Ascities

Ascities is that condition of body in which, fluid is accumulated in the cavity of abdomen. The stomach gets swollen. There is a heavy and uneasy feeling. The legs are swelled up. Even breathing is not normal, which causes rapid palpitation.The condition is quite painful and the person suffering from it finds it extremely inconvenient to even move around. In Sanskrit, ascites is called jalodara. This word is made up from two words jala meaning water and udara meaning stomach.

Mild ascites is hard to notice, but severe ascites leads to abdominal distension and umblicus eversion. Patients with ascites generally will complain of progressive abdominal heaviness and pressure as well as shortness of breath due to mechanical impingement on the diaphragm. Ascites is detected on physical examination of the abdomen by visible bulging of the flanks in the reclining patient (“flank bulging”), “shifting dullness” or in massive ascites with a “fluid thrill” or “fluid wave” . Other signs of ascites may be present due to its underlying etiology. For instance, in portal hypertension (perhaps due to cirrhosis or fibrosis of the liver) patients may also complain of leg swelling, bruising, gynecomastia, hematemesis, or mental changes due to encephalopathy. Those with ascites due to cancer (peritoneal carcinomatosis) may complain of chronic fatigue or weight loss. Those with ascites due to heart failure may also complain of shortness of breath as well as wheezing and exercise intolerance

Ayurvedic herbal treatment for ascites includes oral medication to treat the known causes for the condition, specific treatment to reduce accumulation of fluid, as well as treatment to remove the obstruction, which is usually present due to cirrhosis of the liver. Diet regulation plays an important part in the Ayurvedic management of ascites. Most patients with confirmed ascites are initially given an exclusive diet of milk for six months, followed by a mixture of milk and other liquids for another three months, after which light diet is advised for another three months.