Can Ayurveda Helps In Treating Ulcerative Colitis?

Abstract

Ulcerative colitis (UC) is a type of inflammatory bowel disorder (IBD) that causes inflammation in the inner lining of the colon and the rectum, causing symptoms such as diarrhea, rectal bleeding and mucus in the stool etc. The symptoms of ulcerative colitis can fluctuate over time, with periods of flare-ups followed by periods of remissions, where symptoms lessen or disappear altogether. Ulcerative colitis is less common in the region such as Asia, Africa and the parts of South America. But due to lifestyle and diet changes, Japan, China and India are experiencing rising rates of ulcerative colitis. It commonly develops in young adults, with the highest incidences occurring between the age of 15 and 30. But it is also observed in older adults. The incidence of UC has been increasing globally.

Introduction

Ulcerative colitis (UC) is an inflammatory bowel disease that leads to irritation, inflammation, and the formation of ulcers in the lining of the colon (large intestine). While there is no cure, UC is typically a lifelong condition with symptoms that come and go. However, with the right treatments, people with UC can manage the disease and maintain control over symptoms.

Ulcerative colitis

Inflammatory Bowel Disorder (IBD)

Inflammatory Bowel Disorder (IBD) refers to a group of chronic conditions that cause inflammation in the digestive tract. The two main types of IBD are Ulcerative Colitis (UC) and Crohn’s Disease (CD). UC mainly affects the colon and the rectum, causing symptoms like diarrhea, abdominal cramps and rectal bleeding. In this the inflammation is usually limited to the innermost layer of the colon. On the other hand, Crohn’s Disease (CD) can affect any part of the digestive tract, often causing symptoms like pain, diarrhea and weight loss. It can affect all the layers of bowel wall, leading to deeper inflammation.

Causes and risk factors of Ulcerative Colitis (UC)

The precise cause of ulcerative colitis is not completely known, but it is thought to result from a mix of genetic, immune system and environmental influences.

1. Genetic factor

if someone in your family has UC, you may be more likely to develop it, suggesting there is a genetic connection.

2. Immune system dysfunction

UC may happen when the body’s immune system mistakenly attacks the healthy tissues in the colon, causing inflammation.

3. Environmental triggers

Things like diet, infections and even the use of antibiotics can set off UC in people who are genetically at risk.

4. Diet

Diets that are high in fats and low in fiber, which are common in western countries, have been linked to an increased risk of UC.

5. Antibiotics

Taking antibiotics, especially during childhood, might mess with the gut bacteria and increase the risk of developing uc.
6. Age – UC typically develops in young adults (15-30 years), with the small peak in older adults (60-70 years).

7. Psychological stress

While stress does not directly cause UC, it may trigger flare-ups or worsen existing symptoms in affected individuals.

Types of Ulcerative Colitis (UC)

Ulcerative colitis has four main types. These types are generally classified on the basis of where the inflammation occurs or how severe it is. The symptoms can vary from one type to another, depending how much colon is involved.

1. Ulcerative Proctitis

Location – Only the rectum is involved.
Symptoms – This is the mildest form and may cause symptoms like rectal bleeding, urgency, mild discomfort or pain in the lower abdomen
Severity : Generally mild, easy to manage.

2. Proctosigmoiditis

Location – Involves rectum and sigmoid colon.
Symptoms – Diarrhea, cramping, blood in the stool, urgency and incomplete evacuation.
Severity – Moderate, generally manageable with medications.

3. Left-sided Colitis (Distal Colitis)

Location – Affects the left side of the colon, including the descending colon and sigmoid colon.
Symptoms – Along with diarrhea and blood in stool, patients may also have left-sided abdominal pain, weight loss and Severity
Severity – More severe than proctitis and proctosigmoiditis, but usually manageable with treatment.

4. Pancolitis

Location – Affects the entire colon.
Symptoms – Diarrhea with blood, severe abdominal cramps, urgency, weight loss, fever and fatigue.
Severity – This is the most severe type of ulcerative colitis.

Symptoms of Ulcerative Colitis (UC)

Symptoms of UC depends upon the severity and location of the inflammation, they are as follow

Diarrhea – Frequent, watery and maybe mixed with blood or mucus.
Rectal bleeding – Visible blood in the stool.
Abdominal pain or cramps – Typically on the lower abdomen, specially on the left side.
Urgency – Uncontrollable urge to have bowel movement.
Weight loss – Due to malabsorption of nutrients and reduced appetite.
Fever – Mild fever during flare-ups.
Dehydration – From excessive diarrhea, leading to symptoms of dehydration.

Ulcerative Colitis Flare-ups

UC flare-ups occur when symptoms worsen, causing increased diarrhea (often with blood), abdominal pain, urgency, rectal bleeding and fatigue. These flare-ups can be triggered by stress, certain foods, infections or missed medications. Managing flare-ups typically involves adjusting medications, avoiding triggering food, staying hydrated, using stress reducing techniques like deep breathing and meditation.

Diagnosis of Ulcerative Colitis (UC)

Diagnosis of UC is made with the following steps:

Assessment of symptoms.
Physical examination.

3. Blood tests

C-reactive protein (CRP) or erythrocyte sedimentation rate (ESR) – Elevated
Hemoglobin or Hematocrit levels – Low

4. Stool tests

Stool culture
Fecal calprotectin test – Elevated

5. Imaging

CT scan
MRI
Colonoscopy

Management of Ulcerative Colitis (UC)

Management of UC involves the following steps:

Continue taking your prescribed medication daily.
Avoid greasy and high fiber food.
Limit or avoid sugary, carbonated and alcoholic drinks.
Keep a food diary to track any food that might trigger the flare-ups.
Eat smaller lighter food throughout the day instead of three larger ones.
Limit your intake of dairy products.
Take steps to reduce stress.
Medications such as corticosteroids, immunosuppressants, antibiotics and probiotics are used.

Complications of Ulcerative Colitis (UC)

UC can lead to several major complications, especially if it is not well controlled. Some of the complication include

Colon perforation
Toxic megacolon
Increased risk of Colorectal cancer
Severe bleeding
Nutritional deficiencies
Electrolyte imbalance.

Ayurvedic aspect

In ayurveda, Raktatisara is a condition that shares similarities with the ulcerative colitis. Both involve symptoms such as bloody diarrhea, abdominal pain, and inflammation in the anorectal region, which are often linked to ulcerations of the colon and rectal mucosa.

पित्तातिसारीयस्त्वेतांक्रियांमुक्त्वानिषेवते | पित्तलान्यन्नपानानितस्यपित्तंमहाबलम् || कुर्याद्रक्तातिसारंतुरक्तमाशुप्रदूषयेत् | तृष्णांशूलंविदाहंचगुदपाकंचदारुणम् ||

(charak.chikitsasthan19/69-70)

According to Acharya Charaka, individuals with Pittatisara (diarrhea with frequent, hot, foul-smelling stools), caused by an imbalance in the Pitta dosha, are at risk of developing Raktatisara if they fail to follow Pathya Aahara (proper dietary) and Vihara (lifestyle) practices. This condition is aggravated by excessive consumption of hot, spicy, sour, salty, and fried foods, as well as by stress and emotional strain. Continuous intake of Pitta-dominating foods and exposure to environmental stressors like heat can worsen Pittatisara (diarrhea with frequent, hot, foul-smelling stools) and potentially lead to Raktatisara.

In Raktatisara, the presence of blood in the stool and symptoms like thirst, abdominal pain, burning sensations, fever, and anorectal inflammation reflect an active stage of a condition similar to UC. The poor absorption of water and electrolytes, resulting from mucosal destruction in the intestines, further complicates the condition. Agnimandhya (impaired digestion) is identified as the primary cause of diseases like atisara (diarrhea). In the treatment of all types of atisara (diarrhea), it is important to first assess whether the condition is linked to Apakva (undigested food) or Pakva (properly digested food). This assessment is crucial in determining the right course of treatment. Treatment plan may include Agni Dipana (boosting digestive strength), Ama Pachana (clearing undigested food), Grahi (managing diarrhea), Stambhana (controlling bleeding), Dhatu Poshaka (nourishing the tissues), and Sattvavajaya Chikitsa (providing psychological support).

Herbal Remedies for UC by Planet Ayurveda

Planet Ayurveda offers effective herbal remedies, including the Ulcerative Colitis Care Pack, designed for the Natural Treatment of Ulcerative Colitis. These remedies combine a variety of high-quality, Ayurvedic herbs and are formulated in accordance with traditional Ayurvedic principles. They are completely free from chemicals, additives, and preservatives, ensuring a natural and pure approach to health. All products from Planet Ayurveda are 100% vegetarian, natural, and pure, providing a holistic alternative for managing health.

Product Description

1. Arjuna Capsules

These capsules are made from a standardized extract of arjuna (Terminalia arjuna). This herb is known for its cooling and astringent properties, thus helps in balancing pitta and assists in controlling excess blood flow. It is known for its shramhara (fatigue-relieving) and trishnahara (thirst-relieving) properties, thus helps in alleviating fatigue and dehydration, common issues in people with UC. This herbal supplement can be a great addition to a wellness routine, especially in managing conditions like Ulcerative Colitis, where maintaining balance and reducing inflammation is key.

Dosage : 2 capsules twice a day with water after a meal.

2. Pitta Balance Capsules

These capsules are prepared with the herbs such as Giloy Satva (Tinospora Cordifolia), Mukta Pishti (a calcium compound from pearls), and other natural ingredients to help regulate the Pitta dosha. These capsules are beneficial in ulcerative colitis. These capsules support the digestive system, reduce inflammation and reduce the risk of further damage.

Dosage : 1 capsule twice a day with water after a meal.

3. Vatsakadi churna

This is an herbal blend that combines several powerful herbs, including Bilva (Aegle marmelos), Kutaz (Holarrhena antidyssentrica), Dhania (Coriandrum sativum), Nagarmotha (Cyperus rotundus), and Jaiphal (Myristica fragrans), among others. These herbs are known for their digestive-supporting properties, which help balance Agni (digestive fire) and promote a healthy digestive system overall.Kutaz is well-known for its ability to help reduce diarrhea and calm the digestive system, while Bilva is praised for its anti-inflammatory effects, which help soothe and balance the gut. Thus these capsules help in maintaining overall digestive health.

Dosage : 1 tsp twice daily with water after meals, or boil 1 tsp in 400 ml water until 50 ml remains, strain and drink.

4. Kutajghan Vati

It is a beneficial Ayurvedic supplement due to its primary ingredient, Kutaja (Holarrhena antidysenterica), which is known for its ability to soothe the gastrointestinal tract and reduce inflammation. It has antimicrobial and anti-inflammatory properties, making it effective in managing symptoms of UC, such as diarrhea and abdominal discomfort. By promoting healing in the gut and calming the digestive system, Kutajghan Vati helps restore balance in the body and can be a supportive natural remedy for individuals with UC.

Dosage: 2 tablets twice a day with water after a meal.

Conclusion

In this article I concluded about ulcerative colitis (UC). It is an inflammatory bowel disease that leads to irritation, inflammation, and the formation of ulcers in the lining of the colon (large intestine). We discussed about Inflammatory Bowel Disorder (IBD), difference between ulcerative colitis and crohn`s disease, its causes, triggers, types, symptoms, flare-ups, diagnosis, management, complications, ayurvedic aspect and herbal remedies by planet ayurveda.

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