Ayurvedic management of Terminal ileitis: A case report
Kirti B. Gaikwad, Meera K. BhojaniAbstract
INTRODUCTION:
Terminal ileitis (TI) is characterized by inflammation of the distal ileum that arises from an aberrant immune response, resulting in mucosal damage and disruption of intestinal function during the most active period of life, that is, 20–40 years of age, for which long-term or repeated corticosteroid and biological medicines are the only available treatments.
PATIENT INFORMATION:
A 31-year-old female, information technology employee diagnosed with TI for the past 2 years, presented to the outpatient department with complaints of frequent foul-smelling stools mixed with blood and mucous, associated abdominal pain, loss of appetite, loss of weight, and burning sensation in the right lower quadrant of the abdomen. Diagnostic imaging revealed inflammatory changes in the distal ileum and the ileocaecal junction, cecal ulcers, and eosinophil-rich cecitis. Blood investigations revealed deranged liver enzyme levels and an elevated erythrocyte sedimentation rate.
THERAPEUTIC INTERVENTION:
The case was managed with
RESULTS:
These medications effectively improved clinical symptoms; stool frequency decreased, and after a 12-month follow-up, normal stool consistency was attained. Pathological and imaging examination revealed the values within the reference range.
CONCLUSION:
This case report illustrates the significance of Ayurvedic treatment modalities in the management of TI. This combination can be utilized for symptoms of