Management of Acute Necrotizing Pancreatitis through Ayurveda Regimen: A Case Report

Abstract

Necrotizing pancreatitis is an extreme complication of acute pancreatitis. Acute pancreatitis is an inflammation of the pancreas. Pancreas sits behind the stomach. One of its main functionsis to make enzymes that help in digest the food. Normally, those enzymes flow through a small opening into small intestines. If pancreas becomes inflamed, the enzymes can start to leak into parts of the pancreas instead. These enzymes can sometimes kill pancreatic tissue, resulting in necrotizing pancreatitis. The dead tissue can get infected and cause life-threatening complications. Cardinal symptoms are abdominal pain (boring nature), nausea, vomiting, and tenderness in abdomen, pain worsened after eating, steatorrhea and weight loss. Assessments were made using Elevated levels of Serum Amylase and Lipase. In modern science, management is Lifelong enzymes, Periodical Emergency hospitalisation, IV fluids, painkillers, anti-inflammatory, andantibiotics, ERCP stunting, surgical intervention. It involves high cost, side effects and in many cases, there is progression of disease leading to fear, frustration and debility among sufferers. In Ayurveda three doshas are described as Vata, Pitta, Kapha.  Pitta dosha we have substances exactly similar to enzymes. The features of acute pancreatitis are similar to the features of pitta where tikshna and ushna guna of pitta are aggravated. The observations reveal that, Ayurvedic regimen can play a key role in the management of conditions like pancreatitis. A 25years old male patient diagnosed with acute necrotizing pancreatitis. At the end of the treatment, there was considerable improvement in the subjective and objective criterias. The treatment strategies followed in this study can be safely adopted under the supervision of competent specialist.