A Case Report on management of Grahani with special reference to Ulcerative Colitis

Abstract

Ulcerative colitis (UC) is a disease with unknown specific cause, a chronic inflammatory disease of mucosa and sub mucosa of colonic wall. Several theories have been put forward of which the main ones are infective, nutritional, psychosomatic and immunological. Ulcerative colitis can be divided into three forms according to its clinical features. These are: (i) Chronic and continuous; (ii) Chronic-relapsing-remitting and (iii) Acute fulminant. The onset of the disease is usually highest in the third decade, though second and fourth decades are often involved. A slight female predominance has been reported. The first symptom is watery diarrhoea. Abdominal pain is the next symptom and rectal discharge of mucus, sometimes blood and sometime pus is not uncommon. In Allopathic medical science, no significant treatment is there for UC. Corticosteroid, anti-diarrhoeal agents etc. are used which results in other complications too. Hence there is a need for better management of the condition. Here a case of 21yrs old male, n/k/c/o DM or HTN has been discussed who presented with c/o mucous discharge and occasionally pus discharge from Anum and loose stools since 1year, diagnosed with ulcerative colitis. The condition can be considered as Grahani and Basti treatment was being followed with Pittahara internal medication.