Abdominal Cocoon Syndrome – Symptoms And Treatment By Ayurveda
Abstract
Small bowel obstruction is one of the most common problems which surgeons encounter. Patients present with a number of complaints such as pain in the abdomen, nausea, vomiting, distension of the abdomen, gas, bloating, constipation, and many more. The bowel obstruction can be due to a number of reasons such as adhesions, hernias, carcinomas, abscesses, gallstones, enteroliths, foreign bodies, bezoars, strictures, abdominal cocoon syndrome, etc. Abdominal cocoon syndrome is one of the rarer causes of bowel obstruction. In the text below, we will discuss abdominal cocoon syndrome in detail and also have a look at the management protocol of the same in the contemporary medicinal system and in the traditional Indian medicinal system of Ayurveda. Let’s get it!!
Introduction
Abdominal Cocoon Syndrome is a rare cause of intestinal obstruction in which small intestinal encapsulation is done by a fibrous-collagenous membrane. The encapsulation can be partial or total. This is given synonyms of sclerosing encapsulating peritonitis and peritonitis chronic fibrosis incapsulate. There is no cause known for the occurrence of the condition. Usually, patients report to the OPD with symptoms of partial bowel obstruction. In India and Pakistan, the endemic areas, the condition mimics intestinal tuberculosis. This is most common in adolescent young girls. In Ayurveda, this thing can be related to the buildup of ama (endotoxins) and aggravation of the kapha dosha that hampers the activity of the vata dosha. Now let’s have a look at the causes, signs, symptoms, investigations, and management of Abdominal Cocoon Syndrome !!
Causes
- No known cause has been elucidated so far.
- The condition is idiopathic. Though some of the theories have been put forth but no evidence has been established.
Signs and Symptoms
- Nausea
- Vomiting
- Abdominal pain
- Constipation
- Indigestion
- Gas
- Bloating
- Abdominal distension etc
Investigations
- Abdominal ultrasound
- CECT (Contrast-enhanced CT) scan
- MRI (Magnetic resonance imaging)
Management
- Supportive management
- Surgery
Ayurvedic aspect and management of Abdominal Cocoon Syndrome
Ayurveda is a life science based on three principles of doshas or three energies namely vata, pitta, and kapha. These three when in normal quantity define health whereas their altered condition is regarded as a state of disease. Ayurveda has been serving the mankind for ages. In Ayurveda, diseases are managed with certain procedures, therapies, and medications.
Coming to abdominal cocoon syndrome, this condition has no direct correlation with any of the disorders mentioned in Ayurvedic texts. But we are going to correlate it along the lines of dosha involved in the occurrence of abdominal cocoon syndrome. Due to inappropriate food habits and deeds, the formation of ama (endotoxins) occurs. This also leads to the aggravation of the kapha dosha which abnormally enlarges the membrane that encapsulates the small intestine that results in small bowel obstruction. Small bowel obstruction gives rise to a number of symptoms. Obstruction of the bowel also leads to hampering the functions of other doshas such as altered pitta results in digestion-related problems and altered vata dosha results in constipation and other associated symptoms.
Management of abdominal cocoon syndrome is a multifold protocol. Correcting the kapha dosha and removing the ama is the first objective of the treatment and management of the symptoms simultaneously.
The medicines that are effective in the management are Triphala guggul, dashmoolarishta, kafketu ras, triphala churna, abhayadi guggul, kachnaar guggul, sanjivani vati, arogyavardhini vati, ajmodadi churna, amavatari ras, etc.
Herbal Remedies by Planet Ayurveda for Abdominal Cocoon Syndrome
Planet Ayurveda is a GMP-certified, US-FDA, and ISO 9001:2015-certified Ayurvedic company. The objective of Planet Ayurveda is to spread Ayurveda across the globe and Planet Ayurveda also produces products as mentioned in the Ayurvedic pharmacopeia and other texts of Ayurveda. The products are available in various forms that can be taken according to the person’s comfort. The products are so pure and herbal that they do not contain any kind of adulterants or chemicals. The products are gluten-free and halal-certified. It doesn’t even contain synthetic and artificial sweeteners. Planet Ayurveda has a wide range of products for every health problem. Planet Ayurveda extends its variety of products that are beneficial in the management of Abdominal Cocoon Syndrome.
Given are the formulations that help in managing Abdominal Cocoon Syndrome
Product List
1. Triphala Guggul
2. Vidangarisht
3. Kumaryasav
4. Avipattikar Churna
5. Sanjivani Vati
Product Description
1. Triphala Guggul
Triphala Guggul is a classical Ayurvedic formulation for various health problems. Triphala Guggul is composed of the herbs haritaki (Terminalia chebula), bibhitaki (Terminalia Billerica), Amalaki (Emblica officinalis), and guggul (Commiphora mukul). It is the best formulation for constipation and has anti-inflammatory properties. As constipation is one of the symptoms of abdominal cocoon syndrome, thus it helps in relieving constipation in the condition. As it works one kapha dosha, it helps in diminishing the encapsulation and relieving the obstruction.
Dosage: Two tablets twice a day.
2. Vidangarisht
Vidangarisht is a classical Ayurvedic formulation for the digestive system. It has a number of health benefits and is used in a number of conditions. Vidangarisht is a fermented ayurvedic syrup that contains the goodness of herbs such as waiving (Embelia ribes), kutaj (Holarrhena antidysenterica), pippali mool (Piper longum), path (Cissampelos pareira), Lodha (Symplocos racemosa), dalchini (Cinnamomum zeylanicum), kachnaar (Bauhinia variegata) and others. Vidangarisht pacifies the kapha dosha and this helps in the scraping of fibrous encapsulation. This helps in setting the intestines free and the obstruction is automatically relieved. Therefore, Vidangarisht is of great help in the management of abdominal cocoon syndrome.
Dosage: Two tsp twice a day.
3. Kumaryasav
Kumaryasav is a classical herbomineral ayurvedic formulation. Kumaryasav is good for digestion-related problems. It contains various herbs such as gwar path (Aloe barbadensis), sonth (Zingiber officinale), pippali (Piper longum), dalchini (Cinnamomum zeylanicum), lung (Syzygium aromaticum), loha bhasma (calx of iron), dhania (Coriandrum sativum), vaividang (Embelia ribes) and various others. Kumaryasav has anti-inflammatory, detoxifying, antioxidant, mild laxative, and various properties. Kumaryasva promotes appetite and digestion which is hampered by the abdominal cocoon syndrome. Kumaryasav works of the kapha dosha thus help in the scrapping of the encapsulation. Therefore, it removes the encapsulation and also the symptoms associated with abdominal cocoon syndrome.
Dosage: Two tsp twice a day.
4. Avipattikar Churna
Avipattikar churna is a classical Ayurvedic formulation that helps in various disorders of the digestive system. Avipattikar churna is a blend of various ayurvedic herbs such as pippali (Piper longum), sonth (Zingiber officinale), Marich (Piper nigrum), amla (Emblica Officinalis), bibhitaki (Terminalia bellerica), shot (Operculina turpethum) and various others. Avipattikar churna clears the bowel very nicely and relieves constipation. With its laxative properties, it helps in the alleviation of abdominal cocoon syndrome.
Dosage: One tsp twice a day.
5. Sanjivani Vati
Sanjivani Vati is a classical Ayurvedic medicine with a number of health benefits. Sanjivani vati is composed of vidanga (Embelia ribes), sonth (Zingiber officinale), pippali(Piper longum), giloy (Tinospora cordifolia), shuddha vatsanabha (Aconitum ferox) and others. Sanjivani vati is a perfect remedy for the removal of endotoxins. As all the herbs in the formulation are of hot potency which arrests, reverses, and pacifies the alleviated kapha aggravation which eventually helps in the correction of abdominal cocoon syndrome and removes the bowel from the encapsulation.
Dosage: Two tablets twice a day.
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Conclusion
Abdominal Cocoon Syndrome is a rare cause of intestinal obstruction. This is caused by an abnormal sac of fibrous collagenous membrane. The cause of the condition is unknown. Bowel obstruction results in a number of symptoms such as nausea, vomiting, constipation, etc. The management of the condition is totally surgical. The abnormal sac is removed through operation. Whereas the management in Ayurveda is based on the lines of dosha involved. The main dosha involved here in this condition is kapha. Thus correcting the vitiated kapha dosha leads to an easing of the condition where other medications are given to check the other symptoms associated with Abdominal Cocoon Syndrome. Thus, herbal medicines are of great help in the management of the above aid condition. The medicines above explained do an important role in the management of Abdominal Cocoon Syndrome.
