Barrett’s esophagus is a complication of gastroesophageal reflux disease (GERD). Which, stomach acid frequently irritates the lining of esophagus leading to heartburn and damage to the tissue of esophagus.
- SIGNS AND SYMPTOMS OF BARRETT’S ESOPHAGUS
- CAUSES OF BARRETT’S ESOPHAGUS
- PATHOPHYSIOLOGY OF BARRETT’S ESOPHAGUS
- DIAGNOSIS OF BARRETT’S ESOPHAGUS
- TREATMENTS FOR BARRETT’S ESOPHAGUS
- PROGNOSIS OF BARRETT’S ESOPHAGUS
- COMPLICATIONS OF BARRETT’S ESOPHAGUS
- BARRETT’S ESOPHAGUS AND AYURVEDA
- NIDANA- AYURVEDIC CAUSES OF BARRETT’S ESOPHAGUS
- PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF BARRETT’S ESOPHAGUS
- SAMPRAPTI – AYURVEDIC PATHOGENESIS OF BARRETT’S ESOPHAGUS
- LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF BARRETT’S ESOPHAGUS
- AYURVEDIC PROGNOSIS OF BARRETT’S ESOPHAGUS
- CHIKITSA- AYURVEDIC TREATMENT FOR BARRETT’S ESOPHAGUS
- AYURVEDIC SAMANA TREATMENT FOR BARRETT’S ESOPHAGUS
- AYURVEDIC SHODHANA TREATMENT FOR BARRETT’S ESOPHAGUS
- COMMONLY USED AYURVEDIC MEDICINES FOR BARRETT’S ESOPHAGUS
- HOME REMEDIES FOR BARRETT’S ESOPHAGUS
- DIET AND BEHAVIOUR FOR BARRETT’S ESOPHAGUS
- YOGA FOR BARRETT’S ESOPHAGUS
- RESEARCH PAPERS ON AYURVEDIC MANAGEMENT OF BARRETT’S ESOPHAGUS
SIGNS AND SYMPTOMS OF BARRETT’S ESOPHAGUS
- Burning pain in the chest – heartburn
- Sour belching
- Acid regurgitation
- Discomfort and burning feeling in the stomach
- Burning pain aggravated during the night
- Difficulty in swallowing
CAUSES OF BARRETT’S ESOPHAGUS
- Long-standing GERD is the major cause of Barrett’s esophagus
- Defect in the functioning of the lower esophageal sphincter leads to GERD
- The condition is aggravated by,
- Certain medications like NSAID
- Stress
- Anxiety
- Alcohol
- Smoking
- Spicy foods
- Sour foods
- Digestive disorders
PATHOPHYSIOLOGY OF BARRETT’S ESOPHAGUS
The above-mentioned causes result in stomach acid backing up into the esophagus and irritating the epithelial lining in the esophagus. The irritation feels like burning pain in the chest. Acid reflux happens when the lower esophageal sphincter doesn’t tighten or close properly. This causes digestive juices from the stomach to rise into the esophagus and leads to damage to the lining of esophagus.
DIAGNOSIS OF BARRETT’S ESOPHAGUS
- Endoscopic examination
- Ambulatory acid probe tests
- Esophageal pH monitoring
- X-ray – to find out the normal positioning and shape of esophagus
TREATMENTS FOR BARRETT’S ESOPHAGUS
- Antacids
- Acid blockers
- Proton pump inhibitors
- H 2 receptor blockers
- Surgical interventions
PROGNOSIS OF BARRETT’S ESOPHAGUS
- Prognosis is based on the stage of the disease, duration and condition of the patient.
- Severe cases may require surgeryto avoid serious complications.
COMPLICATIONS OF BARRETT’S ESOPHAGUS
- Esophageal cancer
BARRETT’S ESOPHAGUS AND AYURVEDA
- In Ayurveda, symptoms ofbarrett’s esophagus is managed based on the treatment of ‘amlapitta’
NIDANA- AYURVEDIC CAUSES OF BARRETT’S ESOPHAGUS
- Excess consumption of dry, acrid, sour food
- Improper functioning of agni
PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF BARRETT’S ESOPHAGUS
- Acid regurgitation followed by burning pain in the chest
SAMPRAPTI – AYURVEDIC PATHOGENESIS OF BARRETT’S ESOPHAGUS
- Due to the above-mentioned causes doshas are aggravated especially pitta. The vitiated doshas reside in the stomach and esophagus and produce symptoms of barrett’s esophagus.
LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF BARRETT’S ESOPHAGUS
- Burning sensation
- Sour belching – amla udgaram
- Vomiting
- Bitter taste in mouth – tikta asyatha
AYURVEDIC PROGNOSIS OF BARRETT’S ESOPHAGUS
- Sadya (curable) in the early stage and manageable in the chronic stage with proper Ayurvedic remedies.
CHIKITSA- AYURVEDIC TREATMENT FOR BARRETT’S ESOPHAGUS
AYURVEDIC SAMANA TREATMENT FOR BARRETT’S ESOPHAGUS
- Guluchyadi kashayam after food
- Drakshadi gulika along with amalaki swarasa ( gooseberry juice)
- Shatavari ghrita
- Shankha bhasma
- Amlapittantak lauha
- Shaddharanam churna
- Shankha vati
- Avipattikara churna- along with honey at bedtime
- Nalikera khanda
AYURVEDIC SHODHANA TREATMENT FOR BARRETT’S ESOPHAGUS
- Vamana – emesis
- Virechana – purgation
COMMONLY USED AYURVEDIC MEDICINES FOR BARRETT’S ESOPHAGUS
Internal administration
- Guluchyadi kashayam
- Drakshadi gulika
- Shatavari ghrita
- Shankha bhasma
- Amlapittantak lauha
- Shaddharanam churna
- Shankha vati
- Avipattikara churna
HOME REMEDIES FOR BARRETT’S ESOPHAGUS
- Intake of gooseberry
- Intake of resins
- Drinking a glass of water at the early morning
DIET AND BEHAVIOUR FOR BARRETT’S ESOPHAGUS
- Avoid food items that produce pitta dosha imbalance like more acrid and sour. Because pitta imbalance aggravates the symptoms.
- Consume easily digestible food items, cow’s milk
- Timely intake of food
- Drink an appropriate quantity of water
- Avoid alcohol and smoking
YOGA FOR BARRETT’S ESOPHAGUS
- Nadi Shuddi Pranayam – Calms the mind and gets relief from the discomfort associated with barrett’s esophagus
The patient needs to be seated in a meditative posture with the head and spine erect, and the body relaxed. The patient has to close one nostril (e.g. left nostril if using the right hand and vice versa) with the thumb and exhale completely through the other nostril. Again, he will have to breathe in deeply through the other nostril while the opposite nostril is still closed with the thumb.
RESEARCH PAPERS ON AYURVEDIC MANAGEMENT OF BARRETT’S ESOPHAGUS
1. Studies on Urdhwaga Amlapitta and its Management with Shatavari Ghruta
- A clinical study on amlapitta and its management with chhinnodbhavadi ghanavati
https://ijapr.in/index.php/ijapr/article/download/74/285/
Consult Dr. Rajesh Nair for Barret’s Esophagus here
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Expert,
Ayurveda Medicine, India
Writer:
Dr. Rajesh Nair, the co-founder and chief consultant of Ayurvedaforall.Com, is a graduate of prestigious Vaidyaratnam Ayurveda College (affiliated with the University of Calicut), Kerala, India. Additionally, he holds a Postgraduate Diploma in Yoga Therapy from Annamalai University.
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