Tag: Causes of Encapsulating peritoneal sclerosis

Encapsulating Peritoneal Sclerosis Treatment In Ayurveda

Encapsulating Peritoneal Sclerosis (EPS)

Abstract

Peritoneal dialysis is a treatment for kidney failure patients that filters your blood. It collects waste from the body’s blood by washing the peritoneal cavity (empty space in the abdomen). This exchange process is performed daily on a routine basis and the peritoneal dialysis solutions undergo heat sterilization processes which form glucose degradation products. Thus it can involve various complications. One of its complications is Encapsulating Peritoneal Sclerosis. Yet, there are some causes of the occurrence of EPS that are not linked to peritoneal dialysis. In this article we will discuss the Encapsulating Peritoneal Sclerosis disorder and what we can do to manage it with natural methods- ‘Ayurveda’.

Introduction

Encapsulating Peritoneal Sclerosis is a rare complication of peritoneal dialysis that is defined as intraperitoneal inflammation and fibrosis. This rare disorder is associated with long-term peritoneal dialysis that results in excessive thickening of peritoneum along with its fibrosis, resulting in the formation of a fibrous cocoon encapsulation. Yet, recovery is possible if it is diagnosed and managed on time. Studies show that the Majority of patients (50-80%) on peritoneal dialysis will experience Encapsulating Peritoneal Sclerosis within two years of the initiation. Encapsulating Peritoneal Sclerosis is a benign cause of small bowel obstruction, and if not treated will lead to the formation of cocoon syndrome in chronic cases. Before Encapsulating Peritoneal Sclerosis was termed abdominal cocoon syndrome but later it was differentiated that Encapsulating Peritoneal Sclerosis in its untreated chronic stage leads to cocoon syndrome. Encapsulating Peritoneal Sclerosis is also known as sclerosing peritonitis, encapsulating peritonitis, and peritonitis chronic fibrosa incapsulata.

Encapsulating Peritoneal Sclerosis (EPS)

Ayurvedic aspect

Encapsulating Peritoneal Sclerosis is not exactly correlated with any disease in Ayurveda because peritoneal dialysis is a modern pathy method to pure blood, while Ayurveda provides various therapies and natural drugs for blood purification. The drugs and treatment described for “Udar vikar” can be implemented according to the patient’s symptoms. Also, the patient is recovered to the extent that they may not need the use of dialysis further. Ayurveda is very vast and successful in managing these disorders. Ayurvedic medicines can revive normal kidney functioning very effectively, that can even prevent the need for dialysis. Details of medicines are given further in the article.

Causes

  • Encapsulating Peritoneal Sclerosis occurs by a fibrotic membrane covering the small bowel.
  • Fibrin deposition around parts of the small bowel during peritoneal dialysis.
  • High glucose within dialysis
  • Ultrafiltration failure
  • Also, some causes that are not directly related to peritoneal dialysis are-
  • Autoimmune disorders
  • Intra-abdominal malignancies
  • Intraperitoneal chemotherapy
  • Peritoneal ascites
  • Sarcoidosis
  • Peritonitis
  • Bioincompatible dialysis
  • Endometriosis
  • Abdominal surgery
  • Renal transplantation

Symptoms

Symptoms of Encapsulating Peritoneal Sclerosis include-

  • Abdominal pain
  • Abdominal obstruction
  • Nausea
  • Vomiting
  • Early satiety
  • Weight loss
  • Altered bowel habits
  • Ascites

Diagnosis

Diagnosis is made based on the symptoms and some diagnostic tests-

  • Blood tests
  • CT scan
  • Abdominal radiography
  • Laparoscopy

Treatment

Treatment initially involves the cessation of peritoneal dialysis and patients are recommended for hemodialysis.

  • Removal of peritoneal dialysis catheter
  • Corticosteroids
  • Anti-inflammatory drugs
  • Surgery- The risk of surgery includes sepsis, perforation of intestines, fistula formation, and may even cause death.

Herbal remedies for Encapsulating Peritoneal Sclerosis by Planet Ayurveda

Planet Ayurveda is a GMP-certified Ayurvedic company that prepares natural medicines by using authentic ways. The herbal medicines prepared by the company are prescribed in many body disabilities and diseases. These medicines are 100% pure and are completely herbal with no side effects. Also while formulating these remedies, our MD experts take care of adding any sort of resin, color, or chemical. The preparation of medicines strictly follows Ayurvedic principles along with government guidelines.

Many herbal medicines of Planet Ayurveda are used in the treatment of Encapsulating Peritoneal Sclerosis, which has wonderful results and is doing great in managing the condition –

Products List

  1. Mutrakrichantak Churna
  2. Nephralka Capsules
  3. Avipattikar Chruna
  4. Saralghan Vati
  5. Triphala Capsules

Herbal Remedies For Encapsulating Peritoneal Sclerosis Herbal Remedies For Encapsulating Peritoneal Sclerosis

Products Description

1. Mutrakrichantak Churna

This herbal medicine is prepared with Varun (Crateva nurvala), Bhumiamla (Phyllanthus niruri), Gokshur (Tribulus terrestris), Kalmegh (Andrographis paniculata), etc.  It is useful in kidney diseases, stones, urinary problems, infections, dialysis, kidney failure, and many other diseases. It acts as a diuretic and eliminates toxins from the body while providing nutrition to the body. It is indicated in acute and chronic kidney failure and has shown wonderful results.

Dosage– Take 1 teaspoon of churna twice daily.

2. Nephralka Capsules

These capsules are prepared from Bhumiamla (Phyllanthus niruri), Punarnava (Boerhavia diffusa), Kalmegh (Andrographis paniculata), etc. These capsules balance the tridosha and maintain overall kidney health. It helps to recover kidney functioning to its near normal that it may not need further dialysis.

Dosage- Take 1 capsule twice daily.

3. Avipattikar Chruna

This classical formulation is made with a combination of herbs like – Baheda (Terminalia bellirica), Peepal (Ficus religiosa), Amla (Emblica officinalis), Vidanga (Embelia ribes), Tejpatta (Laurus nobilis), Green cardamom (Elettaria cardamomum), Nisoth (Operculina turpethum), etc. This herbal mixture is mostly used to balance Pitta dosha in the body. It acts as a strong antacid and also maintains normal acid production in the body.

Dosage- Take a half teaspoon twice daily with water.

4. Saralghan Vati

This is an ayurvedic preparation that contains Saral (Pinus roxburghii). It supports the healthy functioning of the kidneys. The tablets also maintain normal blood pressure, production of red blood cells, and regulate electrolyte imbalance. It maintains the normal functioning of the kidneys thus preventing renal failure.

Dosage– Take 2 tablets twice daily

5. Triphala Capsules

These capsules are prepared from Haritki (Terminalia chebula), Vibhitki (Terminalia bellerica), Amalaki (Emblica officinalis), and shuddh guggul (Commiphora mukul). They pacify the Kapha dosha and help to maintain overall metabolism. It heals anal fissures, anal fistula, and other anal problems by preventing constipation. It detoxifies the body by excreting waste products through urine. This helps in the easy and normal functioning of the kidneys.

Dosage- Take 1 capsule twice daily.

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) 9915-593-604

Conclusion

Ayurvedic medicine is the oldest and most natural healing system with herbs. Ayurveda medicine differs in all aspects and can have wonderful results that have been proved in many cases, also without any side effects. Herbal medicines offer the opportunity to understand the nature of the disorder and treat it accordingly for the best results. For any queries visit us at www.planetayurveda.com

What is Encapsulating peritoneal sclerosis? – Causes, Symptoms, Classifications & Ayurvedic Treatment

Abstract

Encapsulating peritoneal sclerosis mostly occurs in patients who are undergoing peritoneal dialysis. Dialysis fluid is hyperosmotic , hyperglycemic and acidic which causes inflammation in the peritoneum with loss of mesothelium and extensive tissue fibrosis.  It can occur at any age. Encapsulating peritoneal sclerosis was first described in 1980. Here in this article we will learn encapsulating peritoneal sclerosis in detail and its ayurvedic management also.

Introduction

It is associated with thickening of the peritoneum that leads to formation of fibrous cocoons . The patients who are undergoing peritoneal dialysis from long  are mainly affected by this disease. It was originally termed an abdominal cocoon. It can be caused by autoimmune diseases, sarcoidosis, abdominal surgeries, endometriosis and beta blocker administration. Vomiting, abdominal mass, malnutrition and failure to drive and ultrafiltration problems are the major symptoms of encapsulating peritoneal sclerosis. It is divided into four stages i.e. pre eps stage, inflammatory disease, encapsulation, and chronic stage of ileus. Early diagnosis of this disease is important in order to achieve better prognosis. Let’s discuss in detail.

Causes of Encapsulating peritoneal sclerosis

Causes

  1. Autoimmune diseases
  2. Sarcoidosis
  3. Peritoneal and intra abdominal malignancies
  4. Chronic peritoneal chemotherapy
  5. Intraperitoneal exposure to particulate matter or disinfectant
  6. Abdominal surgeries
  7. Endometriosis
  8. Intra peritoneal infections
  9. Beta blocker administration

Risk factor

  1. Duration on peritoneal dialysis
  2. Glucose exposure
  3. Inflammation
  4. Chemical exposure
  5. Genetic factors

Classification

Following are the clinical stages of encapsulating peritoneal sclerosis are

Stage 1:- Pre-EPS stage:- In this stage the patient is asymptomatic with mild ascites and no inflammation

Stage 2:- Inflammatory disease:- This is the second stage of encapsulating peritoneal sclerosis in which patients are symptomatic. Nausea and diarrhea are the main symptoms of this stage

Stage 3:- Encapsulation:- In this stage inflammation can occur. Inflammation may be mild or severe.

Stage 4:- Chronic stage of ileus:- Due to thickening of encapsulating fibrous cocoon patients have absolute bowel obstruction. There is little inflammation at this stage.

Symptoms

  1. Vomiting
  2. Abdominal pain
  3. Abdominal mass
  4. Hemoperitoneum
  5. Malnutrition and failure to thrive
  6. Ultrafiltration problems
  7. Subacute bowel obstruction

Diagnosis

1. Physical Examination: In this examination abdominal mass and abdominal distension is mainly seen.

2. CT-scan: it shows dilated loops of bowel, loculated ascites, peritoneal calcifications and small bowel tethering on examination.

3. Plain radiograph: This test may show the gas-fluid levels similar to those in patients with any other cause of the small-bowel obstruction.

4. Ultrasound: In this test presence of ascites, clumped bowel loops and the appearance of hyperechoic membranes can be seen.

5. MRI: This will demonstrates the same features as CT scan, but MRI gives better image of thickened bowel and peritoneal membrane as compared to CT

scan

Treatment

1. Supportive therapy:- In this aggressive nutritional support is given to the patient.

2. Medical therapy:- Antifibrotic and antiinflammatory drugs given to the patients such as tamoxifen and immunosuppressive.

3. Surgical:- Partial or complete enterolysis and avoid enterotomy.

Prevention

  1. Preserve residual renal function.
  2. Minimum use of high glucose
  3. Prevention of peritoneal deterioration

Ayurvedic overview

Ayurveda is the vedic science which means “knowledge of life”. It treats humans as well as animals. Ayurveda tells us that the entire universe is made up of five elements i.e. aakash, vayu, agni , jal and prithvi. These five elements form the three basic humours of the human body i.e. vata, pitta and kapha. According to ayurveda, encapsulating peritoneal sclerosis can be correlated with anna vaha sroto dushti in which vata dosha is mainly aggravated. Due to aggravation of vata it results in abdominal pain, intestinal obstruction and constipation. Vata can be managed by some ayurvedic therapies such as snehana, swedana and shodhana. In snehana ghee, muscle fat, oil and bone marrow are given to the patient for the balancing of doshas. After snehan patients are given fomentation therapy such as nadi sweda, prastara sveda and sankara sveda etc. The herbs which are helpful in the management of encapsulating peritoneal sclerosis are varun, bhumiamla, gokshur, punarnava and triphala.

Herbal remedies for encapsulating peritoneal sclerosis 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 encapsulating peritoneal sclerosis  following products are offered by Planet ayurveda:-

Product list

  1. Mutrakrichantak churna
  2. Nephralka capsule
  3. Saral ghan vati
  4. Triphala capsule
  5. Avipattikar churna

Herbal Remedies for Encapsulating peritoneal sclerosis

Herbal Supplements for Encapsulating peritoneal sclerosis

Product Description

1. Mutrakrichantak Churna

Mutrakrichantak churna is made using only pure and wonderful herbs. The main ingredients of this churna are varun (Crataeva nurvala), bhumi amla (Phyllanthus niruri), gokshur (Tribulus terrestris), and kalmegh (Andrographis paniculata). This churna helps in bringing down creatinine and urea levels in a natural way. It is the best medicine for kidney health and prevents dialysis. This medicine mainly helps to normalize the filtering function of the kidneys. This herbal medicine is also useful to maintain creatinine levels, high uric acid, high urea, kidney stones and urinary tract infections.

Dose:- 1 tsp twice daily with water after meal.

2. Nephralka capsule

Nephralka capsule is an ayurvedic medicine that is primarily used for the management of kidney diseases. The main ingredients of this capsule are bhumi amla (Phyllanthus niruri), mooli satva (Raphanus sativus), revandchini (Rheum emodi), kalmegh (Andrographis paniculata), and punarnava (Boerhavia diffusa). These are the best capsules for the management of kidney functions.  Kalmegh present in this capsule  helps in stimulating appetite and is used in the treatment of anorexia. Punarnava is the best herb to reduce the symptoms of fever, pain, and inflammation. Bhumyamalaki is used for preventing cardiac disorders. Thus this capsule is very helpful in the management of  encapsulating peritoneal sclerosis.

Dose:- 1 capsule twice daily with plain water after meals

3. Saral Ghan vati

Planet Ayurveda’s saral ghan vati is one of the suitable ayurvedic formulations for removing toxins from the body. The main ingredient present in this tablet is saral (pinus roxburghii). It is used as a diuretic that flush out toxins from the body. It has antioxidant properties which helps in reducing inflammation. It also acts as a laxative and has antispasmodic actions (relieves from spasms).

Dose:- 2 tablets twice daily with lukewarm water after a meal.

4.Triphala Capsules

Triphala capsule is an ayurvedic medicine which is enriched with the power of three main ingredients such as haritaki (Terminalia chebula), amalaki (Emblica officinalis), and bibhitaki (Terminalia billerica). It helps to improve gut health and remove toxins from the body. It also boosts immunity and has antioxidant and rasayana properties. Haritaki present in this capsule strengthens the digestive system and improves metabolism. Amalki is a very rich source of vitamin C that helps in promoting liver health and boost immunity. Bibhitaki is well known for liver health. Thus triphala improves digestion, removes toxins and boosts immunity.

Dose:- 1 capsule twice daily with plain water after meals.

5. Avipattikar Churna

The main ingredients of avipattikar churna are pippali (Piper longum), sonth (Zingiber officinale), marich (Piper nigrum), amla (Emblica officinalis), haritaki (Terminalia chebula) and nagarmotha (Cyperus scariosus). All the ingredients used in this churna mainly work on the digestive system and improve digestion. Nagarmotha present in this churna manages the anorexia (loss of appetite). The symptoms caused by globus pharyngis are easily manageable by this churna. Thus, this churna is very useful to improve digestion.

Dosage:- ½ tsp twice daily with warm water after meals.

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

Conclusion

Encapsulating peritoneal sclerosis mostly occurs in patients who are undergoing peritoneal dialysis. Dialysis fluid is hyperosmotic , hyperglycemic and acidic which causes inflammation in the peritoneum with loss of mesothelium and extensive tissue fibrosis. According to ayurveda this disease can be correlated with aggravation of vata dosha. It can occur at any age. Here in this article we have learnt encapsulating peritoneal sclerosis in detail and its ayurvedic management also.