Manging Trigeminal neuralgia with Ayurvedic diet and lifestyle

 Clinical experience series

Considering the inflammatory aspects of Pitta aspect in managing Trigeminal Neuralgia. 

A 39-year-old woman from the middle east who lives a sedentary lifestyle came to see us with terrible headaches that had been bothering her for a week. She had a history of lengthy flights during the previous two weeks, and the doctor prescribed antibiotics to treat her headache as a sinusitis attack. However, the pain persisted after taking the medications, and now it radiates to her neck and face as well as the left side of her head.

We saw her via a video conference, and based on the location and type of discomfort, we believe she has trigeminal neuralgia rather than sinusitis.

What is Trigeminal Neuralgia? 

Trigeminal neuralgia (TN), commonly known as tic douloureux, is a chronic pain illness characterised by intense facial pain that occurs suddenly. It affects the trigeminal nerve, also known as the fifth cranial nerve, which supplies sensation and nerve signals to various areas of the head and face.

Source site

According to Ayurvedic, her body's hotness, or pitha dosha, is enhanced, causing inflammation of the trigeminal nerve, which aggravates the pain after antibiotics. 

Theoretically, antibiotics that reduce upper respiratory tract infection can be considered kapha reducing / infection reducing. This hot potency may increase the heat of the body, and if there is any increase pitha/inflammation, the intake of hot potent antibiotics will worsen the increased pitha/inflammation. The same thing happened in her situation.

The next step was to figure out the underlying reason for the elevated pitha characteristics, so we examined her current food and way of living.

 

The existing diet and way of life were as follows:

She woke up at 10:00 AM. (According to Ayurveda, the morning hours between 10:00 AM and 2:00 PM are known as pitha time, during which the body's natural temperature will be high. Since she was up during this period, it may have contributed to her body's elevated pitha or inflammation.)

Breakfast at 11:30 a.m. includes fermented food iddli, spicy poha, toast with eggs, and tea with oat milk.

Lunch is taken around 2:30 PM and consists of roti or rice with ghee, kidney beans, and vegetables. (Kidney beans are not recommended since they stimulate inflammation, and lunch is served at a late hour, which could interfere with digestion and promote inflammation.)

Evening snacks about 6:00 PM are typically coffee, spicy and salty snacks, cheese, occasionally fruits. (All  these foods can cause inflammation.)

8:30 pm to 9:30 pm for dinner 

Chinese-style noodles with spicy sauces, shawarma wraps with hummus, mixed veggie tikki with a turi, broccoli soup, or rice with chicken combined with yogurt.

(Yogurt, sauerkraut, and other inflammatory foods are consumed at night.)

12:30 AM to 1:00 AM: Sleep. (Sleeping late at night might worsen vata and pitta imbalances.) 

Analysis of digestive capacity (Agni) 

Her tongue was red with inflammatory symptoms, she craved semi-solid foods with spicy flavours, was ok with sweet and bitter tastes, and detested salty, sour, and acidic flavours. 

Observations: 

Her preference for spicy food indicates that her digestive fire in her stomach is weak, which is why it disturbs her digestion. As a result, the blood formed in her body becomes inflamed, which is why she has inflammatory signs in her body like rosacea in her face and red patches on her body. To reduce this inflammation, her body prefers sweet and bitter tastes because they reduce the inflammation.

Source site

Spicy food contains a fire element, which may be beneficial for digestion, but raising body temperature causes inflammation.

 The main challenge we encountered in this case was how to increase digestive capacity without increasing inflammation. To address this, we chose a bitter-tasting drug called guluchayadi kashayam, which is based on plant Guduchi (Tinospora cordifolia) and has both digestive fire-increasing and inflammation-reducing properties. Ghee was also included, which has the similar virtue.

The treatment approach: 

We devised a 28-day treatment for her in three phases. 

• The first week, we used ghee and guluchi to try to manage her metabolism and reduce inflammation.
• The second and third weeks are spent attempting to directly address the inflammation of the trigeminal nerve.
• Fourth week - After the nerve inflammation has subsided, we will focus on treatments that will increase the nerve's strength.

The main dietary and lifestyle modifications First week:

The time for waking up has been adjusted to 7:00 a.m. 

Practise cleansing your bowels first thing in the morning.

7:30 - 7:45 a.m. Take rice water with ghee - Soak 1 teaspoon white rice overnight in 500 ml water, then boil this water and reduce it to 50 ml, add 1 /2 teaspoon simple ghee, and drink. Mild loosening exercises, attempting to move all joints in all directions.

Breakfast - Points considered at 8:00 a.m. 

Avoid fermented and spicy foods, and limit your intake of animal protein. 

If your appetite is strong, go for toast with white bread and butter. Avoid whole wheat and millet bread.

If you have a regular appetite, eat white rice porridge with coconut milk, ghee, and sugar candy.

Skip breakfast or take a poached apple if your appetite is low.

10:30 am. - No juice time; she may have sweet berries if necessary. Avoid eating sour fruits.

Lunch - 1:00 PM  

Can continue the balanced meal as needed by the body for the day: White rice rice/gluten-free roti and millets should be avoided. 

 

Plant protein – green or yellow lentils (avoid brown lentils and kidney beans).

Protein derived from animals:

Whitefish, lamb, and duck eggs can be used.  

Chicken, chicken egg, and

Avoid eating turkey, pork, beef, and redfish. 

Milk protein - Avoid fermented milk products, Panner. 

 

Vegetables:

Gourds, bitter-tasting veggies, broccoli, carrots, etc. 

Reduce the amount of green vegetables, tomatoes, and small onions. 

Avoid eating cabbage, cauliflower, garlic, and chili peppers.

 

Use butter, ghee, coconut oil, or olive oil for fat. Sunflower and pumpkin seed oils should be reduced. Mustard oil should be avoided. 

Spices: Turmeric, black pepper, coriander seed, cardamon, fennel, dry ginger, yellow pepper

Reduce the use of clove, bay leaf, and fenugreek.

4:00 PM - Eat fresh fruits, steamed veggies, cucumber, and coconut water. 

Reduce your intake of spicy foods. 

7:00 p.m. - Her instinct told her to favor protein with veggies or carbs with vegetables. 

For dinner, I avoided soup, salads, seafood, cheese, and fermented foods.

9:00 p.m.- 5 soaked almonds (skinless) & 5 soaked resins 

11:00 p.m. - Time for bed.

First week's medication: 

Tab. Guluchyadi kashayam 2 pills should be taken after breakfast and dinner.

Made a paste of coriander leaves without any water and applied it to the painful area in the daytime before 10 am or after 3 pm. Once it has dried, wipe it off with a soft tissue.

continued with the same routine and food for the second week. 

Second week of medication: 

1. Tab. Guluchyadi kashayam 

Two pills should be taken after breakfast and dinner.

2. Take a half-teaspoon of thikthakam gritham with 50 ml of rice water on an empty stomach.

Continued using the coriander paste on alternate days for external use.

Making a paste of jadamayadi choornam with boiling water on alternate days, applying it to the affected regions once it has cooled, and wiping it off with a soft cloth once it has dried.

Third week:  maintained the same routine and diet.

Guluchyadi kashayam, tab 

2 pills after lunch; 

2 teaspoons of thikthakam gritham mixed with 50 ml of rice water when taken on an empty stomach.

3. A half-teaspoon of avipathi choornam before bedtime on alternate days is recommended. 

Continue using jadamayadi on alternate days for external treatment 

Nasyam: After cleaning your teeth in the morning, put one drop of Anuthailam in each nostril.

Fourth week - Followed the same schedule and diet as the previous week Medication during the second week - 

1.Thikthakam gritham half teaspoon with 50 ml rice water on alternate days on an empty stomach 

Stop taking Guluchyadi kasahayam and avipathi choornam. 

External therapy - Nasyam - After brushing, put 2 drops of Ksheerabala in each nostril.

We stopped the medicine and advised her to follow the eating pattern for another two weeks when the discomfort had fully vanished after four weeks of treatment.

Key Notes: 

• To minimise inflammation, we must avoid pro-inflammatory foods and lifestyle patterns. 
• We must include more bitter-tasting foods.
• Avoid hot powerful foods such as red meat, millet, and seeds. 
• While using antibiotics, be mindful of the inflammatory triggering points displayed by the body and modify the drug and antibiotic dosages accordingly.

 

Constipation- Does it really need laxatives?

Clinical experiences series:

Ayurvedic considerations in management of constipation. 

According to Ayurveda, the food you eat is transformed into three categories by digestion:

1. Sara/Nutrients: are necessary for healthy physiological processes including bodily movements, digestion, etc. These are nutrients the body utilities its metabolic functions. 
2. Kitta/Waste: These are the bye products of cellular metabolism. These are ultimately discharged feces, urine, perspiration, etc., 
3. Mana/Mind: In order to maintain a sound mind, pleasant chemicals like serotonin and dopamine need to be produced. When this path is affected, it may affect the thoughts and sleep.

Whenever we address a constipation problem, we need to understand whether the constipation is caused by a lack of adequate nutrients like dietary fibre, magnesium, etc., is it by stress, or by any other problem with the intestine's peristaltic movements and water reabsorption.

This article narrates a 35-year-old woman with heavy job pressure, has experienced constipation for the past five years along with an under active thyroid function.

Her existing diet and life style was as follows :

Waking up: 6:00 AM

Diet pattern

Drink 1.5 litter, warm water - This much water in empty stomach will reduce the digestive capacity, which may leads to bloated feeling, constipation, etc.

Breakfast time 8:00 AM,

Egg - (Chicken egg increase constipation)

Dosa- fermented pan cake – (Regular use of Dosa will increase acidity of stomach leads to allergies)

Snack – 11:00 AM

Boiled Egg – (Not good for constipation)

Lunchtime: 2:00 PM

White rice, chicken, Dal, Spinach, (White rice and chicken may increase constipation.)

Afternoon Snacks: 4:00 PM,

Fruits & water with honey – (Honey not good for constipation.)

Dinner time 8:00 PM

Grilled chicken with yogurt, salads, - (Yogurt and chicken increase constipation , salads may produce bloated feeling.)

Sleeping Time - 11:00 pm

In our observation, her current diet contains less fibre, so even if she ate salads for supper, they could not have been adequately digested because digestion is often slower at night.

In addition, she often consumes chicken, chicken eggs and yogurt since they have the grahi characteristic, which means they will restrain bowel movements. This lessens the peristaltic action, which causes constipation.

Guidelines

How much quantity you should eat?

Quantity of food: Generally, you need to fill half of the stomach’s capacity with solids; one-fourth with liquids and rest has to be kept empty for the free movements of body humors. You should not feel heavy after any food, especially after dinner.

How much to drink?

Your water intake should be decided by your urine color. Normal urine is light yellow in color, if it is too much clear, reduce the water intake and if it is on the darker side or there is a strong smell, increase the water intake.

How you need to eat food?

While you are eating, give your full concentration on eating. Do not watch mobile or do not talk with your friends. Pray before having meals.

Sample Diet for 21 days.

Empty stomach – Mix ½ teaspoon melted ghee with rice water

(To prepare rice water – Soake 1 teaspoon of white rice in 200 ml of water for overnight, Moring boil it for 10 minutes)

Breakfast - (Avoid chicken egg it will increase constipation)

Coffee with jaggrey ( which will help to reduce constipation. Avoid honey and white sugar)

If appetite is excellent,

• Prefer like gluten free bread toast / foxtail millet roti (thina)with butter (which will help to produce serotonin in intestine).

If appetite is normal,

·       Prefer some porridge with warm nut milk (rice, foxtail millet)

·       Any of your traditional breakfast can also include (reduce the intake of fermented food – 1or 2 days/ week, instead of take green gram chila with chopped leafy vegetables like coriander, fenugreek, etc.)

If appetite less.

Prefer pouched apple with cinnamon. Any seasonal fruits. (avoid mango and pomegranates both of them increase constipation).

Snack 11:30 – Try to include vitamin C fruits like berries, mint lime juice, orange, etc. which will helps you to increase your metabolism.

Avoid egg

Lunch -12:30 to 1:30pm

Try to include all six tastes for lunch like

Sweet- carbohydrate, (rice /than millet/noodles/pasta)

Sour -vitamin (vegetables – lime)

Salty - mineral, (salt)

Spicy - minerals, (spices, animal protein )

Bitter – protein and vegetable (dhal, vegetables)

Astringent – protein and vegetables (dhal, vegetables)

Vegetables 

• Green vegetables, like spinach 3-4 day/ week (cooked with ginger, small onion turmeric)
• Leafy vegetables that are rich in iron, magnesium, selenium, etc. it will help for constipation, your mental thoughts and increase immunity.

Fruit vegetables – gourds like snake gourd , ridge gourd, ash gourd , bitter gourd, tomato, okra , broccoli, etc. take 3-4 days steamed as it is rich in antioxidants. 

• Reduce – Cabbage, cauliflower, Brussel sprouts. Bottle gourd, pumpkin. (all of them are difficult to digested by your body).
• Roots & stems- Carrots – (Rich in antioxidants) always prefer in the steamed form for better absorption. 2-3 days/week
• Beet root –1-2 days per weeks. (good to reduce constipation)
• Potato or sweet potato – (Try to add little cumin to avoid gas formation.) 2-3 days/week.

Protein (Take one type of Protein at a time)

• Plant protein - Green gram/ tur dal/masoor dhal- (Soaked and discard the water in which it is soaked, add turmeric, cumin and ginger while cooking. Reduce the intake of soya, Rajma, chickpea,
• Milk Protein –
• Paneer – 1-2 days/ week
• Cheese- 1-2 days/ 14 days
• Reduce yogurt and butter milk (both may cause constipation)
• Animal protein – Mutton, white fish, Duck egg, quail egg,
• Reduce red fish, red meat, chicken, chicken egg

Take Carbohydrates such as brown rice, pasta, Roti, Noodles, spaghetti etc.

• Brown rice OR whole grain cereals 2-3 days/week.
• Foxtail millet (thina)- 1-2 day/ 10 days.

Seeds/ nuts

Ayurveda believes in having a small quantity of fat is essential for body functions especially the neurological functions. Take a maximum of 1 teaspoons of oil per day.

Take olive or coconut oil with your food.

Or ½ teaspoon of ghee or 1 teaspoon of butter with lunch.

Afternoon Snacks. 3:00 to 5:00 PM

If you are hungry, take any home-made snack like rice cake, gluten free snacks, steamed vegetables with nuts.

Fruits: seasonal locally available fruits are recommended.

Avoid coffee in the afternoon.

Dinner - 6:00 -7:00 PM

Avoid salads, cheese, brown lentil, chickpea, pumpkin and animal protein like chicken and red fish in the night time.

Normally digestive fire is weak after sun set, it’s better to have light and easily digesting dinner. If you ate more for dinner, try to avoid your breakfast or have lighter breakfast.

Try to take an early light dinner with mainly carbohydrate and vegetables, which helps repairing process of body and to get a good sleep. This will pacify your Vata. You can try any of the following combinations.

Kichadi with vegetable

Sweet potato with steamed vegetables

Soup with barley and vegetable 2-3 day/ week. ( which will help you to increase bulkiness in stool)

Green gram chilla with leafy vegetables.

If you having late night dinner -reduce the next day’s breakfast.

Bed Time

5 -8 soaked almond without skin (helps to induce good sleep)

On alternate days -

Take 16 to 21 soaked black raisin for 21 days. (act as magnesium supplement helps to reduce constipation)

Herbal water:

Make herbal water with ¼ teaspoon coriander seed, 2 harad (Terminalia chebula) and three cardamoms. Boil this in 2 litres of water and reduce it to 1 and ½ litter and drink this lukewarm during the day.

Medicine:

1. Tab. Gandharavahasthadi Kwatham/Kashayam  

Dosage: 1 tablet before dinner.( if you get tablet or kwatham)

2. Thriphaladi choornam   - Add 20 gm powder with 4 lite water and boil it of 20 minutes and then do stiz bath with this water ( once in a week)

Result after 21 days

She is having regular bowel movements and her constipation has decreased, advised to stop taking the Gandarwahasthadi tab and to keep up with her diet and Sitz Bath.

Prepared by 

Dr. Poornima Sreelal 

The authour can be contacted through info.ayurdiet.in@gmail.com or connect through whatsApp +91-9447762555. 

 

 

 

 

 

 

 

 

Managing Ulcerative Colitis grade-III, through diet correction and Ayurvedic medication

 Case experience series:

Ulcerative Colitis - Relevance of diet & thought process

We received a message from a friend who expressed concern about his friend's daughter, who had been receiving allopathic treatment for ulcerative colitis for a period of three years prior. She was admitted in the hospital. The doctors had now suggested surgery as the condition had worsened to the point of second-degree colitis, since she was weak they were considering to do the procedure or not. the Parents were looking for a medical specialty to treat this problem.

We connected with her through video call, she was born and raised in the Middle East. Her parents moved to India when she was 20 years old, and due to a change in climate and food, she had an episode of food poisoning. They were able to control the infection with antibiotics, but after one month, she once again experienced stomach problems with more than 20 toilet visits with green, watery stools and occasionally bloody stools, and she lost a lot of weight also. For last 3 years she is developing inflammation in the gut currently it became as second degree ulcerative colitis. She spent the previous week surviving on IV fluids because she was unable to eat anything due to nausea. 

 

What is ulcerative colitis? 

Ulcerative colitis is an inflammatory bowel disease (IBD) that causes inflammation and ulcers (sores) in your digestive tract. Ulcerative colitis affects the innermost lining of your large intestine, also called the colon and rectum.

Her case is diagnosed as Ulcerative colitis, E3 (Severe disease -spontaneous bleeding, ulceration)

Image of her report:

Ayurvedic view:

Her digestive fire, or agni, is weak, and her Pitha dosh, or inflammation, increases in the lower abdomen, according to Ayurveda. We gathered a thorough history of her nutrition and way of life at the time in order to rule out the underlying causes of her increased Pitha/inflammation.

 

Her Diet and life style were as follows:

Waking up time: 7:0 

Breakfast time 8:00 AM, 

(Millet roti) Ragi roti Idli or dosa pancakes with fermented batter, spicy rice flacks with chillies, onions, and lime juice tea made with cow milk, toast with eggs, According to Ayurveda, foods like chicken egg toast, spicy poha, and fermented foods like idli cause inflammation. 

Lunch: 1:00 PM 

Wheat roti with vegetable curry: Since her digestive fire is weak, wheat may not digest properly and may trigger inflammation. 

Afternoon Snacks: 4:00 PM, 

primarily coffee with a few jaggery, spicy, and salty nibbles. All of these are foods that cause inflammation, especially jaggrey,  which is an iron-rich sweetener with a laxative effect. 

Dinner time  8:00 PM 

Wheat or rice with vegetable or mustard leaf curry Wheat and mustard leaves  both foods will aggravate inflammation. 

Sleeping  Time - 11:00 pm 

First set of management

As a first step, we need to stop the nausea and slowly increase her digestive fire so that she is able to eat properly. For that purpose, 

External treatment - we suggested to  wipe her body with lukewarm nalapamara water, as nalapamara is a combination of 4 herbs that have blood purification properties, asked them to do this two times per day during daytime for two days. and continue the IV,

Did not start any internal medication or diet due to nausea .

On the third day, we began giving her puffer rice /Lajja water, As puffed rice is consider to increase agni or digestive capacity .

Preparation:-we made by adding 1 teaspoon of puffed rice to 100 ml of water, boiling it, and then reducing it to 50 ml. This helped her feel less queasy. 

After the nausea subsided, we began the arrowroot decoration. Which will helps to reduce tiredness and helps the body to correct gut bacteria and enhance water absorption from intestine and reduce diarrhoea and gut inflammation .

Preparation :_For this, we added 1 teaspoon of arrowroot powder, 1/2 teaspoon of coriander seed, and a slice of dry ginger to 500 ml of water, then boiled it and reduced it to 50 ml. Gave this water for three days between 11:00 a.m. and 2:00 p.m. during the day. 

Around 4:00 p.m., we also suggested her 50 ml of coconut water mixed with crushed cardamom seeds, but she refused to drink that, so we stopped that 

Diet Pattern after 1 week :-

After a week, we began to feed plain ghee on an empty stomach with 50 ml of Lukewarm rice water. 

Between 1:00 pm and 5:00 p.m., she ate arrow root porridge with coriander and dried ginger water. At this stage, she was able to eat the food through the mouth. IV support is withheld.

Second step of Treatment approach as per Ayurveda:

After one week once she able to eat properly we prepare the line of approach for her treatment as 3 stages 

         First phase: boost metabolism and lessen diarrhoea 

Second stage: Repair the inflamed colon and streamline stool production.

Third stage: strengthen the gut bacteria and improve gut-brain axis function.

The key changes made in diet and lifestyle in the first stage

For 21 days, she  should follow a very strict  diet with few components, staying away from the majority of fibre-rich fruits, vegetables, grains, legumes, and sweeteners like honey and agave nectar.

First stage:

7:00 a.m.: Wakeup.

Early morning rice water with ghee: Soak 1 teaspoon white rice overnight in 500 ml of water. The next morning, boil this water and reduce it to 50 ml. Add 1 or 2 teaspoons of plain ghee and drink.

7:30: Slight breathing exercise and chanting of Vishnu Manthra, which helps her reduce inflammation.

8:00 a.m.: Breakfast

Arrow root porridge with coriander, dry ginger water, and white sugar.

10:30 p.m.: No snacks or beverages

1:00 PM: Lunch

Carbohydrate –

Use: white rice, jowhar roti, and Arrow root powder roti.

Avoid millets like foxtail, Indian millet, ragi, etc.

Protein

Plant protein: use green or orange lentils.

Avoid: all other lentils and kidney beans.

Milk protein (Paneer): once every 2 weeks

Avoid fermented milk products.

Vegetables –

Use: snake gourds, bitter gourds, raw banana.

Avoid: leafy vegetables, tomatoes, small onions, cabbage, egg plant , pumpkin cauliflower, garlic, chilli pepper, and all other vegetables.

Fat

Use: butter, ghee, coconut oil, or olive oil (12 to 1 teaspoon per day).

Avoid mustard oil, sunflower oil, and pumpkin seed oil.

Spices –

Use: coriander seed, cardamon, fennel, dry ginger

Reduce: clove, bay leaf, fenugreek, turmeric, black pepper,

Avoid: red chilli, cumin, asafoetida, coriander powder, ginger, red pepper, fish sauce, sour Chinese sauce, cinnamon, star anise, and ajwain.

Evening snack time 4:00 PM:

Use sweet fruits, like poached apple or steamed banana, Coconut water with crushed cardamon 

Reduce spicy snacks. If needed puffed rice with salt and pepper

Dinner time - 7:00 pm: 

Carbohydrates with vegetables were recommended, like well-cooked vegetable rice or rice roti with vegetable curry.

avoided soup, salads, cheese, and fermented food for dinner.

Bed time  10:00 pm 

Medication for the first stage:

1. Guluchyadi Kashayam Tablet

Dosage: 2 tablets after dinner.

2. Indukantham Kashayam Tablet

Dosage: 2 tablets after lunch.

External treatment: a herbal bath with lukewarm nalpamaradi water.

After the first phase of treatment, she was able to take food, the blood in the stools were stopped, stool colour changed to brown, she experiences pain in her stomach during  defecation, and she showed physical and mental weakness.

In the second stage:

Further changes in diet

Morning rice water with ghee : -  instead of plain ghee, introduce indukantham gritham.

Morning 10:00 am ;- advised to take  medicated pomegranate juice three times time / week.

After lunch: - medicated buttermilk after lunch, 2 times per week.

Medication for the second stage:

1. Indukantha Gritham

Dosage: 12 teaspoon with lukewarm 50 ml rice water.

2. Kutajavaleham

1/2  teaspoons after lunch and dinner for 4 days a week.

3: Guluchyadi Kashayam Tablet

Dosage: 2 tablets after lunch, 2 times per week.

External treatment:

Continue the herbal water bath with Nalapamaram choornam 

Jadamayadi paste application: make a paste of jadamayadi choornam with boiling water and apply it on the tummy for 5 minutes.

After the second stage, bathroom visits are reduced to 6 to 8 times, in which 3 or 4 times the stool were normal with a yellow colour without any signs of inflammation.

Third Stage: 

Continued the same schedule and diet

Medication for the third week:

1.Chargerayadi Gritham

Dosage: 1/2 teaspoon with lukewarm 50 ml rice water.

2. Kutajavaleham

12 teaspoons after lunch and dinner for 4 days a week.

3: Indukantham Kashayam Tablet

Dosage: 2 tablets after lunch, 2 times per week.

External treatment:

Continue the herbal water with nalpamaradi water.

Instead of Jadamayadi Choornam, ask her to do Pichu with Ksheerabala Thailam.

Note:"Pichu" involves placing a piece of cotton soaked in oil on a particular area of the body for a period of time depending on the site and condition. Benefits. It is used for localised pain and inflammation.

Result :

After the 3^rd  stage of treatment done a colonoscopy , result as follows :

The ulcerative colitis improved to Grade1-2, with signs of colon recovery.

Observations:

• Avoiding foods and lifestyle choices that cause inflammation is necessary to minimise inflammation.
• Avoid hot, potent foods like seeds, millets, and red meat.
• While using antibiotics, be mindful of the increased inflammation noted in Pitta type personalities.
• Reduce the number of insoluble dietary fibres, multigrain foods, leafy vegetables, etc.; add more readily digestible simple starch foods; and drink no more than 800 ml to 1 litre of water each day to stop diarrhoea.

 

Prepared by 

Dr. Poornima Sreelal

BAMS. M.Sc. Clinical Nutrition and dietetics. 

The author can be contacted through info.ayurdiet.in@gmai.com or +91-9447762555