Chronic Pancreatitis and its Ayurvedic Management in Child: A Case Study

Abstract

Chronic Pancreatitis is chronic inflammatory and fibrotic disorder of pancreas including constant pain in epigastric region, nausea, vomiting and increase in serum amylase and lipase level three times the upper limit. It’s further characterized by loss of exocrine and endocrine functions of pancreas. Despite advances in the medical science the prognosis of the disease is unclear. Incidences of chronic pancreatitis are 8.2 new cases per 100,000 every year and a prevalence of 26.4 cases. There is mortality rate of 30% in 10 years of age. It is primary life-threatening nutritional and metabolic condition of gastro intestinal system that becomes threat to child’s growth and induces educational loss due to recurrent hospitalization. A case of chronic pancreatitis was diagnosed, patient experienced symptoms like epigastric pain, tenderness, anorexia, weight gain and irritability along with elevated serum lipase and serum amylase. Clinical and conceptual correlation was set between chronic pancreatitis and Vaata Anubandha Kaphaj Ghrani. It was treated by ayurvedic preparations like Bilvadigutika, Chundaivattral Churan and Arogyavardhani Vati along with the dietary changes for the time period of 4 months.  It was seen that patient got relief in symptoms like excruciating pain, nausea, abdominal tenderness, anorexia, after 4 months of the treatment. When serum amylase was done, it was 707IU/L on 29/5/21 and was 25IU/L on 7/9/21.