Government of NCT, India
Title: Management of Crohn’s disease by adopting Integrated Lifestyle Program (ILP) with Naturopathy, Meditation and Yoga
Biography: Pranab Goswami
Background: Inflammatory bowel disease (IBD) encompasses ulcerative colitis (UC) and Crohn’s disease (CD). These two chronic inflammatory diseases of uncertain etiology have been affecting the gut. IBD started gaining special attention in India only after mid 1980s with wider availability of colonoscopy. It has been often difficult to distinguish Crohn’s from tuberculosis and infectious colitis. There is rising incidence and prevalence of inflammatory bowel disease (IBD) in India topping the Southeast Asian (SEA) countries. The common genes implicated in disease pathogenesis in the West are not causal in Indian patients and the role of “hygiene hypothesis” is unclear. There appears to be a North-South divide with more ulcerative colitis (UC) in north and Crohn’s disease (CD) in south India. IBD in second generation Indian migrants to the West takes the early onset and more severe form of the West whereas it retains the nature of its country of origin in migrants to SEA countries. The clinical presentation is much like other SEA countries (similar age and sex profile, low positive family history and effect of smoking, roughly similar disease location, use of aminosalicylates for CD, low use of biologics and similar surgical rates) with some differences (higher incidence of inflammatory CD, lower perianal disease, higher use of aminosalicylates and azathioprine and lower current use of corticosteroids). UC presents more with extensive disease not paralleled in severity clinically or histologically, follows benign course with easy medical control and low incidence of fulminant disease, cancer, complications, and surgery. UC related colorectal cancer develop in an unpredictable manner with respect to disease duration and site questioning the validity of strict screening protocol. About a third of CD patients get antituberculosis drugs and a significant number presents with small intestinal bleed which is predominantly afflicted by aggressive inflammation. Biomarkers have inadequate diagnostic sensitivity and specificity for both. Pediatric IBD tends to be more severe than adult. Population based studies are needed to address the lacunae in epidemiology and definition of etiological factors. Newer biomarkers and advanced diagnostic techniques (in the field of gastrointestinal endoscopy, molecular pathology and genetics) needs to be developed for proper disease definition and treatment.Keywords: Inflammatory bowel disease, Ulcerative colitis, Crohn’s disease, India, ReviewThere is growing interest in inflammatory bowel disease (IBD) in India due to its rising incidence. The disease is milder in India. Small intestine is often inflamed in Crohn’s disease, making it hard to digest and absorb key nutrients from food. The lack of sufficient nutrients and poor appetite can lead to malnutrition for people with Crohn’s disease.
Objective: The study was conducted in between January 2015 to November 2016. The database and treatment history of 20 OPD and IPD patients suffering from UC and CD were considered for this study. The objective of this study is to design an effective lifestyle program with the help of naturopathy, yoga and meditation for management of Crohn’s disease with nature.
Result: After successful implementation of the integrated lifestyle with naturopathy, yoga and meditation, it is found that 65% of research population is suffering from Crohn’s disease were experiencing better health condition without any acute problem arising out of CD than before and 25% were completely cured without any acute and chronic complaints for last one year.
Conclusion: Yoga and meditation is a philosophy and practice that connects the body, breath and mind to energize and balance the whole system in our body and naturopathy works on removal of toxins from our body, which are caused by imbalance of five elements of nature: Air, water, fire, space and earth. Therefore integration of all three natural therapies help to remove the toxins from our body and increase the blood circulation within the body and intestine and clear congestions along the pathways and stimulate the body’s own healing potential.