une quelconque maladie. Veuillez consulter votre médecin généraliste avant de prendre ce produit.

Dr. Rajesh Nair,
Expert,
Médecine ayurvédique, Inde

Rédacteur :
Rajesh Nair, cofondateur et consultant en chef d'Ayurvedaforall.Com, est diplômé du prestigieux Vaidyaratnam Ayurveda College (affilié à l'université de Calicut), au Kerala, en Inde. Il est également titulaire d'un diplôme de troisième cycle en thérapie par le yoga de l'université d'Annamalai.

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