Esophageal varices are the dilated veins in the lower part of esophagus. Portal hypertension is considered as the major cause for esophageal varices.
- SIGNS AND SYMPTOMS OF ESOPHAGEAL VARICES
- CAUSES OF ESOPHAGEAL VARICES
- PATHOPHYSIOLOGY OF ESOPHAGEAL VARICES
- DIAGNOSIS OF ESOPHAGEAL VARICES
- TREATMENTS FOR ESOPHAGEAL VARICES
- PROGNOSIS OF ESOPHAGEAL VARICES
- COMPLICATIONS OF ESOPHAGEAL VARICES
- ESOPHAGEAL VARICES AND AYURVEDA
- NIDANA- AYURVEDIC CAUSES OF ESOPHAGEAL VARICES
- PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF ESOPHAGEAL VARICES
- SAMPRAPTI – AYURVEDIC PATHOGENESIS OF ESOPHAGEAL VARICES
- LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF ESOPHAGEAL VARICES
- AYURVEDIC PROGNOSIS OF ESOPHAGEAL VARICES
- CHIKITSA- AYURVEDIC TREATMENT FOR ESOPHAGEAL VARICES
- AYURVEDIC SAMANA TREATMENT FOR ESOPHAGEAL VARICES
- AYURVEDIC SHODHANA TREATMENT FOR ESOPHAGEAL VARICES
- COMMONLY USED AYURVEDIC MEDICINES FOR ESOPHAGEAL VARICES
- HOME REMEDIES FOR ESOPHAGEAL VARICES
- DIET AND BEHAVIOUR FOR ESOPHAGEAL VARICES
- YOGA FOR ESOPHAGEAL VARICES
SIGNS AND SYMPTOMS OF ESOPHAGEAL VARICES
- Bloating
- Dark stool
- Vomiting blood
- Difficulty swallowing
CAUSES OF ESOPHAGEAL VARICES
- Severe liver cirrhosis
- Hepatitis
- Fatty liver
- Alcoholic liver diseases
- Portal hypertension
- Budd-Chiari syndrome (blockage of certain veins in the liver)
PATHOPHYSIOLOGY OF ESOPHAGEAL VARICES
The lower part of the esophagus is drained into the superficial veins, which drain into the left gastric vein, which in turn drains directly into the portal vein. When portal pressure increases, such as with cirrhosis, there is dilation of veins in the anastomosis, leading to esophageal varices.
DIAGNOSIS OF ESOPHAGEAL VARICES
- Esophogastroduodenoscopy (EGD)
- MRI scan
- CT scan
- Doppler ultrasound
TREATMENTS FOR ESOPHAGEAL VARICES
- Beta-blockers
- Control measures for bleeding
- Treatment for liver pathology
PROGNOSIS OF ESOPHAGEAL VARICES
- Prognosis is based on the stage of the disease, duration and condition of the patient
COMPLICATIONS OF ESOPHAGEAL VARICES
Esophageal varices may lead to severe bleeding and life-threatening complications, including death.
ESOPHAGEAL VARICES AND AYURVEDA
- In Ayurveda, esophageal varices are managed based on the treatment of ‘yakridodara’
NIDANA- AYURVEDIC CAUSES OF ESOPHAGEAL VARICES
- Excess consumption of dry, acrid, sour food
- Improper functioning of agni
- Improper administration of Pancha Karma therapy
- Negligence of treatment of diseases, like Pliha Roga (splenic disorder)
- Vega sandharana – Suppression of the manifested natural urges
- Vitiation of the channels of circulation
PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF ESOPHAGEAL VARICES
- Difficulty in swallowing, bloating
SAMPRAPTI – AYURVEDIC PATHOGENESIS OF ESOPHAGEAL VARICES
- Due to the above-mentioned causes doshas aggravated especially pitta. The vitiated doshas reside in the stomach and esophagus and produce symptoms.
LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF ESOPHAGEAL VARICES
- Chardi – vomiting
- Daurbalya –Weakness
- Aruchi -anorexia
- Kostha vata shula -distension of alimentary tract by wind and colic pain
- Murchha –fainting
- Anaha (immobility of wind in the abdomen)
- Agni nasha -loss of the power of digestion
- Aasya vairasya – distaste in the mouth
- Antar rakta srava – internal bleeding
AYURVEDIC PROGNOSIS OF ESOPHAGEAL VARICES
- Sadya (curable) in the early stage and manageable in the chronic stage with proper Ayurvedic remedies.
CHIKITSA- AYURVEDIC TREATMENT FOR ESOPHAGEAL VARICES
AYURVEDIC SAMANA TREATMENT FOR ESOPHAGEAL VARICES
- Pippali rasayana
- Ksheera shatpala ghrita
- Pravala panchamrita rasa
- Punarnava mandura
- Mahashankha vati
AYURVEDIC SHODHANA TREATMENT FOR ESOPHAGEAL VARICES
- Virechana – mild purgation (in early stages)
COMMONLY USED AYURVEDIC MEDICINES FOR ESOPHAGEAL VARICES
Internal administration
- Pippali rasayana
- Mahashankha vati
- Ksheera shatpala ghrita
- Pravala panchamrita rasa
- Punarnava mandura
HOME REMEDIES FOR ESOPHAGEAL VARICES
- Consume fluid rich soft food
- Consume fibre rich food
DIET AND BEHAVIOUR FOR ESOPHAGEAL VARICES
- Avoid food items which produce pitta dosha imbalance like more acrid and sour. Because dosha imbalance aggravates the symptoms.
- Consume easily digestible food items, cow’s milk
- Timely intake of food
- Drink an appropriate quantity of water
- Avoid alcohol and smoking
YOGA FOR ESOPHAGEAL VARICES
- Nadi Shuddi Pranayam
The patient needs to be seated in a meditative posture with the head and spine erect, with the body relaxed. The patient has to close his one nostril (e.g. left nostril if using the right hand and vice versa) with the thumb and exhale completely through the other nostril. Again, he will have to breathe in deeply through the other nostril while the opposite nostril is still closed with the thumb.
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