Author: Dr. Vikram Chauhan

Abstract

Adenomatous polyps are basically defined as the neoplastic benign epithelial polyps of the colon. By convention they are termed as adenomatous or sometimes tubo glandular adenoma. These lesions occur sporadically in the general population and also in certain well defined hereditary syndromes such as heredofamilial multiple polyposis.in one large series the average age of patients having sporadic adenomatous polyps was 60 years with a male preponderance in the ratio 2:1. Their frequency generally increases after 30 years of age. In this article we will typically discuss adenoma which is one of the types of adenomatous polyps including its Ayurvedic management.

Introduction

Adenomas are divided into three subtypes usually based on their histologic criteria. The types are tubular, tubulovillous and villous. The tubular adenomas are encountered most frequently around 80%-85%, Tubulovillous adenomas are encountered less frequently like 8%-10% and villous adenomas are least encountered that is below 5%. The Average age of patients having such a lesion is in the range of 60-65 years and they are uncommon under the age of 50 years. Villous adenoma, while rarely stalked, are almost always sessile lesions, attached directly to the colonic mucosa by a broad base. Most often they occur singly in the rectosigmoid (80%-90%) but rarely multiple villous tumors are present.

Causes of Villous Adenoma

The causes associated with onset of villous adenoma are not commonly defined but following are the factors which can be considered:

• Genetic factors
• Lifestyle and diet
• Acromegaly
• Inflammatory bowel disease
• Ulcerative colitis

Symptoms And Signs of Villous Adenoma

Villous adenomas are symptomatic much more frequently than are adenomatous polyps. The symptoms generally observed are as following:

• Most commonly they cause rectal bleeding
• In addition those containing goblet cells may hypersecrete copious amounts of mucoid material that is sufficiently rich in protein to produce hypoproteinemia. Particularly hypoalbuminemia.
• The mucus secreting contains large amounts of potassium causing hypokalemia.
• Persistent diarrhoea is rarely present. But if present it can cause significant loss of fluids and electrolytes.
• Flatulence or bloating might also be present.
• Constipation may be present.

Appearance of Villous Adenoma

The villous adenoma are velvety, cauliflower, fungating appearance and range from 1cm to 10 cm in diameter. The pale grey lesions are elevated about 1-3 cm above the surrounding mucosa  and often show focal areas of hemorrhage or surface ulceration. Histologically they are composed of finger-like or sometimes branching papillae which are responsible for their soft velvety appearance.

Diagnosing Villous Adenoma

The main investigation for treatment are as follows:

• Flexible sigmoidoscopy
• Double contrast barium enema
• Colonoscopy
• Polypectomy during an endoscopic procedure

Treatment of Villous Adenoma

• Polyps at the rectum can be removed during a sigmoidoscopy
• At colonoscopy the polyp which is usually pedunculated is removed with a snare and recovered for historical examination to assess the completeness of removal and the presence of premalignancy or invasive malignancy.
• Surgical polypectomy is needed or is necessary if there has been incomplete removal of a malignant polyp. Surgical polypectomy is generally done in sessile polyps, particularly in villous adenoma.

Herbal Formulations By Planet Ayurveda

Planet Ayurveda is a leading Ayurvedic firm which deals with the manufacturing of herbal formulations. These formulations are prepared using potent herbs who are really effective in managing many conditions. The formulations prepared by Planet Ayurveda do not contain any kind of adulterants, dyes, additives, fillers etc. These medications are too potent to manage many conditions and are very fruitful hence giving positive noticeable results. The medication or formulations offered by Planet Ayurveda for the management of villous adenoma is as follows:-

1. Mahashankh vati
2. Avipattikar churna
3. Pitta balance
4. Acido plan syrup
5. Digestion support
6. Kanchnaar guggul
7. Graviola capsules

Products Description

1. Mahashankh Vati

It is the best herbal formula that helps in the enhancement of digestion and also relieves symptoms like bloating and indigestion. This formulation is also mentioned in classics and contains piper longum, chitrak (Plumbago zeylanica), danti (Baliospermum montanum) and many more. This helps in naturally dealing with indigestion, loss of appetite, hyper acidity and other digestion related problems.

Dosage : Two tablets twice a day after meals with lukewarm water

2. Avipattikar Churna

The formulation is prepared using various herbs like pippali (Piper longum), Amla (Emblica officinalis), bibhitaki (Terminalia belerica) and many others. This churna is having pitta pacifying effect and also acts as a strong carminative agent which successfully helps in relieving flatulence. It is also having antioxidant and anti inflammatory properties and in addition is very beneficial in almost all the digestion related problems which may include diarrhoea, heartburn, gastritis, ulcers and many others.

Dosage : 1 tsp Twice a day 10 minutes before meals.

3. Pitta Balance

Pitta balance is prepared using potent ingredients like praval pishti, jahar mohra pishti, kamadudha rasa and others. Its ingredients make it a very effective formulation for balancing pitta dosha and relieving abdominal cramps, restlessness due to anxiety and palpitations which are generally the result of aggravated pitta. The formulation helps in purification of blood and also has a good impact on digestion and hepatocellular system.

Dosage : Two capsules twice a day after meals.

4. Acido Plan Syrup

Acido plan is having patola (Trichosanthes dioica), Ghrit kumari (Aloe barbadensis), saunf (Foeniculum vulgare), kokum (Garcinia indica) and many others.these all ingredients makes it a perfect formulation to be used in this villous adenoma. Acido plan helps in relieving the gas as well as acid which is the basic reason for secretion of mucus from the adenoma. It also helps in relieving symptoms related to the digestion process by pacifying pitta and hence helps in enhancing the diminished digestive fire.

Dosage : Two tsp twice a day after meals.

5. Digestion Support

The formulation is available in capsule form. These capsules are prepared using standardized extract of herbal plants like jerra (Cyminum cuminum), sounf (Foeniculum vulgare), dhaniya (Coriander sativum), triphala etc. This helps in maintaining a healthy digestive system. In addition, it also helps in avoiding the symptoms related to the digestive tract like flatulence, constipation, diarrhoea and others. Digestion support is very effective in enhancing the digestive fire and hence helps in balancing the disturbance in the doshas.

Dosage : One capsule twice daily after a meal.

6. Kanchnaar Guggul

This is a classical formulation which is prepared using potent and effective herbs like Kanchnaar Bark (Bauhinia variegata), Amalaki (Emblica officinalis), Haritaki (Terminalia chebula), Bibhitaki (Terminalia bellerica) and many others. The formulation is very well known for balancing kapha dosha. Due to the bitter, pungent and astringent taste of guggul it helps in burning the excess of meda dhatu, opens blocked micro channels and enhances the process of digestion. This Ayurvedic medication is well known for its metabolic boosting properties and helps in reducing the size of adenoma.

Dosage : Two tablets twice a day after meals with lukewarm water.

7. Graviola  Capsules

Graviola capsules are single herb capsules which have Graviola (Annona muricata) alone. Graviola is basically a south american native herb and is now grown in india also. It is famous as a soursop and has anticancer properties. The formulation is full of natural complexes and with classical formulations like kanchnaar guggul the graviola capsules have a very enhanced effect. Graviola can be compared to sitaphal in india.

Dosage: One capsule twice a day after meals.

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

The villous adenoma is having a very rare onset but if once diagnosed there are chances that it may lead an individual towards cancer. Such rare conditions are very difficult to treat and generally many patients lose their lives to such adenomas. Ayurveda can give a beam of light in such cases and hence helps in management of such cases really well. But one must understand the importance of lifestyle and diet in such aspects. Villous adenoma can be the result of mismanaged lifestyle and diet. Thus Ayurveda gives only one suggestion to all manage your life and diet and all such conditions can be successfully avoided. In case of any query kindly visit www.planetayurveda.com