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Abdominal Pain

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Introduction

Abdominal pain is a common condition that people experience in day-to-day life. Abdominal pain signs and symptoms can include mild pain, bloating, stomach discomfort, and changes in bowel movement. From an Ayurveda standpoint, abdominal pain is regarded as Udara Shula, due to an imbalance in the Doshas, specifically Vata and Pitta.

Ayurvedic home remedies for stomach pain and other treatment approaches would require an understanding of the causes of severe stomach pain before seeking proper care. This blog covers several Ayurvedic remedies for stomach pain, Ayurvedic treatment for abdominal pain, and dietary restrictions, among other ways of easing these common but worrying symptoms of abdominal pain.

What Are the Causes of Abdominal Pain?

In Ayurveda Udara Shula (abdominal pain) arises from digestive imbalances and gastrointestinal disorders. Mandagni (weak digestive fire) can lead to conditions like Udara Roga (Ascites), Grahani Roga (Malabsorption or irritable bowel syndrome), Gulma (abdominal masses), Amlapitta (GERD or acid peptic disorder) causing symptoms like abdominal pain and altered bowel habits, etc.

Apart from this,  appendicitis, gastroenteritis, peptic ulcer, cholecystitis, FAPDs, diabetes, thyroid disorders, and dengue fever are common causes of severe stomach pain.

What Are the Symptoms of Abdominal Pain?

Ayurveda defines signs and symptoms of abdominal pain according to the dosha. Digestive disturbances concerning Vata Dosha arise due to poor eating habits, anxiety, or taking any dry or cold foods. It leads to painful cramps, bloating, and flatulence. Pitta-related digestive issues arise from excessive sour or spicy food leading to inflammation and burning sensation. Kapha Dosha imbalances are caused by overeating, heavy or processed food consumption, and lack of physical activity, all leading to a feeling of heaviness, lethargic digestion, and dull pain.

Typical symptoms include:

  • Sharp or dull pain in varying parts of the abdomen
  • Bloating and gas
  • Nausea and vomiting
  • Changes in the pattern of bowel movements
  • Loss of appetite
  • Fatigue and weakness
  • Cramps in the upper or lower abdomen
  • Pain tends to worsen with movement or eating.
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Medical Care

A very elaborate approach often involves the assessment of abdominal pain after a thorough medical history, physical examination, laboratory investigations, imaging studies, and even diagnostic laparoscopy.

A proper medical history would explain the nature, duration, and locations of pain, and other associated symptoms. Ayurveda emphasizes finding the root cause by examining dietary and lifestyle habits leading to the symptom through observation and questionnaires.

  • Physical examinations can determine tenderness and the underlying reasons for abdomen pain.
  • Infectious diseases, inflammatory conditions, or metabolic disorders can be identified through laboratory tests.
  • Imaging procedures such as ultrasound, CT, or MRI may be performed depending on the clinical suspicion.
  • In cases where non-invasive investigations provide inconclusive results, diagnostic laparoscopy can be done to visualise the internal organs within the abdominal cavity directly.

Ayurvedic Treatment for Abdominal Pain

Treatment of abdominal pain focuses on balancing Doshas. For example, dietary modification and specific Panchakarma therapies relevant to the cause of the pain will go a long way in the management of abdominal pain, with a focus on balancing Agni through the right food choices and herbal formulations. Below is an explanation of certain Ayurvedic remedies for stomach pain:

  • Langhana (Fasting Therapy): controlled fasting or adherence to a light diet gives rest to the digestive system, aids in detoxification, and improves the digestive fire, thereby reducing abdominal discomfort caused by indigestion or toxin accumulation.
  • Deepana (Carminative Agents): Facilitates digestive fire (Agni), metabolism, and Ama removal.
  • Pachana (Digestive Agents): Clears the obstructive accumulation of Ama formed due to indigestion, thus aiding and promoting the absorption of nutrients into the formative processes and balancing their digestive enzymes. Also, it enhances metabolic activities, healing of tissues, and gut motility, while decreasing inflammation and aiding immune function. Depending upon the Dosha involved, the medications can be taken with either hot water or ghee.
  • Anulomana (Facilitating Vata for downward movement): Encourages downward flow of Vata through particular formulations that assist in appropriately promoting Vata movement in bowel elimination to relieve constipation and, hence, abdominal discomfort.
  • Lepana (Therapeutic Application): Applying a paste made from herbs like cumin powder, hing, etc., to the abdominal area provides localized relief by reducing inflammation and allowing the medicinal properties to be absorbed through the skin.
  • Abhyanga (Oil Therapy): A gentle, clockwise massage of the abdomen or belly button using medicated oils with a pinch of salt or hing helps pacify Vata dosha, improves circulation, reduces muscle tension, and stimulates digestive function by activating the enteric nervous system.
  • Swedana(Sudation): Localized heat application through Bhashpa Sweda, Pottali Sweda, or Pinda Sweda. These therapies reduce muscle spasms, enhance circulation, and toxin elimination, and relax abdominal muscles, alleviating pain.
  • Vamana (Emesis): A controlled procedure involving the induction of vomiting using specific herbs. Vamana eliminates excess Kapha, removes toxins from the upper gastrointestinal tract, resets the digestive system, and relieves abdominal pain.
  • Virechana (Purgation): A controlled purgation therapy that eliminates excess Pitta, cleanses the lower gastrointestinal tract and removes accumulated toxins, reducing inflammation and discomfort.
  • Vasti (Enema): Medicated oils or decoctions are administered per rectum. It balances Vata dosha, nourishing the colon, enhancing absorption, and relieving abdominal pain.
  • Avoid Cold, heavy, oily, spicy, and processed foods.
  • Warm and easy-to-digest food, such as rice, cooked vegetables, lentil soups, and ginger tea is recommended. Include ginger, cumin, fennel, Ajwain (Bishop’s weed), Hing (asafetida), and gooseberry in your diet.

Home Remedies for Abdominal Pain

Ayurvedic home remedies for stomach pain include

  • Ginger tea consumed after meals with 1tsp of ghee
  • Taking Ajwain water before or after meals
  • Chewing a handful of fennel seeds after meals
  • Sipping coriander/cumin seed-infused warm water 3-4 times a day
  • Massaging warm castor oil on the abdomen on the belly button with salt
  • Application of a paste of hing, coriander, and cumin on the abdomen followed by application of a warm water pack
  • Mint leaves soaked in warm water for half an hour and then taken before food
  • Yoga poses like Pavana muktasana

When to Seek the Doctors

Severe pain associated with persistent or high fever with dehydration or blood in stool or vomit is alarming; severe tenderness of the abdomen, inability to pass gas/stool, and a marked reduction in body mass warrant a medical examination.

Conclusion

Abdominal pain is assessed thoroughly so that timely intervention takes place to avoid complications. Diagnostic techniques, reasoning for underlying imbalances in Dosha, and the targeted intervention relieve abdominal pains. Ayurveda’s multidimensional approach restores digestive fire and balances doshas and wellbeing. It offers an advanced mode of control for symptoms and causation targeting. Lifestyle changes, mindful food intake, managing stress, and panchakarma treatments provide complete alternation in recurrence prevention. Early recognition of symptoms, maintenance of the diet, and timely professional assistance are keys to managing abdominal pain.

FAQs

How do you get immediate relief from abdominal pain?
Ayurvedic home remedies for stomach pain such as sipping warm ginger tea with a pinch of rock salt can provide immediate relief. Practice deep breathing exercises and Pavana Muktasana. Apply warm sesame oil or hing over the belly button. Consider chewing on some fennel seeds or drinking cumin decoction, which can help reduce gas and bloating quickly.
What is the best treatment for stomach pain?
According to Ayurvedic remedies for stomach pain, hing, garlic, ginger, and cumin are included in the diet. Pavana Muktasana prevents relapse and gives relief immediately. Avoiding deep-fried, processed, spicy foods and proper meal timings are essential.
How long does abdominal pain last?
The duration of symptoms of abdominal pain varies depending on the cause. Acute abdominal pain from indigestion usually disappears in some hours with appropriate treatment. However, deep causes of severe stomach pain may need several weeks and months of regular treatment to be eliminated.
Which is the best Ayurvedic treatment for abdominal pain?
The best Ayurveda treatment would include Deepana-Pachana herbs, which enhance digestion; Anulomana, which regulates Vata, and facilitates the elimination of waste; dietary recommendations; and panchakarma procedures, if required. Ginger, cumin, asafoetida, lifestyle modifications, and stress management techniques make for a comprehensive treatment approach to address symptoms and root causes.

REFERENCES

  • Cartwright, S, Knudson, M (2015). Diagnostic imaging of acute abdominal pain in adults. American Family Physician, 91(7), 452-9 icon
  • Sinha, A, Davenport, M (2022). Miscellaneous Causes of Abdominal Pain. Handbook of Pediatric Surgery icon
  • Gautam, M, Mishra, P K (2024). AYURVEDIC & CONTEMPORARY PERSPECTIVE OF IRRITABLE BOWEL SYNDROME – CONCEPTUAL STUDY. January 2024 icon
  • Paul, M K, Khobragade, N (2024). Descriptive and Comparative Study of Ashta Udara Roga: An Ayurvedic Review. Journal of Ayurveda and Integrated Medical Sciences icon
  • A.H, H et al. (2022). Diagnostic Evaluation and Management of Acute Abdomen in Ayurveda A Conceptual Study. International Research Journal of Ayurveda & Yoga icon
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