Tag: Diagnosis of Ascites

June 15, 2023

Ascites Symptoms, Causes and Herbal Treatment

Ascites

ABSTRACT

Ascites also known as Jalodara in Ayurveda is one among Udara Roga. According to Ayurveda Jalodara is the accumulation of water in the abdominal cavity exceeding 25 ml. It often occurs due to cirrhosis or other liver disease. Decreased digestive fire accompanied by unbalanced doshas causes Ascites. Symptoms such as abdominal heaviness and stiffness, shortness of breath, bloating, wheezing, edema of feet, and dilated veins are seen in Ascites. Let’s discuss it in detail.

Ascites

INTRODUCTION

Ascites are described briefly in Ayurvedic literature. According to Ayurveda, Ascites are caused by various other pathologies like heart disease, liver diseases, splenomegaly, kidney diseases, wasting diseases, etc. Ayurvedic management with drugs that increase digestive fire, hepatoprotective drugs, daily therapeutic purgation and only a milk diet that acts by breaking down the pathogenesis gives good results in ascites. Diet restrictions are majorly advised in Ascites.

MAJOR CAUSES OF ASCITES

  • Liver diseases like Liver Cirrhosis, Liver Cancer (Cirrhosis being the major cause).
  • Portal Hypertension
  • Heart Diseases
  • Pancreatitis
  • Hypoalbuminemia
  • Peritoneal Tuberculosis
  • Malnutrition

SYMPTOMS OF ASCITES

  • Large distended Abdomen
  • Protruded belly button
  • Lack of appetite
  • Vomiting
  • Indigestion
  • Increased Thirst
  • Abdominal discomfort
  • Shortness of Breath
  • Coughing
  • Visible veins on the abdomen
  • Swelling in lower legs
  • Bloating
  • Painless swelling in the abdomen

DIAGNOSIS

  • FLUID SAMPLE: A needle is used to aspirate fluid from your abdomen.
  • BLOOD TEST : Initial investigations include cell count,differential,total protein.
  • IMAGING: Images of the inside of your abdomen are taken using ultrasound, MRI, or a CT scan.
  • LAPAROSCOPY: It is done to rule out the cause of ascites.

AYURVEDIC OVERVIEW

As per the Ayurvedic Point of view, Ascites also known as Jalodara is mainly due to blockages of channels (Strotas) causing heart problems, Kidney diseases, Portal Hypertension, and Liver diseases ultimately leading to Ascites. .It falls under the type of Udara roga. In Ayurveda, aggravated Vata gets accumulated in Udara between skin and muscle tissue leading to swelling, this is being termed as Udararoga. Procedures like Swedana ie. Sedation, Diuresis, Nitya Mridu Virechana ie . regular use of mild purgatives are used. Herbal drugs like Punarnava, Pippali, Haritaki, etc are used along with it drugs that are carminative and hepatoprotective in nature are used. Dietary measures like decreasing salt intake, only a milk diet is recommended.

TREATMENT AS PER AYURVEDA

Ayurveda gives effective results in Ascites by treating Agni (Digestive fire) and unbalanced Dosha. Through Nidana Parivarjana (avoiding causative factors), Agni Deepan (Provocation of digestion), and Nitya Virechana (daily therapeutic purgation followed with sodium restriction is used to treat ascites. Further treatment of ascites is given below:

Herbal Formulations Include

  • Powders: Patola Muladha Churana, Narayan Churan.
  • Vati: Arogyavardhini vati, Punarnava Mandoor Vati.
  • Ghrita: Panchakola Ghrita, Chitrak Ghrita, Nagaradi Ghrita.
  1. Herbal Drugs like Punarnava, Brihata Panchamoola, Shunthi, etc.
  2. Snehana (Oleation): It is used before the Panchakarma treatment. Dashamoola oil and Narayan oil is used in oleation therapy
  3. Swedana (Sedation): Swedan is done to remove toxins accumulated in circulatory channels.
  4. Virechana (Purgation): In Virechan there is induction of purgation to remove toxins from the body. Nitya Virechan is given in ascites. Castor oil with rock salt, castor oil with Triphala kwath, Kutki, Mustaka, Trivrita are used for Nitya Mridu Virechan.
  5. Shastra Karam: It is a surgical procedure done using an instrument. An incision is given on the left side of the abdomen below the umbilicus. A metallic tube is inserted through a puncture and accumulated fluid is drawn out. All the accumulated fluid is not drained out once and this procedure is repeated again. Administration of water is strictly prohibited after Shastra Karama.
  6. Kshara: The patient is given Tikshana Kshara with Gaumutra.

HERBAL REMEDIES FOR ASCITES BY PLANET AYURVEDA

Planet Ayurveda offers the best combination of effective herbal remedies such as the Ascites Care Pack for the Ayurvedic treatment of Ascites. Ascites care pack contains medicines in the form of Tablets and Capsules. It is a polyherbal pack that contains Punarnava, liver detox capsules, jalodarari rasa, etc. For natural and herbal treatment always look for natural products which contain pure extracts and are formulated under GMP guidelines. Planet Ayurveda products are scientific and certified. They are free from any chemicals, additives, and preservatives. Products of Planet Ayurveda are formulated by MD Doctors and are 100% natural, pure, and free from side effects.

Product List

      1. Punarnava Capsules
      2. Water-EX tablets
      3. Rencure Formula
      4. Liver detox Capsules
      5. Jalodari Rasa

Ascites Care PackBuy Now: Ascites Care Pack

PRODUCT DESCRIPTION

1. Punarnava Capsules

Punarnava capsules are an effective formulation that contains a single herb ie. Punarnava (Boerhavia diffusa). Punarnava is helpful in liver abnormalities and in decreasing the accumulation of water in the abdomen by removing excess water through urine.

Dosage: 2 capsules twice daily with warm water after meals.

2. Water-EX tablets

Water-EX tablets are herbal formulations that contain Punarnava (Boerhavia diffusa), Varuna (Crataeva nurvala), and Gokshura (Tribulus terrestris). These herbs in Water Ex Tablets balance Kapha and Vata dosha and are diuretic, demulcent, and anti-inflammatory in nature. Therefore it is helpful in eliminating excess fluid.

Dosage: 2 tablets thrice daily with warm water after meals.

3. Rencure Formula

It is an effective formulation which contains Punarnava (Boerhavia diffusa), Varuna (Crataeva nurvala), Gokshura (Tribulus terrestris), Palash (Butea monosperma), Kasni (Cichorium intybus). It treats kidneys by reducing their destruction, maintaining normal creatinine levels, increasing urine output, treating proteinuria and maintaining normal functioning of kidneys.

Dosage: 1 capsule twice daily with warm water after meals.

4. Liver Detox Capsules

Liver detox capsules contains hepatoprotective herbs like Katuki (Picrorhiza kurroa), Punarnava (Boerhavia diffusa), Kalmegh (Andrographis paniculata), Makoy (Solanum nigrum ), Biranjasipha (Achillea millefolium-yarrow), Jhavuka (Tamarix gallica), Himsra (Capparis spinosa) Haritaki (Terminalia chebula), Kasni (Cichorium intybus) which are helpful in removing toxins from liver and maintains fat metabolism. These herbs maintain normal liver activity by normalising liver functioning.

Dosage: 2 capsules twice daily with warm water after meals

5. Jalodari Rasa

It is a wonderful formulation that contains Pippali (Piperlongum), Maricha ( Piper nigrum), Tamra Bhasma (Calx prepared from copper), Turmeric (Curcuma longum), Jaipal (Croton tiglium), Snuhi ksheera (Euphorbia neriifolia). Tamra Bhasma in Jalodari Rasa helps in reducing abdominal distension/pain caused by ascites. It reduces inflammation caused by accumulated fluid by removing excess water from the abdomen./

Dosage: 1 tablet 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 0172-521-4030 (India), +91-172-521-4030 (Outside India) or Whatsapp at (+91) 9915-593-604

CONCLUSION

Alternative treatment for ascites can help in treating ascites and reducing the symptoms of ascites. Water retention and edema in ascites can be easily tackled by Ayurvedic treatment, a good diet followed by precautions. Further complications of ascites can be avoided by following Ayurvedic treatment. Therefore Ayurveda is an authentic and well-proven solution for treating Ascites.

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January 11, 2023

What is Ascites? – Types, Symptoms, Causes and Herbal Remedies

Abstract

It frequently happens because of cirrhosis of the liver, heart failure, kidney failure, and infections. Mild ascites may not show any symptoms but if you are experiencing the fullness of the abdomen, weight gain, swelling in the ankles, nausea, or shortness of breath you have landed on the right page. Here we have discussed ascites in detail, its causes, symptoms, diagnosis, and its Ayurvedic treatment. Ayurveda, our age-old science, has wonderfully treated ascites with remarkable results. Read on to know more.

Introduction

Ascites is a condition in which there is an accumulation of free fluid in the peritoneal or abdominal cavity, which gives a feeling of fullness and rapid weight gain. This free fluid leads the belly to swell and is called a ballooning belly. Ascites is a further complication of non-hepatic or hepatic disease. Mild ascites is hard to notice whereas severe ascites cause distension of the abdomen.

Ascites

TYPES OF ASCITES

Ascites is categorized mainly into two types depending on the protein content in the fluid:

  • Exudate: Exudate has a protein content of more than or equal to 2.5g/dl.
  • Transudate: Transudate has a protein content of less than 2.5g/dl.

The other, more useful way to categorize ascites is by using the SAAG

  1. (SERUM ASCITES ALBUMIN GRADIENT)

CAUSES OF ASCITES

Cirrhosis of the liver is the most common condition that can cause ascites. Other conditions that cause ascites can be heart failure, kidney failure, infections (such as tuberculosis ),or
cancer.

How does cirrhosis cause ascites?

When a patient has cirrhosis, his liver doesn’t function normally as it should. The abnormal liver function combines with portal hypertension to cause ascites. This portal hypertension is the high pressure in portal veins (the veins that supply blood to the liver). This abnormally high pressure in portal veins causes fluid to leak out of the veins into the belly and collect there as a fluid.

RISK FACTORS FOR ASCITES

Conditions causing cirrhosis of the liver puts a patient at a greater risk of developing ascites. These conditions are Non-alcoholic fatty liver disease, Hepatitis-B, Hepatitis-C, Autoimmune hepatitis, Alcohol use disorder, Genetic liver diseases that may include Wilson disease and alpha

1 antitrypsin deficiency, and hemochromatosis. Some of the other conditions that can cause ascites are cancers of the abdominal or pelvic organs, infections, congestive heart failure, and kidney failure.

SYMPTOMS OF ASCITES

Depending upon the cause of ascites, symptoms may develop gradually or suddenly. Mild fluid in the abdominal cavity is usually asymptomatic, that is without any symptoms but as the collection of the fluid increases, it thereby causes:

  • swelling in the abdomen
  • sense of fullness
  • Bloating
  • weight gain
  • nausea
  • indigestion
  • shortness of breath
  • back pain
  • fatigue
  • swelling in ankles.

HOW TO DIAGNOSE ASCITES????

Multiple steps are involved in the diagnosis of ascites. The patient’s complete medical history followed by a thorough abdominal examination/physical examination is carried out by a medical practitioner to look for any signs or symptoms. a patient’s history and physical examination help determine a diagnosis. Blood tests and imaging tests are likely needed. Tests to confirm the diagnoses are Ultrasound or CT scans in which the abdominal area can be seen deeply and detailed. CBC is carried out to look for the infections and organ functions that might lead to ascites. The second most important test is paracentesis in which the fluid accumulated is analyzed for signs of cancer, infection, portal hypertension, and other conditions.

CLASSICAL TREATMENT

  • Nidana parivarjana (avoiding causative factors): This is a complete diet restriction to minimize the symptoms along with medicines.
  • Agni Dipti (provocation of digestion)
  • Apyam Doshaharnam and sroto shodhan (removal of the fluid accumulated)
  • Nitya virechana(daily therapeutic purgation)

HERBAL REMEDIES FOR ASCITES BY PLANET AYURVEDA

PLANET AYURVEDA provides the best and most effective treatment by the touch of herbs for the treatment of ascites. As the diseased liver is the main cause of ascites, The Planet Ayurveda provides a complete ASCITES CARE PACK which is a combination of herbal remedies for liver health. Remedies that are herbal and with the non-touch of artificial ingredients. chemical and preservative-free herbal remedies are used worldwide to treat diseases.

This ASCITES CARE PACK consists of

  1. PUNARNAVA CAPSULES
  2. WATER EX-TABLETS
  3. RENCURE FORMULA
  4. LIVER DETOX CAPSULES
  5. JALODARARI RASA

Ayurvedic Treatment For Ascites

Herbal Supplements for Ascites

PRODUCT DETAIL

1. Punarnava capsules

This ayurvedic remedy has a great tendency to control water retention in the abdomen as it is prepared from the standardized extract of Boerhaavia diffusa . It possesses diuretic properties that flush out the toxins from the abdominal cavity, through urine by increasing its flow.

Dosage: 2 capsules to be taken two times a day after meals with warm water.

2. Water ex-tablets

These water ex-tablets consist of natural herbs like gokshura (Tribulus Terrestris), Varuna (crataeva nurvala), etc which have the properties of fluid expulsion from the body and reduce inflammation caused by any infection.

3. Rencure Formula

It consists of palash (butea monosperma), gokshur (Tribulus terrestris), punarnava (boerhavia diffusa),varun (crataeva nurvala) etc. This formula has tremendous effects on kidney disease which can be a leading cause of ascites. It maintains the normal

functioning of the kidneys.

Dosage: 1 capsule is to be taken twice after meals with water.

4. Liver Detox Capsules

This combination of herbs helps in the detoxification of the liver byremoving harmful toxins that cause fluid to accumulate. The herbs in this formulation are kaansi (Cichorium intybus), kalmegh (Andrographis paniculata), makoy (Solanum Indicum), etc.

Dosage: 1 capsules to be taken two times a day after meals with warm water

5. Jalodarari ras

These herbal tablets have been prepared with the combination of pippali (piper longum), maricha (piper nigrum), jaiphala (Croton tiglium), Haridra (Curcuma longa), etc. This combination of herbs serves as an anti-inflammatory agent and eliminates accumulated fluid.

HOME-BASED MANAGEMENT OF ASCITES

Ascites can be well managed at home along with these herbal remedies. Managing the diet with low salt intake can be beneficial. By Quitting alcohol and smoking the disease can be limited to a greater extent. A healthy lifestyle with exercising can prevent further liver
disease.

CONCLUSION

ASCITES mainly affects patients with cirrhosis of the liver. Another systemic disease can also lead to ascites. Important diagnostic tools are scans and blood tests. A physical examination plays an important role in diagnosis. PLANET AYURVEDA medicines are significantly effective in ascites under the guidance of well-experienced doctors. Management of diet and healthy lifestyle can add more value to the early recovery. Ayurvedic treatment is followed by the internal purification process, herbal remedies, a special diet, and meditation. The primary basis of Ayurveda is the interconnection between

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