Jalodara ( Ascites )

Jalodara ( Ascites )

Ascites is the accumulation of free fluid in the space between lining of the abdomen and Abdominal organs.

Causes

Ascites results from high pressure in the blood vessels of the liver ( portal hypertension ) and low level of a protein called albumin.

Diseases that can cause severe liver damage can lead to ascites . These include long term hepatitis C or B infection and alcohol abuse over many years.

People with certain cancer in the abdomen may develop ascites these include cancer of the Colon . Ovaries . Uterus . Pancreas and liver

Other conditions that can cause this problems including.

1 Clots in the veins of the liver ( porat vein thrombosis )

2 Congestive heart failure

3 Pancreatitis

4 Thickening and scarring of the sac like covering of the heart kidney dialysis may also be linked to ascites.

Symptoms

Symptoms may develop slowly or suddenly depending on the causes of ascites . You may have no symptoms if there is only a small amount of fluids in the Belly .

As more fluid collects you may have abdominal pain and bloating large amounts of can cause shortness of breath.

Many other symptoms of liver failure may also be present.

Exams and Test

Physical exam to determine the amount of fluids in your belly fluids thrill test.

Shifting dullness test

You may also have the following test to assess your liver and kidney

1.. 24 -hours urine collection

2 Electrolyte levels

3 Kidney Functions Test

4 Liver Function Test

5 Test to measure the risk of bleeding and protein levels in the blood

6 Urinalysis

7 Abdominal Ultrasound

Your doctor may also use a thin needle to withdraw ascites fluids from your belly . The fluid is tested to look for the causes of ascites.

Principal of Treatment

Shodhana Chikitsa

Panchakarma

1 Virechana

2 Niruha Basti

3 Anuvasana Basti

Shamana Chikitsa

Drug of choice - Katuki , Jayaphala .Camel milk .

Main Drug's - Katuki , Pippli , Punarnava. Gokshukra.

Recommended Classical Formulation

1 Ichhabhedi Ras 125 mg TID with warm water after meals

2 Jalodarari Rasa 125 mg TID with warm water after meals.

3 Narach Rasa 125 mg BD with warm water after meals.

4 Punarnava Mandura 500mg TDS after meals with water .

5 Punarnavashtaka kwath 20 ml BD with warm water before meals.

6 Trikatu Churna 1 gm BD with warm water after meals.

Pathya ( indications )

Cow milk , yava , moonga , cow urine .

Apthya ( Contraindications )

Guru , Vidhahi , Abhishyandi substances , excess salt.