Acute appendicitis is an acute inflammation of the appendix, and is characterized by discomfort in the suitable or central abdomen, nausea and fever. If handled with conservative management which includes intravenous fluids and antibiotics, this inflammation subsides in most patients then again, some consumers tend to have recurrent episodes of this condition, in which case they are ordinarily advised surgical removal, in order to keep away from the risk of rupture of the appendix. Alternatively, some patients have a partial obstruction of the appendix and mild bacterial infection, in which case the condition is recognized as chronic appendicitis. This condition calls for a higher degree of alertness on the part of the physician or surgeon to effectively diagnose the condition and institute timely remedy. Modern day investigations like blood tests, x-rays, ultrasound and scanning can aid in the diagnosis.
The Ayurvedic treatment of chronic or recurrent appendicitis consists of antibiotic and anti-inflammatory therapy, manage of pain and removal of any residual obstruction in the appendix so as to avoid recurrence. Medicines like Sukshma-Triphala, Triphala (3 fruits), Triphala-Guggulu, Panch-Tikta-Ghrut-Guggulu and Punarnavadi-Guggulu are employed to treat local infection in the intestines. Other medicines like Kutaj-Parpati and Panchamrut-Parpati can also aid in this method. Medicines like Kamdudha-Ras, Sutshekhar-Ras, Praval-Panchamrut-Ras, Yashtimadhuk (Glycyrrhiza glabra), Amalaki (Emblica officinalis), Haritaki (Terminalia chebula), Praval-Bhasma, Shankh-Bhasma, Guduchi (Tinospora cordifolia), Saariva (Hemidesmus indicus) and Usheer (Vetiveria zizaniodes) are utilised to lower inflammation in the appendix and the adjoining parts of the intestines.
Medicines like Arogya-Vardhini, Punarnavadi-Guggulu, Punarnavadi-Qadha, Varunadi-Qadha, Punarnava (Boerhaavia diffusa), Tulsi (Ocimum sanctum), Mandukparni (Centella asiatica), Nimba (Azadirachta indica), Daru-Haridra (Berberis aristata), Haridra (Curcuma longa), Chirayta (Swertia chirata) and Varun (Crataeva nurvala) are made use of to resolve any obstruction in the appendix and therefore minimize swelling, inflammation and lump formation in the appendix. Medicines like Agnitundi-Vati, Vish-Tinduk-Vati, Shankh-Vati, Chitrakadi-Vati, Hingashtak-Churna, Lashunadi-Vati, Vishwa (Zinziber officinalis), Yava-Kshar and Surya-Kshar are applied to lessen discomfort in the abdomen and abdominal distention. These medicines are also valuable in decreasing or stopping nausea and vomiting.
Most of the above mentioned medicines need to be given for a minimum period of three months in order to bring about a total resolution of chronic appendicitis and thereby reduce probabilities of a recurrence of the condition. The exact same medicines are equally successful in acute appendicitis then again, there is a greater risk of perforation which the patient and the care takers need to be produced aware of. Though the risk of perforation is substantially lesser with chronic appendicitis, this risk ought to be pointed out to the patient and the treating physician must always be alert for any attainable signs and symptoms which could indicate a perforation. Once it is clear that the appendicitis has resolved fully, medicines like Suvarna-Sutshekhar-Ras and Suvarna-Parpati might be used to tonify the intestines and additional reduce chances of a recurrence.
