Celiac disease

What is celiac disease?

Celiac disease is an autoimmune disease, wherein the affected individuals are unable to digest or tolerate gluten. In this condition, gluten gradually destroys the lining of the small intestine, making absorption of nutrients difficult.

What causes celiac disease?

The exact cause of celiac disease is unknown. However, it is believed that, the body’s immune system regards the gluten as a foreign substance and as a result damages the lining of the small intestine. Other conditions that may trigger the development of celiac disease include pregnancy, childbirth, surgery, severe emotional stress and viral infections.

How does celiac disease spread?

Celiac disease is not contagious in nature and does not spread from person to person.

What are the symptoms of celiac disease?

Some of the common signs and symptoms of celiac disease include the following:

• Alternate bouts of diarrhea and constipation
• Abdominal bloating
• Abdominal pain
• Nausea and vomiting
• Unexplained weight loss
• Anemia
• Malnutrition
• Depression
• Pain in joints
• Delayed onset of puberty
• Fatigue
• Headache

 What are the different stages of celiac disease?

The four different stages of celiac disease as observed during an endoscopy is described below:

Stage 0: Also known as the non – infiltrative stage, this stage is marked by no remarkable changes in the mucosal lining of the small intestine

Stage I: In this stage, the lining becomes infiltrative, though no remarkable changes are noticed in the endoscopy

Stage II: In this stage, the mucosal cells of the small intestine gradually appear to be damaged

Stage III: Stage III is marked by partial villus atrophy, wherein the villi become flattened and shrink

Stage IV: The villi become totally flattened and complete atrophy occurs

What is the treatment of celiac disease?

Treatment of celiac disease is focused on adopting a gluten free diet and medications to control the symptoms. Some of the gluten containing foods that need to be avoided are wheat, barley, malt, rye, semolina, durum, triticale, graham flour, farina and bulgur. In addition to dietary changes, medications are also given to control intestinal inflammation. Individuals are also given vitamin and mineral supplements to maintain the levels of calcium, iron, vitamin B12, D and K, zinc and folate.

How can celiac disease be prevented?

As celiac disease is a genetic condition, it becomes difficult to prevent the disease. Also, since gluten is present in almost every meal, it becomes practically impossible to prevent the condition.

Diet and lifestyle changes in celiac disease?

Individuals living with celiac disease need to adopt several lifestyle and dietary changes to lead a symptom free life. Foods with gluten need to be completely avoided. It is also necessary to avoid cross contamination of foods. Individuals are also advised to carefully read the labels of processed foods as gluten remains a hidden element in many preservatives.

What is Ayurvedic treatment of celiac disease?

Ayurvedic treatment of celiac disease focuses on correcting the digestive system that has become damaged due to gluten. The various medications that are employed for treating celiac disease include bilvavaleha and kalyanakghruta. 1 tsp each of Bilvavalehaand kalyanakghruta should be taken twice daily.

Constipation

What is constipation?

Constipation is a condition characterized by irregular bowel movements. Individuals having less than 3 bowel movements per week are known to suffer from constipation.

What causes constipation?

Constipation can be the resultant reaction of the following factors or conditions:

• Development of blockage or obstruction in the large intestine or rectum
• Neurological problems that have developed in the regions of the colon and rectum
• Difficulty in the pelvic muscles that do not allow the contraction and relaxation to occur properly
• Certain disease conditions that interfere with the hormonal balance

What are the different types of constipation?

Constipation is essentially of two types: acute and chronic. Acute constipation is a temporary condition and usually occurs due to some sort of accident or injury to the colon. Chronic constipation is by and large a permanent problem and strikes individual, in whom the colon is unable to properly carry out the task of food digestion and waste elimination. Other types of constipation include, age related constipation, travel related constipation, functional constipation and pregnancy related constipation.

What are the symptoms of constipation?

Individuals with constipation experience the following symptoms:

• Passing less than 3 stools a week
• Passing hard stools
• Need to exert strain while passing stool
• Having the feeling as if the individual is unable to completely empty out the waste from the body
• Feeling of some blockage in rectum
• Need assistance to remove the stool from the rectum; such as putting pressure on the abdomen or using finger to remove stool from rectum

What is the treatment of constipation?

The primary mode of treatment includes making changes in the dietary habits and lifestyle factors to improve the condition. Dietary changes recommended for constipated individuals include an increase in fiber intake. Individuals are also advised to improve their water intake and to exercise daily. If such changes fail to show effect over time, then doctor may recommend the following ways to treat the condition:

• Laxatives to help the waste get moving inside the colon. Some examples of laxative include fiber supplements, stimulants, Osmotics, lubricants as well as stool softeners.
• Medications such as lubiprostone and linaclotide are prescribed if laxatives show no effect.
• Biofeedback training are also advised to strengthen the pelvic muscles.

How can constipation be prevented?

Following certain steps can certainly help in preventing constipation from setting in. These steps include:

• Eating a diet rich in fiber; aim for at least 30 grams of fiber per day
• Drinking more fluids; aim for at least 8 – 10 glasses of water per day
• Exercising regularly
• Set proper toilet habits in your child right from early years of development

Diet and lifestyle changes in constipation?

If you are suffering from constipation, it is necessary to make certain important changes in your dietary habits and lifestyle factors. Including more fibrous sources in your diet everyday is of utmost importance. Secondly, it is also necessary to drink more fluids and decrease the intake of caffeinated drinks that can cause constipation to set in. Moreover, it is also recommended that you make exercise an important part of your daily regime.

What is Ayurvedic treatment of constipation?

Ayurvedic herbs can really do wonders in treating constipation. The various herbs that are helpful include triphala, abhyarishtha, panchaskar, gandhak vati, virechani and avipaatikar powder.

Meningitis

What is meningitis?

Meningitis is a condition characterized by inflammation of the membranes that surround the brain and spinal cord. It usually develops due to bacterial infection, but in some cases virus and fungi are also known to play foul.

What causes meningitis?

Meningitis is majorly caused due to bacteria such as streptococcus pnenumoniae, neisseria meningitidis, haemophilus influenzae and listeria monocytogenes. When caused due to bacterial infection, the condition can get life threatening. In cases, when meningitis is caused due to viral infections then the condition is less serious and usually clears up on its own.

In addition to bacteria and viruses, meningitis can also occur due to other factors such as drug allergy, chemical irritants, inflammatory diseases and some types of cancer.

What are different types of meningitis?

Meningitis is of 2 types: aseptic also known as viral meningitis and bacterial meningitis. Bacterial meningitis is further classified into the following types:

• Meningococcal
• Staphylococcal
• Gram negative
• Tuberculous
• Pneumococcal

How does meningitis spread?

Meningitis is contagious in nature and can spread from one person to another. The following are the various ways through which the infection can spread:

• Sharing the same utensils of infected person
• Kissing
• Sneezing
• Coughing

What are the symptoms of meningitis?

Meningitis can strike any individual at any age; but children less than 5 years are at an increased risk. The following symptoms are experienced by the sufferers:

•  Sudden onset of high fever
• Difficulty in waking up / feeling of sleepiness throughout the day
• Severe headache which is pretty much different from the common types experienced
• Stiffness in the neck region
• Experiencing difficulty in concentration
• Seizures
•  Vomiting accompanied by headache
• Loss of interest in eating
• Development of rashes (only in cases with meningococcal meningitis)
• Experiencing sensitivity to light

What are the different stages of meningitis?

Meningitis usually progresses through the following 3 stages:

• Development of an infection
• Onset of symptoms
• Disease resolution

What is the treatment of meningitis?

Treatment of meningitis largely depends on the type of infection that has set in. The following methods are employed for treating different infections:

• Bacterial meningitis is treated through antibiotic injections along with cortisone medicines. The type of antibiotic given depends on the type of bacteria that is causing the infection.
• Viral meningitis cannot be treated through antibiotics and it often resolves on its own. However, individuals are advised to take plenty of rest along with fluids and medications to relieve accompanying symptoms.

How can meningitis be prevented?

Vaccinations are one of the major ways of preventing meningitis. The various vaccinations include haemophilus influenza type b vaccine, pneumococcal conjugate vaccine, pneumococcal polysaccharide vaccine, meningococcal conjugate vaccine and haemophilus influenza type b vaccine along with neisseria meningitidis serogroups C and Y vaccine.

In addition to vaccinations, the following measures can be adopted to prevent the spread of infection:

• Frequently washing hands
• Staying healthy
• Practicing good personal hygiene
• Covering mouth during sneezing and coughing
• Consumption of hygienic food during pregnancy

What are the diet and lifestyle changes in meningitis?

Individuals infected with meningitis are advised to drink plenty of fluids, more so if they are suffering from viral meningitis. It is also necessary to take plenty of rest and practice good personal hygiene to avoid spread of the infection.

What is Ayurvedic treatment of meningitis?

Various Ayurvedic formulations are pretty helpful for treating the condition of meningitis. The medications used include: vata chintamani, Krishna bhairava, kasturi bhairava, siddha makaradhwaja and sauhhagya vatl.

Cluster headache

What is cluster headache?

Cluster headache is a type of neurological disease, wherein the affected individual experiences severe and recurrent headaches usually on one side of the head. It is one of the more severe forms of headache and as the name suggests, cluster headaches take place in clusters or in a circular pattern.

What causes cluster headache?

The exact cause of cluster headache is not known. However, abnormalities that occur in the hypothalamus region of the brain are known to play a major role. Men are more prone to suffer from cluster headache than women. Individuals with a family history of this neurological disease are at an increased risk of suffering from the same.

How does cluster headache spread?

Cluster headache is not an infectious disease and it does not spread from one person to another.

What are the symptoms of cluster headache?

Cluster headache occurs without any warning signs. During the attack, individuals experience the following signs and symptoms:

• Pain only on one side of the head
• Restlessness
•  Headache usually centers around one eye and may radiate to other parts such as neck, shoulders, face and head
• The eye on the affected side becomes red and swollen
•  Face turns pale
• Eyelids droop
•  Nasal passage is either stuffy or runny on the affected side

What is treatment of cluster headache?

Cluster headaches cannot be cured. The goal of the treatment is to reduce the intensity of the pain, shorten the headache span and decrease the frequency of attacks. Fast acting medications form the basis of treatment regime as cluster headaches do not give any warning signals prior to an attack. During the attacks the following medications and therapies should be adhered to:

• Triptans
• Anti – inflammatory steroid medications
• Dihydroergotamine injections
• Breathing oxygen

In many cases, doctors prescribe medications for preventing an attack. These include: Calcium channel blockers, corticosteroids, lithium carbonate, ergots, melatonin and injecting steroids and anesthetic.

How can cluster headache be prevented?

The very first attack of cluster headache cannot be prevented. However, making necessary changes in your habits can certainly help prevent future attacks. Those in the habit of smoking and drinking alcohol should make conscious efforts to refrain from these. Such change in habits along with preventive medications can go a long way in prevention of cluster headaches.

What are the diet and lifestyle changes in cluster headache?

Making certain changes in lifestyle pattern help avoid an attack of cluster headache. Some of the strategies include:

• Avoiding alcohol
• Maintaining a regular sleep schedule, as cluster headache can crop up from an irregular sleep pattern too

What is Ayurvedic treatment for cluster headache?

The science of Ayurveda has some wonder herbs that have proven to be beneficial for treating cluster headache. 

Migraine

What is migraine?

Migraine is a type of neurological disease, characterized by pulsating headaches which are usually felt on one side of the head. Such a type of headache can be a significant cause of severe suffering for the affected individual.

What causes migraine?

Even today the exact cause of migraine is not well understood. However, interplay of genetic and environmental factors are thought to play foul. In addition to this, imbalance in the level of brain chemicals is also one of the major reasons for the onset of migraine.

There are various trigger factors identified for development of migraine. These include:

• Certain types of food
• Hormonal imbalances in women
• Stress
• Sensitivity to light and sound
• Certain medications
• Physical factors
• Alterations in the sleep – wake pattern

What are different types of migraine?

Migraines are broadly classified under 2 categories, namely:

• Migraines with auras
•  Migraines without auras

How does migraine spread?

It is not an infectious disease and therefore does not spread from person to person.

What are the symptoms of migraine?

The various symptoms of migraine include:

• 2 days prior to the onset of migraine, individuals experience these symptoms: Constipation, feelings of irritability and depression, craving for certain types of food, stiffness in the neck and yawning uncontrollably.
• During the attack, the symptoms include: development of pain in one or both sides of the head, nausea accompanied by vomiting, pulsating pain, blurred vision and the individual experiences sensitivity to light.

What are the different stages of migraine?

Migraine develops in 4 different stages. These include:

1.  Prodromal, characterized by onset of signs 2 days prior to the attack.
2. Aura – signs of nervous system disturbances
3. Attack – development of migraine pain
4. Postdrome – phase after the attack, wherein the individual feels drained out and is extremely tired.

What is the treatment of migraine?

It is not possible to cure migraines. However, with the combination of various treatment regimes, the condition can be effectively managed and individuals can lead a normal life. In majority of cases, the pain relieving medications form the basis of treatment regime. In addition to this, individuals are also given preventive medications which are required to be taken on a daily basis to prevent a migraine attack. Pain relieving medications are often given in conjugation with anti – nausea medications. This is so because, migraine attacks are many a times accompanied by feelings of nausea and vomiting.

How can migraine be prevented?

Making certain significant changes in the lifestyle can help to prevent migraine attacks. One of the important factors is to exercise regularly and maintain an active lifestyle. Individuals are also advised to avoid the trigger factors that can initiate a migraine headache. If estrogen containing medications is triggering the attacks, then it is better to control the dosage of the drug with the help of a doctor.

 Diet and lifestyle changes of migraine?

Exercising regularly and eating a well balanced diet should be adopted. Staying hungry and eating at odd hours can also trigger attacks. It is therefore suggested to maintain a proper sleep – wake cycle and an appropriate eating pattern.

What is Ayurvedic treatment of migraine?

Ayurvedic treatment of migraine focuses on good dietary habits and practicing yoga on a regular basis. In addition to these, the various medications prescribed include godanti bhasma, suvarna sutashekhara ras, vidhwasansa ras, chandanaadi vati and dashamoolarishta.

Headache

What is headache?

Headache is a condition characterized by development of pain in the head and neck region. It is a one of the most common conditions experienced and is a major accompanying symptom of various disease conditions.

What causes headache?

Headaches can be both primary and secondary in nature. Primary headache stems out from an interplay of various factors such as chemical activity taking place inside the blood vessels, nerves and brain. In addition to these, various lifestyle factors such as stress, alcohol consumption, irregular meal pattern, poor posture and certain foods can also lead to the development of primary headaches. Secondary headaches are a result of underlying disease conditions.

What are the different types of headache?

Headaches are broadly classified under 2 categories: primary and secondary.

Following are the various types of primary headache:

• Migraine
• Tension headache
• Cluster headache
• Sex headache
• Exercise headache
• Daily / chronic headache
• Cough headache

The various types of secondary headache include:

• Sinus headaches
• Spinal headaches
• External compression headaches
• Rebound headaches
• Ice cream headaches
• Thunderclap headaches

How does headache spreads?

Headache cannot spread; it is not an infectious condition.

What are the symptoms of headache?

The classical symptom of headache is development of pain in the head and neck regions. Other accompanying signs and symptoms depend on the type of headache that has set in. Some of the common symptoms include:

•  Nausea
• Photophobia
• Band or pressure – like pain in head
• Pain either on one side or both sides of the head
• Fever
• Vision may get blurry
• A headache that worsens with change in position

What is the treatment of headache?

Treatment for a headache depends on the type of condition that has set in. For example primary headaches are treated with pain relieving medications along with sufficient rest. In case of secondary headaches, steps are taken to treat the underlying condition. Severe cases of headaches may require a hospital stay to stabilize the condition.

Various alternative therapies to treat headaches are also gaining considerable importance. These therapies include acupuncture, cognitive behavior therapy, meditation, chiropractic treatment, hypnosis and the use of herbal products.

How can headache be prevented?

It is not possible to prevent all types of headaches. However, by avoiding some headache triggers such as stress, lack of sleep, improper eating pattern and dehydration can help to prevent an attack. In addition, the following steps can be adhered to prevent a headache:

• Maintain a good posture
• Staying hydrated
• Exercise regularly
• Eating a balanced meal
• Getting good sleep
• Following a proper schedule for sleep, eating habits and exercise

Diet and lifestyle changes in headache?

Individuals suffering from headaches are advised to lead an active lifestyle. Regular exercises coupled with a balanced diet are the key to keep the headaches at bay. Skipping meals is a bad idea and should never be practiced. Never go hungry; instead keep healthy snacks handy to prevent acidity from developing.

What is Ayurvedic treatment of headache?

Ayurvedic treatment for headache is based on treating the root cause that is causing the problem. The majority of the Ayurvedic treatment regimen consists of application of herbal oils on the site of pain. The various oils that are used include jasmine, coconut, khus and sandalwood.

Back pain

What is back pain?

Back pain is a common complain experienced by a majority of the population. It is a condition characterized by development of pain in the back region that arises from muscles, bones, nerves and joints of the spine.

What causes back pain?

The various factors that give rise to back pain include the following:

• Muscle strain
• Muscle spasm
• Muscle imbalance
• Spinal disc herniation
• Lumbar spinal stenosis
• Degenerative disc disease
• Inflammatory disease
• Trauma
• Infections
• Cancer
• Fractures
• Structural defects
• Osteoporosis
• Arthritis

What are different types of back pain?

The following are the various types of back pain:

• Low back strain
• Sciatica
• Night time back pain
• Cauda equina syndrome

How does back pain spread?

It is not an infectious disease and does not spread from one person to another.

What are the symptoms of back pain?

The main symptom of back pain is the development of pain in the lower back region. In many cases, the pain may even radiate to the legs and buttocks. In addition to these classical symptoms, if the patients experience the following symptoms, then a doctor needs to be consulted immediately:

• Unintended weight loss
• Loss of control over bladder movements
• Experiencing difficulty while urination
• Development of numbness around the genital region, buttocks and anus
• Fever
• A constant back ache that does not alleviate while resting

What is the treatment of back pain?

Pain relieving medications along with physiotherapy forms the basis of the treatment regime. Muscle relaxants, and non-steroidal anti-inflammatory medications are considered for relieving chronic back pain. Massage and acupressure are relatively effective for individuals who are suffering from chronic back pain.

In severe cases, when the patient begins experiencing additional symptoms and the above mentioned treatment do not work, then surgical procedures may have to be adopted.

How can back pain be prevented?

The following measures can be adopted for preventing back pain:

• Adopting a good posture
• Make sure you bend your knees while lifting objects and not bend your back while doing so
• While standing, make sure you distribute your weight equally on both feet keeping your spine straight
• As far as possible, wear flat footwear as they exert less strain on back muscles
• Quit smoking
• While driving a car, it is extremely essential that you have a proper back support in your car seat.
• Opt for the bed mattress that keeps your spine straight.

Diet and lifestyle changes for back pain?

Individuals who are overweight and obese are more prone to develop back pain than normal weight individuals. Therefore, eating a healthy diet that is low in fat content is necessary. It is also essential to quit smoking and avoid alcohol consumption. Regular exercise and staying physically active can also help in strengthening the back muscles.

What is Ayurvedic treatment for back pain?

Ayurvedic treatment has proven to be extremely beneficial for managing back pain. Initially panchkarma treatments are carried out, followed by various medications such as triphala guggul, yogaraj guggul, and lakshadi guggul. Massaging the affected area with mahanarayan tail is also suggested.

COPD

What is COPD?

COPD (chronic obstructive pulmonary disease) is an umbrella term for several lung diseases that cause the airways to narrow down leading to blockage of the airflow and subsequent breathing difficulties.

What causes COPD?

One of the leading causes for development of COPD in the developed nations is smoking tobacco. In the other developing countries, COPD strikes those individuals who live in poorly ventilated house and are exposed to fumes and smokes. Apart from these factors, respiratory infections, air pollution and genetic factors can also play a pivotal role in the development of COPD.

What are the different types of COPD?

The 2 types of COPD include:

• Chronic bronchitis
• Emphysema

How does COPD spread?

COPD is not a contagious disease and therefore cannot spread from an infected person to healthy individuals.

What are the symptoms of COPD?

Following are the symptoms experienced by individuals with COPD:

• Difficulty in breathing
• Shortness of breath
• Wheezing sound while exhalation
• Tightness in chest
• Chronic cough
• Undue fatigue
• Production of sputum which can be white, clear, greenish or yellow in color
• Fall easy prey to respiratory infections
• Weight loss
• Cyanosis

What are the different stages of COPD?

COPD is a chronic and progressive lung disorder that develops in 4 different stages: These include:

Stage 1 – This is usually mild with feelings of shortness of breath or breathlessness. There is no cough or mucus.

Stage 2–Shortness of breath may aggravate at this stage.

Stage 3 – This stage is marked by the onset of severe symptoms such as fatigue, extreme breathlessness and incapability to exercise. There is onset of chronic cough with production of mucus.

Stage 4 – Quality of life is significantly hampered as shortness of breath increases to a great extent. The severity of cough increases with production of mucus.

What is the treatment of COPD?

COPD cannot be cured; however, with combination of medication, therapies and lifestyle modifications, the condition can be managed effectively. The various methods employed for treating COPD include:

•  Medications such as antibiotics, theophylline, phosphodiesterase – 4 inhibitors and steroids
• Bronchodilators which are usually taken in form of inhalers
• Therapies such as pulmonary rehabilitation program and oxygen therapy
• If the disease has progressed to the last stage and the lung damage is very severe then, in such cases surgery may be the last resort.

How can COPD be prevented?

One of the most effective ways of preventing the development of COPD is to avoid tobacco in all forms. In addition to this, keeping rooms and kitchens well ventilated to allow the smoke and cooking fumes to escape also ensures good lung health.

What are the diet and lifestyle changes in COPD?

Adopting the following steps can help in better management of COPD:

• Quit smoking
• Eat a healthy and balanced diet
• Regular exercise for improving the strength of the respiratory muscles
• Avoid places with air pollution
• Learn techniques to control breathing
• Use of a humidifier to clean the blocked airways from accumulated mucus

What is Ayurvedic treatment of COPD?

Ayurveda has many effective medicines for treatment of COPD. These include ashwagandha, sitopaladi churna, shringa bhasma, adhatoda vasica, tankan bhasma, abhrak bhasma, pushkarmool and licorice.

Insomnia

What is insomnia?

Insomnia is a condition characterized by inability to sleep or to remain asleep during night. It is a sleep disorder that significantly hampers the quality of life of affected individuals.

What causes insomnia?

Insomnia is caused due to the following factors:

• Stress, anxiety and / or depression
• Poor sleeping habits
• Certain diseases such as GERD, cardiac diseases, liver disorders, stroke, Alzheimer’s disease, cancer, arthritis, Parkinson’s disease
• Certain medications
• Inappropriate eating schedule
• Excessive consumption of alcohol or caffeine
• Significant changes in work schedule

What are different types of insomnia?

The different types of insomnia include:

• Acute insomnia
• Chronic insomnia
• Comorbid insomnia
• Onset insomnia
•   Maintenance insomnia

How does insomnia spread?

Insomnia is a sleep disorder and not an infectious disease. Therefore, it does not spread from one person to another.

What are the symptoms of insomnia?

Individuals suffering from insomnia suffer from the following symptoms:

•  Inability to fall asleep
• Waking up early
• Staying awake during night
• Periods of wakefulness during night
• Tiredness during daytime
• Increased frequency of errors and or accidents due to tiredness
• Decreased attention span
• Disturbed cognitive functioning
• Disturbance in gastrointestinal tract
• Digestive problems
• Development of tension headaches

What is the treatment of insomnia?

In the initial stages, individuals are advised to make significant changes in their sleeping pattern and dietary habits. Along with this, if there are underlying disease conditions that are causing sleeplessness then these are also treated. However, if these measures do not bring about the desired effect, then the following methods are adopted:

• Behavioral therapies that include light therapy, educating the individuals about desired sleeping habits, sleep restriction, stimulus control and techniques to relieve stress
• Medications that help to fall asleep
•     Use of sleep aids

How can insomnia be prevented?

The following steps can be taken to prevent insomnia:

• Maintaining a proper sleeping schedule
• Adopting proper eating habits
• Regular exercising
• Keep stress out of the bed

What are the diet and lifestyle changes in insomnia?

Some basic steps can be practiced to keep insomnia under control:

• Following a proper bed time ritual
• Staying active
• Maintaining proper weight
• Avoiding heavy meals right before hitting the bed
• Avoiding caffeinated drinks before going to bed
• Not making a habit of taking naps in the afternoon
• Practicing yoga before going to bed, which help soothe the nerves and calm down the stress hormones
• A hot water bath or shower before going to bed is also advisable

What is Ayurvedic treatment of insomnia?

The science of Ayurveda recommends drinking warm milk with a teaspoon of honey for a better sleep. Individuals can even consider taking aniseed and milk before sleeping. In addition to these remedies, certain ayurvedic therapies are also very useful in treating the condition. These include shirodhara, shirobhyanga, netra tarpan, abhyanga, and padabhayanga.