What is Rakta Atisara ( Ulcerative Colitis )

Rakta Atisara ( Ulcerative Colitis ) is a long term condition that causes inflammation and ulceration of inner lining of the colon and rectum. The inflammation usually begins in the rectum and sigmoid colon and spread upward to the entire colon. Rakta Atisara ( Ulcerative colitis ) rarely affects the small intestine. The severity of the symptoms varies, depending on how much of the rectum and colon is inflamed and how severe the inflammation is. It occurs at the rate of approximately five cases per 100,000 people. The disease pattern is one of the remission and exacerbation. It can occur at any age but its onset is most common among people between ages of 15 – 40. Rakta Atisara ( Ulcerative colitis ) affects male and females equally and appears to run in some families which means Rakta Atisara ( Ulcerative Colitis ) can be genetic.

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CAUSES :

The exact cause of Rakta Atisara( Ulcerative Colitis ) is not known. Factors that have all been suggested are:

  • Autoimmune factors
  • Food allergies
  • Collagen disorders
  • Genetic factors
  • Infection and Psychogenesis

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One or some combination of these factors thought to trigger the inflammatory process. The theory of the involvement of the immune mechanism has been widely accepted because of concept that therapeutic agents like Corticosteroids and Azothiaprine exert their effect via the immuno suppressive mechanism.

The psychological factors of feelings like anger and anxiety of the degree of depression experienced by a sufferer are also important in modifying the course of the disease.

How Rakatatisaar ( Ulcerative Colitis ) affects the intestines?

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In Rakatatisaar ( Ulcerative Colitis ), inflammation is triggered by some unknown elements. The swollen, engorged bowel is fragile and is therefore inclined to ulcerate, thus creating a break in the mucosal barrier. Digestive enzymes and intestinal bacteria act upon this exposed tissue, causing further irritation, inflammation, ulceration and bleeding.

What are the symptoms of Rakta Atisara ( Ulcerative Colitis )

Symptoms of Rakta Atisara ( Ulcerative Colitis ) are:

  • Frequent loose stools with passage of blood and mucous
  • Patient may complain of abdominal pain
  • Fatigue
  • Loss of weight
  • Loss of body fluids and nutrients
  • Some patients also have skin lesions
  • Joint pain
  • Inflammation of eyes and Liver disorders

If patient have proctitis, patient may not have diarrhea, but still frequently feel an urgent need to have a bowel movement. If patient has ulcerative colitis, there is a chance that he or she could develop problems in other parts of your body. These can include mouth ulcers, skin rashes and inflammation (redness or pain) in eyes, skin or joints. Problems outside the large bowel often occur during a flare-up but can also happen while patient is in remission.

Symptoms of Rakta Atisara ( Ulcerative Colitis ) varies according to types of Ulcerative Colitis.

Left-sided Colitis
Symptoms include loss of appetite, weight loss, diarrhea, severe pain on the left side of the abdomen, urgent desire to go to toilet and bleeding.

Pan-ulcerative (total) Colitis
Symptoms include diarrhea, severe abdominal pain, cramps, rectal urgency and extensive weight loss. Potentially serious complications include massive bleeding.

Proctosigmoiditis
Symptoms include bloody diarrhea, cramps, and a constant feeling of the need to pass stool, known as tenesmus. Moderate pain on the lower left side of the abdomen may occur in active disease.

Ulcerative Proctitis
Ulcerative proctitis tends to be a milder form of Proctosigmoiditis. It is associated with fewer complications and offers a better outlook than more widespread disease

Possible complications of ulcerative colitis include:

  • Severe bleeding
  • A hole in the colon (perforated colon)
  • Bone loss (osteoporosis)
  • Severe dehydration
  • Poor growth and development
  • Increased risk of blood clots in veins and arteries
  • Inflammation of your skin, joints and eyes, and sores in the lining of your mouth
  • Liver disease (Primary sclerosing cholangitis)
  • Toxic megacolon (A rapidly swelling colon)
  • Bowel cancer

The Ayurveda view

Saint Sushruta mentioned in Sushruta Samhita about 3000 years ago that Pitta type people are more prone to Rakatatisaar ( Ulcerative Colitis ).