Herbal Remedies for Segmental Colitis Associated With Diverticulosis

Abstract

The gastrointestinal tract (GIT) is the most important organ system as it is the only way, one can fulfill its hunger, thirst, and one’s tempestuous wishes. If we precipitously eat very less and often, it leads to the development of certain diseases. Some diseases are deep-seated, some occur due to careless habits and others by-chance. One among them is segmental colitis associated with diverticulosis (SCAD), affecting the intestines and diverticulum. The only nostrum till yet, discovered is the elective surgery but by doctoring up eating habits and taking care of GIT by adopting Ayurveda, one can easily skirt upon this disease.

Introduction

Segmental colitis associated with Diverticulosis is an inflammatory condition luminal mucosa of the colon with diverticulosis. Colitis may occur singly but more commonly in most cases, the involvement of the small intestine is present. When there is inflammation in diverticula which is acquired and most common in the sigmoid and descending colon, it is known as diverticulosis. In some cases, these both conditions occur together commonly described as segmental colitis associated with diverticulosis (SCAD).

SCAD is mostly seen in people of old age. Due to streamlined culture, asymptomatic SCAD occurs in over 50% of the population above the age of 70 years. It is rare under 30 years of age and is very common in western societies. SCAD is often asymptomatic and may be detected as an incidental finding. However, the vast majority of the population develops symptoms.

Pathophysiology

A life-long refined diet with a low quantity of fiber is widely thought to be responsible and the condition is rare in the very high fibrous intake.

Based on the etiologic role of a low-fiber diet, the pathogenesis of SCAD is-

• Due to the low fiber content of the diet, there is excessive intra-colonic pressure to pass the low volume stool leading to excessive segmentation and thereby sequestration of mucosa and submucosa.
• The muscular weakness of the colonic wall at the junction of submucosa with muscular.
• Due to less collateral blood supply in the colon, SCAD occurs commonly in the small intestine than in the large intestine.
• Diverticula consist of protrusions of mucosa covered with peritoneum thus, the circular muscle coat gets hypertrophied.
• Due to the impaction of diverticula with fecoliths, inflammation occurs.

Clinical Features

The symptoms usually occur due to associated constipation or spasm.

• The foremost symptom is rectal bleeding. The bleeding may be profuse. One must keep in mind that profuse rectal bleeding in the elderly is more often due to SCAD than carcinoma.
• As the disease progresses, due to repeated attacks of inflammation, leading to thickening of the bowel wall, narrowing of the lumen, and eventually, obstruction; the presentation varies.
• Intermittent abdominal pain, usually colicky in the suprapubic or left the iliac region with flatulence and slight distension is the characteristic feature. The pain can be due to overdistension or localized abscess.
• The sigmoid colon may be palpable and during pain attack, there may be tenderness, guarding, and rigidity, and sometimes a palpable mass is known as left-sided appendicitis.
• During the episode of pain, there may be diarrhea or profuse rectal bleeding.
• In some, the bowel actions are small and leave a feeling of incompletion. The patient passes small, pebbly motion which may be accompanied by blood and/or mucus.

Complications

Any disease if not treated at the time and left for growing several complications does develop and make the disease more difficult to be treated. Similar is the case here:

• Fibrosis & adhesion along with a colonic abscess
• Intestinal obstruction due to a pelvic mass which may be palpable both per abdomen and per rectum
• Necrosis of diverticulum which ultimately leads to perforation
• With the perforation, peritonitis may develop
• Vesico-colic or entero-colic fistula along with peritonitis

The above mentioned are more common in people who take NSAID’s or aspirin

Investigation

• Barium meal follow-through or barium enema may be helpful. In the early stage, there may be small saw-tooth projections. In the later stage, large sawtooth will be obvious.
• CT scans may be done to diagnose any complication.

Herbal Remedies for Segmetal Colitis associated with Diverticulosis

The herbal formulations in Planet Ayurveda are prepared with strict adherence to ancient Ayurveda principles. All the supplements contain 100% natural herbs with ancient time tested formulas. Each and every product of Planet Ayurveda is made up of herbal extracts, enriched with purity and consistency. The herbal supplements that are available in Planet Ayurveda under the guidance of Ayurveda Experts for Segmental Colitis with Diverticulosis are as follows:

1. Arjuna capsules
2. Sanjeevani vati
3. Mahashankh vati
4. Digestion support
5. Pitta balance

Product Description

The following drugs by planet Ayurveda are recommended:-

1. Arjuna Capsules

Arjuna (Terminalia arjuna) is a potential cardioprotective drug that helps in balancing tridoshas. A drug is known from ancient times for its action on balancing one’s body systems thus is helpful in giving the best results. Here is helps in controlling the bleeding which is the main sign of the disease.

Dose: 1 capsule twice a day after meals with normal water.

2. Sanjeevani Vati

Vaividang (Embeliaribes), Sonth (Zingiber Officinale), Pippali (Piperlongum), Haritaki (Terminaliachebula), Bibhitaki (Terminaliabellirica), Amla (Phyllanthusembelica), Vacha (Tinasporacordifolia), ShuddhBhallatak (Semecarpusanacardia), and Shuddh Vatsanabh (Aconitumferox). It reduces Aama Dosha and Pacifies Vata Dosha.

Dose: 2 tablets twice a day after meals with normal water.

3. Mahashankh Vati

It contains a mixture of Panchlavan (Saindhavlavana, Sauvarchallavana, Samudralavana, Romaklavana, Audbhidlavana) along with Shankhbhasam (Turbinellapyrum), which is calx of a conch shell, Trikatu (shunthi- Zingiberofficinale, Pippali – Piper longum, Marich – Piper nigrum, Gandhak (detoxified and purified sulphur) and ShuddhVatsanabh (Aconitum Ferox) that is best to treat the bleeding per anal, indigestion along with abdominal gas and pain. Shankhbhasam, where help in clearing out the toxins from the gut system, shunthi and pippali is the best deepaniya drug to ignite Agni and Gandhak, is known to maintain healthy digestion.

Dose: 2 tablets twice a day with water after meals.

4. Digestion Support

It contains Triphala (Haritaki- Terminaliachebula, Vibhitaki – Terminaliabellirica, amla-Emblicaofficinalis) which is known from ancient times to clear the gut and remove toxic wastes from the body. Saunf (Foeniculum-vulgare), Dhaniya (Coriandrumsativum) Jeerak (Cuminumcyminum), and Pippali(Piper longum) help to strengthen the complete digestive system and improving the appetite of the patient as these all are proven to ignite Agni and act on Annavahasrotas.

Dose: 1 capsule twice a day after meals with normal water.

5. Pitta Balance

The Organic Sheetadravyas like PravalPishti (Coral Calcium), KamdudhaRas (MuktaYukta), MuktaPishti (Pearl Calcium), Giloysatva (Tinosporiacordifolia), JaharmohraPishti(Purified Serpentine), Akik Pishti naturally balances the Pitta dosha which in turn balances the Agni hence digestion power is improved.

Dose: 1 capsule twice a day after meals with normal water.

Contact Planet Ayurveda Support Team to provide you the costing/ordering and delivery information at – costing.planetayurveda@gmail.com or Call at 0172-521-4030 (India), +91-172-521-4030 (Outside India) or Whatsapp at (+91) 9915-593-604.

Conclusion

Avoiding a refined diet, taking herbal supplements and living stress-free life leads to a healthy gut which in turn leads to a healthy life. Following all this, one can win over this disease and hence, no need to go for elective surgery.