Abdominal Cocoon Problems – Ayurveda Treatment


Cocoon syndrome is a rare disease in which thick peritoneal membrane wraps the intestine. It may be either primary or secondary to other causes such as previous abdominal surgery. It is mainly caused by the inflammatory process. Abdominal pain and intestinal obstruction are the main symptoms of cocoon syndrome. Here in this article we will discuss cocoon syndrome in detail and its ayurvedic correlation also.


Cocoon syndrome is a rare condition that causes small bowel obstruction. It is also called encapsulating peritoneal sclerosis (EPS) or sclerosing encapsulating peritonitis that leads to formation of a fibro-collagenous peritoneal membrane that involves the small intestinal loops. It has been reported in adolescent girls living in tropical regions. The first case of cocoon syndrome was described in 1978. The exact cause of this disease is unknown but the cases seen of cocoon syndrome have been limited to tropical and subtropical zones. This disease is the outcome of several different causes. The major causes that are responsible for cocoon syndrome are use of beta blockers, post-renal or liver transplant, tuberculosis and continuous ambulatory peritoneal dialysis etc. The main symptoms shown by this disease are abdominal pain and intestinal obstruction. In case of intestinal obstruction surgery can be performed. In most cases cocoon syndrome can be diagnosed by laparotomy easily. Let’s discuss cocoon syndrome in detail.

Abdominal Cocoon Problems


  • Abdominal pain and intestinal obstruction are the main symptoms of this disease.
  • Cocoon syndrome is very rare in men


  • Idiopathic
  • Peritoneal dialysis
  • Tuberculosis
  • Neuroendocrine tumours
  • Liver transplant
  • Drugs ( beta blockers)
  • Generalised inflammation of peritoneum
  • Abdominal trauma
  • HIV
  • Protein S deficiency
  • Hemodialysis
  • Malrotation


  • Ascites with hypoproteinemia
  • Fever
  • Loss of appetite
  • Loss of weight
  • Fatigue
  • Abdominal pain
  • Nausea
  • Constipation
  • Vomiting
  • Abdominal distension


  • Radiological evaluation- various radiological modalities for diagnosis of cocoon syndrome are X Rays, ultrasonography, computed tomography and MRI.
  • Laparotomy- it is a surgical incision into the abdomen that helps in diagnosis of any abdominal disorders.


  1. Prevention of encapsulating peritoneal sclerosis (EPS)- Continuous ambulatory peritoneal dialysis is the most important risk factor which predisposes to occurrence of EPS in patients with chronic kidney diseases. Use of anti-fibrotic agents and tamoxifen helps in prevention of encapsulating peritoneal sclerosis.
  2. Correction of underlying cause
  3. Medical therapy-Medical therapy includes various types of pharmacological agents such as steroids, mTOR inhibitors and tamoxifen.
  4. Surgical treatment- in this procedure complete resection of membrane should be done.

Ayurvedic Overview

Ayurveda simply means knowledge of life which includes many therapies such as herbal medicines, medical oils, enemas, laxatives, massage, yoga and special diet etc. According to ayurveda our body is composed of three components such as dhatu, mal and doshas. Ayurveda cocoon syndrome can be correlated with vata-vyadhi. In this disease vata dosha is mainly aggravated. Due to aggravation of vata dosha inflammation and pain occur. With the help of some therapies such as panchkarma, snehana, sweden and abhyanga cocoon syndrome can be manageable. The herbs which are helpful in the management of cocoon syndrome are Haritaki, bibhitaki, amalki, and shunthi etc. These herbs play a very important role in the management of cocoon syndrome.

Herbal Remedies For Cocoon Syndrome By Planet Ayurveda

Planet ayurveda is a worldwide company which treats humans as well as animals. This is a GMP certified company. All the medicines made by this company are natural and free from side effects. This company makes medicines under the observation of MD ayurveda doctors. Planet Ayurveda makes medicine in the form of tablets, syrup and churna. All the products are gluten free. In case of cocoon syndrome following products are offered by Planet ayurveda:-

Product list

  1. Triphala capsule
  2. Panchsakar churna
  3. Syrup Digestoplan
  4. Syrup Acidoplan
  5. Mahashankh vati

herbal-remedies -for-cocoon-syndromeHerbal-Remedies -For-Cocoon-Syndrome

Product Description

1. Triphala Capsule

Triphala capsule is an ancient formulation prepared by Planet Ayurveda. This formulation consists of three ingredients such as Haritaki (Terminalia chebula), bibhitaki (Terminalia billerica) and amalaki (Emblica officinalis). Haritaki is called chebulic myrobalan and is a very useful herb for the digestive system. It also helps in reducing the cholesterol level from the body. Amalaki present in this formulation is the richest source of vitamin c. It helps in removing the toxins from the body and the last ingredient is bibhitaki helps in the removal of mucus from the intestinal wall. Thus the combination of these herbs are useful in removing fat from the body and helpful in the management of cocoon disease.

Dose: 1 capsule twice daily with plain water after meals

3. Panchsakar Churna

Panchsakar churna is an ayurvedic formulation and consists of five herbs such as saindhava lavana (rock salt), swarna patri (Cassia angustifolia), shatapushpa (Anethum sowa), shunthi (Zingiber officinalis) and bal haritaki (Terminalia chebula). These ingredients are well known for managing indigestion, constipation and loss of appetite. This tablet comforts the abdomen and increases hunger.

Dose: ½ tsp twice daily with plain water after meals

4. Digesto Plan Syrup

Syrup Digestoplan is an ayurvedic tonic. This syrup contains pure ayurvedic herbs which helps in promoting a healthy digestive system. The main ingredients of this syrup are amalaki (Emblica officinalis), haritaki (Terminalia chebula), bibhitaki (Terminalia bellirica), ajwain (Trachyspermum ammi) and shatapushpa (Anethum sowa) etc. As all these herbs enhance the secretion of digestive enzymes and improve digestion. Thus this syrup improves overall digestion related problems by working on the root cause.

Dose: 2 tsp twice daily with plain water after meals

5. Acido Plan Syrup

This is in the form of syrup and contains many wonderful herbs such as patola (Trichosanthes dioica), sajjikshar (Soda-bi-carb), ghrit kumari (Aloe barbadensis) and saunf (Foeniculum vulgare) etc. This syrup is useful in burning sensation, dyspepsia, nausea and acute gastritis. It also helps in stomach ulcers, acidity, and indigestion. Patola present in this syrup is very beneficial for improving health. Thus this syrup is very helpful for abdominal disorders.

Dose: 2 tsp twice daily with plain water after meals.

4.Mahashankh Vati

Mahashankh vati is an ayurvedic formulation that consists many natural herbs such as pippali (Piper longum), hingu (Ferula asafoetida), shunti (Zingiber officinalis), vida lavana (Black salt) and chincha (Tamarindus indica) etc. the herbs present in this tablet are well known for digestive and appetiser properties. This tablet helps in balancing vata and pitta dosha. It reduces the acidity and is also useful to improve liver functions.

Dose: 2 tablets twice to be chewed 20 minutes before meal.

Contact Planet Ayurveda Support Team to provide you the costing/ordering and delivery information at – costing.planetayurveda@gmail.com or Call at 0172-521-4040 (India), +91-172-521-4040 (Outside India) or WhatsApp at (+91) 842-749-4030.


Cocoon syndrome is a rare disease in which thick peritoneal membrane wraps the intestine. It may be either primary or secondary to other causes such as previous abdominal surgery. This disease is also called encapsulating peritoneal sclerosis (EPS) or sclerosing encapsulating peritonitis. Most cases of cocoon syndrome are seen in tropical and subtropical zones. According to ayurveda this disease can be correlated with vata vyadhi. Here in this article we have discussed cocoon syndrome in detail and its ayurvedic correlation also.

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Dr. Vikram Chauhan

Dr. Vikram Chauhan (MD - Ayurveda) is the CEO and Founder of Planet Ayurveda Pvt. Ltd. He is Author of the Book "Ayurveda – God’s Manual For Healing". He is an Ayurveda Expert Serving People worldwide through all the Possible Mediums, Operating from Main Branch in Mohali, India. With his Vast Experience in Herbs and their Applied Uses, he is successfully treating Numerous Patients suffering from Various Ailments with the help of Purest Herbal Supplements, Diet, and Lifestyle, according to the Principles of Ayurveda. For More Details, visit www.PlanetAyurveda.com.

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