Ayurvedic Aspect of Encapsulating Peritoneal Sclerosis

ABSTRACT

Encapsulating Peritoneal Sclerosis (EPS) is an uncommon cause of intestinal obstruction that is characterised by fibrotic encapsulation of the colon as a result of a progressive intra-abdominal inflammatory process. The main symptoms of encapsulating peritoneal sclerosis include inflammatory parameters, gastrointestinal obstruction, and macroscopic abnormalities. By the International Society for Peritoneal Dialysis as a syndrome characterised by symptoms of intestinal obstruction caused by diffusely thickened peritoneum adhesions. Now, we discuss Encapsulating Peritoneal Sclerosis in detail.

INTRODUCTION

Encapsulating Peritoneal Sclerosis is a rare but severe peritoneal dialysis complication. This condition primarily affects people who have been on peritoneal dialysis for a long time. Encapsulating Peritoneal Sclerosis is also known as abdominal cocoon syndrome, calcific peritonitis, peritoneal fibrosis, peritoneal sclerosis, and sclerosing encapsulating peritonitis. It is classified into four stages: pre-eps, inflammatory illness, encapsulation, and chronic ileus. Early detection of this condition is critical for a better prognosis.

CLASSIFICATION OF ENCAPSULATING PERITONEAL SCLEROSIS

The clinical stages of encapsulating peritoneal sclerosis are as follows

• Stage 1: Pre-EPS stage: The patient is asymptomatic with minimal ascites and no inflammation at this stage.
• Stage 2: Inflammatory Disease: Patients in this stage of encapsulating peritoneal sclerosis are symptomatic. The main symptoms of this stage are nausea and diarrhoea.
• Stage 3: Encapsulation: Inflammation can occur at this period. Inflammation can range in severity from moderate to severe.
• Stage 4: Chronic ileus: Patients have absolute intestinal obstruction due to thickening of the encapsulating fibrous cocoon. At this point, there is little inflammation.

CAUSES OF ENCAPSULATING PERITONEAL SCLEROSIS

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

RISK FACTORS OF ENCAPSULATING PERITONEAL SCLEROSIS

1. Duration of peritoneal dialysis
2. Organ transplantation
3. Acute cessation of peritoneal dialysis
4. Peritonitis
5. Young age
6. Composition of dialysis fluid
7. Ultrafiltration failure
8. Exposure to chlorhexidine

SYMPTOMS OF ENCAPSULATING PERITONEAL SCLEROSIS

1. Abdominal pain
2. Vomiting
3. Anorexia
4. Nausea
5. Pyrexia
6. Abdominal fullness
7. Constipation
8. Early satiety
9. Weight loss
10. Ischemia
11. Malnutrition
12. Strangulation
13. Ascites

DIAGNOSIS

1. Physical examination
2. CT-scan
3. MRI
4. Radiography
5. Ultrasound

TREATMENT OF ENCAPSULATING PERITONEAL SCLEROSIS

1. Nutritional therapy
2. Antifibrotic drugs
3. Anti-inflammatory drugs
4. Immunosupressive
5. Tamoxifen
6. Surgical

PREVENTION

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

AYURVEDIC ASPECT OF ENCAPSULATING PERITONEAL SCLEROSIS

According to Ayurveda, encapsulating peritoneal sclerosis is associated with anna vaha sroto dushti, which aggravates vata dosha. Abdominal pain, intestinal blockage, and constipation come from vata aggravation. Some ayurvedic remedies, such as snehana, swedana, and shodhana, can help balance vata. Muscle fat, ghee, oil, and bone marrow are administered to the patient in snehana to balance the doshas. Following snehan, patients are offered fomentation therapies such as nadi sweda, prastara sveda, and sankara sveda, among others. The herbs varun, bhumiamla, gokshur, punarnava, and triphala are beneficial in the treatment of encapsulating peritoneal sclerosis.

SOME HERBAL REMEDIES FOR ENCAPSULATING PERITONEAL SCLEROSIS BY PLANET AYURVEDA

Planet Ayurveda is a global company that heals both humans and animals. This company is GMP-certified. These medicines from Planet Ayurveda are all natural and have no negative effects. These medications are manufactured under the supervision of MD ayurvedic doctors. Planet Ayurveda manufactures medication in the form of tablets, syrup, and churna. Planet Ayurveda provides the following products for encapsulating peritoneal sclerosis:

PRODUCT LIST

1. MUTRAKRICHANTAK CHURNA
2. NEPHRALKA CAPSULES
3. SARAL GHAN VATI
4. TRIPHALA CAPSULES
5. AVIPATTIKAR CHURNA

1. MUTRAKRICHANTAK CHURNA

Mutrakrichantak churna is a multi-herbal formulation that is formulated by Planet Ayurveda with the help of Crataeva nurvala (Varun), Bhumi Amla (Phyllanthus niruri), Tribulus terrestris (Gokshur), and Kalmegh (Andrographis paniculata). This churna helps in the natural reduction of creatinine and urea levels. It is the most effective treatment for renal health and helps to avoid dialysis. This medication primarily helps in the normalisation of the filtering function of the kidney. This herbal remedy can also help with high uric acid, high urea, kidney stones, and urinary tract infections.

Dosage: Take 1 teaspoon twice daily.

2. NEPHRALKA CAPSULES

Nephralka capsules are a multi-herbal formulation that is formulated by Planet Ayurveda with the help of extracts of Phyllanthus niruri (Bhumi Amla), Mooli satva extract (Raphanus sativus), Rheum emodi extract (Revandchini), Kalmegh extract (Andrographis paniculata), and Boerhavia diffusa extract (Punarnava). These are the most effective capsules for managing renal functions. The kalmegh in this formulation stimulates appetite and is used in the treatment of anorexia. Punarnava is the most effective herb for treating fever, discomfort, and inflammation. Bhumyamalaki is used to prevent heart problems. As a result, this capsule is quite beneficial in the treatment of encapsulating peritoneal sclerosis.

Dosage: Take 1 capsule twice daily.

3. SARALGHAN VATI

Saral ghan vati is a single herbal formulation that is formulated by Planet Ayurveda with the help of Saral (Pinus roxburghii). It acts as a diuretic, flushing toxins from the body. It possesses antioxidant qualities that help reduce inflammation. It is also a laxative and has antispasmodic properties. It helps with indigestion, fever, intestinal worms, skin diseases, localised swelling, and gynaecological disorders.

Dosage: Take 2 tablets twice daily with lukewarm water.

4. TRIPHALA CAPSULES

Triphala capsules are multi-herbal capsules that are formulated by Planet Ayurveda with the help of Terminalia chebula (Haritaki), Bibhitaki (Terminalia bellerica), and Emblica officinalis (Amalaki). It helps in the improvement of intestinal health and the removal of toxins from the body. It also strengthens the immune system and has antioxidant and rasayana qualities. Haritaki, which is incorporated into this capsule, helps to strengthen the digestive system and boost metabolism. Amalki is a high source of vitamin C, which promotes liver health and immunity. Bibhitaki is well known for its liver health benefits. Triphala therefore helps digestion, eliminates toxins, and enhances immunity.
Dosage: Take 1 capsule twice daily.

5. AVIPATTIKAR CHURNA

Avipattikar churna is a multi-herbal formulation that is formulated by Planet Ayurveda with the help of Piper longum (pippali), Sonth (Zingiber officinale), Cyperus scariosus (Nagarmotha), Vaividang (Embelia ribes), Elettaria cardamomum (Choti Elaichi), Cinnamomum tamala (Tejpatra), and other ingredients. All of the components in this churna work primarily on the digestive system and enhance digestion. The anorexia (loss of appetite) is managed by the presence of Nagarmotha in this churna. This churna effectively treats the symptoms of globus pharyngis. As a result, this churna is quite beneficial for digestion. This formulation boosts the immune system and reduces gastrointestinal infections.

Dosage: Take ½ teaspoon twice daily with warm water.

CONCLUSION

Encapsulating Peritoneal Sclerosis is an uncommon cause of intestinal obstruction that is characterised by fibrotic encapsulation of the colon as a result of a progressive intra-abdominal inflammatory process. Encapsulating Peritoneal Sclerosis is a rare but severe peritoneal dialysis complication. This condition primarily affects persons who have long been on peritoneal dialysis. According to Ayurveda, encapsulating peritoneal sclerosis is associated with anna vaha sroto dushti, which aggravates vata dosha. Abdominal pain, intestinal blockage, and constipation come from vata aggravation. Some ayurvedic remedies, such as snehana, swedana, and shodhana, can help balance vata. In Planet Ayurveda, there are some herbal remedies that give effective results in Encapsulating Peritoneal Sclerosis without causing any side effects.