ABSTRACT
The gastrointestinal tract is an endoderm derived organ system that terminates at the anus and originates at the mouth. This controls blood flow and regulates secretions which ultimately maintain proper physiological balance. As we know that gut motility is controlled by enteric ganglia and interstitial cells of Cajal (pacemaker cells) and maintain muscle contractions in the gut. This disorder can be managed naturally and safely by Ayurvedic treatment to avoid surgeries and long term side effects. Ayurveda manages this diseases with herbs, herbal remedies, and proper diet. Planet Ayurveda provides the effective herbal remedies for Hirschsprung disease.
INTRODUCTION TO HIRSCHSPRUNG DISEASE
Hirschsprung disease is a devastating neurocristopathy disorder usually associated with the inability to pass meconium along with discomfort and abdominal distension. This condition is severe conditions necessitate surgical removal of aganglionic bowel. HSCR is a birth defect in which there is an absence of ganglions (nerve cells), this ultimately blocks the movement of stool through intestines (peristalsis). Peristalsis is a process that creates wave-like contractions that propel stool and other toxic materials from the digestive system. Abnormality in this process may lead to constipation and obstructions of bowel partially or completely.
EPIDEMIOLOGY OF HIRSCHSPRUNG DISEASE
Hirschsprung disease usually affects males from 3-4 times as compared to females. According to the studies, this disease affects approximately one in 50,000 individuals once in a lifetime. This occurs shortly after birth and may develop in adults with a history of constipation.
CAUSES OF HIRSCHSPRUNG DISEASE
Hirschsprung disease is known to be associated with a mutation in several different gene mutations and abnormalities. It is believed that if a person is predisposed to disease and carries a gene, but the symptoms don't get triggered without any external environmental factor. There are two main groups of genes i.e. RET genes and ENDRB genes. Some of the genetic syndromes like Mowat-Wilson, Waardenburg, Bardet-Biedel, Cartilage-Hair hypoplasia, etc. can be associated with this disorder.
SYMPTOMS AND SIGNS INVOLVED IN HIRSCHSPRUNG DISEASE
Newborn with HSCR show a major symptom that includes failure to pass the meconium shortly after birth. Meconium is a dark-colored substance of sticky consistency present in the intestine at birth and is passed as the first bowel movement after birth. It is believed that failure in passing the first stool for about 24-48 hours is an indication of the onset of HSCR.
Symptoms shown by infants or child may include:-
- Abdominal pain
- Vomiting
- Constipation
- Slow growth rate
- Poor weight gain
- Sudden fever
- Infrequent bowel movements
Symptoms may vary in newborns, some of them are following:-
- Brown or green colored vomit
- Explosive stools
- Abdominal swelling
- Bloody diarrhea
DIAGNOSIS OF HIRSCHSPRUNG DISEASE
A physician or doctor will go through the following details before confirming the condition:-
- Physical examination
- Family history
- Symptoms
- Clinical diagnosis
Clinical manifestations include rectal biopsy, Abdominal X-ray, Anorectal manometry and lower GI series.
COMPLICATIONS OF HIRSCHSPRUNG DISEASE
HCSR may lead to a complicated condition known as enterocolitis which is inflammation of the colon and small intestines. This is referred to as Hirschsprung-associated enterocolitis that occurs in almost 3-4% of individuals with HSCR. This situation mostly occurs after the Swenson procedure and diarrhea after the soave pull-through procedure.
TREATMENT IN MODERN MEDICAL SYSTEM
In the modern medical system, it is recommended to surgically remove colectomy by either ostomy or pull-through surgery. Both of the procedures may result in some complications like narrowing of arms, diarrhea, constipation and leaking stool from the anus. These alternatives can be painful and may have side effects which may lifelong.
ALTERNATIVE TREATMENT BY PLANET AYURVEDA FOR HIRSCHSPRUNG DISEASE
Planet Ayurveda is offering 100% pure and natural herbal supplements i.e. Arvindasava Syrup, Infee Syrup, and Chawarka for ayurvedic treatment of Hirschsprung Disease.
1. Arvindasava Syrup
Arvindasava Syrup is an amazing herbal combination of several traditional Ayurvedic herbs like Kamala (Nelumbium specisum), ushira (Vetiveria zizanioides), Gambhari (Gmelina arborea), Utpala (Nymphaea stellata), Manjishtha (Rubia cordifolia), Ela (Elettaria cardomomum), Bala (Sida cordifolia), Jatamansi (Nardostachys jatamansi), Musta (Cyperus rotundus), sariva (Hemidesmus indicus), Amalaki (Emblica officinalis), Maru mansi (Selinium tenufolium), Shyama (Ipomoea turpethum), etc. All these herbs possess anti-viral, anti-oxidant, anti-inflammatory, immunomodulatory and aphrodisiac properties. Mansi in this herbal combination is an amazing sedative, neuroprotective, antispasmodic and carminative agent. All over this syrup is beneficial in relieving various digestive conditions like indigestion, constipation and improves loss of appetite.
Dosage - 5 drops two times a day or as directed by the physician.
2. Infee Syrup
Infee syrup is an Ayurvedic proprietary medicine that contains two key herbs i.e. Yashtimadhu / Mulethi (Glycrrhiza glabra) and Guduchi (Tinospora cordifolia). Mulethi promotes longevity and beneficial in pacifying aggravated Vata and Pitta dosha. It is an amazing immune-modulator that helps in enhancing the immunity and strength of the body. Mulethi possesses anti-inflammatory and analgesic properties therefore it helps manage indigestion, heartburn and peptic ulcers. Guduchi provides vitality to the body by improving immunity, stamina and its adaptogenic action maintains physiological action. This product ensures the healthy growth of the child and protects them from gastrointestinal tract infections.
Dosage - It is advised to take 5 drops two times daily.
3. Chawarka
Chawarka is an herbal blend that contains four traditional herbs i.e. Saunf (Foeniculum vulgare), Ajvayan (Trachyspermum ammi), Makoy (Solanum nigrum) and Punarnava (Boerhavia diffusa). Fennel seeds (Saunf) in this blend regulates appetite, digestion and boosts metabolism. Ajwain effectively reliefs acidity and indigestion. Makoy possesses sedative, expectorant, anti-inflammatory and sedative properties which helps in aiding healthy digestion. Punarnava helps in strengthening stomach muscles and reduces digestive problems.
Dosage - 5 drops two times a day.
Contact my assistant to provide you the costing / ordering and delivery information at - costing.planetayurveda@gmail.com or call at +91-172-5214030
DIETARY GUIDELINES
Proper diet for children with HSCR can help in reducing gas, bloating and improving stool texture.
- Reduced intake of concentrated sugars and sugar alternatives
- Avoid candies, chocolate, cookies, juice, and syrups
- Avoid alternatives such as sorbitol, sucrose, and mannitol
- Should not consume jam and honey
- Should prefer eating a high-fiber diet
- Add whole-grain bread, unsweetened pasta, buns, brown rice, barley, millet and cereals in the diet
- White bread, white rice, pastries, and sweetened cereals may trigger the symptoms
- Can consume dairy products but only after noticing the tolerance
- Try to add lactose-free milk or soy milk
- Avoid flavored milk, ice creams, custard, pudding, custard, yogurt, and almond or rice milk
- You can add lenticels, eggs, chickpeas (small amounts), tofu and poultry in alternatives.
- One should not include glazed meat products and sweet marinades.
- Affected individuals are advised to take three meals along with one or two snacks each day.
CONCLUSION
The above-detailed discussion on Hirschsprung disease concluded that the modern medical system is helpful and can be proved as miracles but we need a natural alternative treatment for better management. Ayurvedic treatment can be a better preference which will eliminate the root cause of the ailment and that too without side effects.
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