Friday 21 June 2019

Amoebic Liver Abscess

Amoebic Liver Abscess

It can be compared with Abhyantara Vidhradhi.
Amoebic Liver abscess is a collection of pus in the liver in response to an intestinal parasite.

Causes

Amoebic Liver Abscess is caused by entamoeba histolytica . this is the same parasite that causes amoebic . an intestinal infection has occurred the parasite may be carried by the blood from the intestine to the liver.
The diseases spread from eating food or water that has been contaminated with feces ( something due to the use of human waste as fertilizer ) it is also spread through person to person contact.

The infection occurs worldwide but is most common in tropical areas where crowded living conditions and poor sanitation exist . Africa Latin American , Southeast Asia and India have significant health problems from this diseases.

Risk factors for Amoebic Liver abscess including.

1 Alcoholic

2 Cancer

3 Immunosuppression including HIV infections

4 Malnutrition

5 Old age

6 Pregnancy

7 Recent travel to a tropical resion.

8 Steroids

Symptoms

1 Abdominal Pain , particular in the right , upper part of the abdomen.pain in intense , continuous or stabbing.

2 Cough

3 Diarrhoea

4 Hiccups

5 Loss of appetites

6 Weight loss

7 Fever and chills

8 Jaundice

9 Sweating

Lab Investigation

1 CBC

2 LFT

3 Serological for amoebiasis

4 Stool testing for amoebiasis

5 USG - Abdomen

6 CT Scan - Abdomen

7 MRI

Principal of Treatment

Shodhana Chikitsa

Panchakarma

1 Pachana - Panchkola Churna 3 gm TID for 3 days.

2 Snehana - Katukarohinyadi Ghirtha

3 Virechana - Patoladi Kashaya 80 ml

4 Raktamokshana - Siravyadha.

Shamana Chikitsa

1 Agnitundi Vati 250 mg TID with honey

Before meals.

2 Arogyavardhini Vati 250 - 500mg BD with honey after meals.

3 Panchatika Ghirtha Guggul 2 TID with warm water after meals.

4 Kutaja arista 20ml TID with warm water after meals.

5 Varunadi Kwath 20 ml BD with warm water before meals.

Yoga Therapy

1 Kapalabhati 5 Minutes

2 Bhastrika 5 minutes.

Diet and lifestyle

Pathya ( indications )

1 Katu , Tikta , Kashaya Rasa darvya , Laghu , Ushna , Srotoshodhana Ahara .

Apthya ( Contraindications )

Madhura , Amla , Lavana Rasa Ahara Dravya. Viruddhahara , Ajeernashana.
Adhyashana , Abhishyandi Sahara.

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