Food Protein-Induced Enterocolitis Syndrome (Asatmyaja Rogas)

उपशेते यदौचित्यादोक सात्म्यं तदुच्यते ||४९||

Food Protein-Induced Enterocolitis Syndrome (FPIES) - Ayurvedic Treatment

Food protein-induced enterocolitis syndrome (FPIES) is a non-IgE-mediated gastrointestinal food allergy that presents with delayed vomiting after ingestion primarily in infants. It is referred to as a delayed food allergy and is a severe condition causing vomiting and diarrhea. In some cases, symptoms can progress to dehydration and shock brought on by low blood pressure and poor blood circulation. Much like other food allergies, it is triggered by ingesting a particular food. Although any food can be a trigger, the most common culprits include milk, soy, and grains.

In Ayurveda, Satmya (suitable or accustomed) is one of the important considerable issues during the application of medicine or diet. One of the notable causes behind different preparations of medicines and diet is Satmya. Diet or medicine which is not Satmya to a person should not be given reason being the substance that is not Satmya to one’s body may cause Asatmyaja-rogas. Food Protein-Induced Enterocolitis Syndrome can be included under Asatmyaja-rogas, one which is not conducive to the prakrithi (constitution) and agni (digestive fire) of a particular person. Dr. Gupta’s IAFA® provides safe and effective remedies for Ayurvedic treatment of food protein-induced enterocolitis syndrome (FPIES).

Causes of Food Protein-Induced Enterocolitis Syndrome (FPIES)

It is a type of non-IgE mediated food allergy that can present with severe vomiting, diarrhea, and dehydration. Like other food allergies, it is also triggered by eating a particular food.

Ayurvedic Reference of Food Protein-Induced Enterocolitis Syndrome (Asatmyaja Rogas)

Symptoms of Food Protein-Induced Enterocolitis Syndrome (FPIES)

In Food Protein-Induced Enterocolitis Syndrome, the reaction is contained in the GI tract. The signs may take several hours to appear. This delay may make it harder to diagnose the condition. Symptoms may be confused with gas, acid reflux, or a stomach bug.

The signs and symptoms include:

Chronic or recurrent vomiting
Diarrhea
Dehydration
Lethargy
Changes in blood pressure

Body temperature fluctuations
Weight loss
Stunted growth
Failure to thrive

A child may have delays in many milestones, features including:

Height, weight, and head circumference
Physical skills, including rolling over, sitting, standing, and walking
Social skills
Mental skills

In Ayurveda, symptoms include,

Atisara (Diarrhea)
Chardi (Vomiting)
Trishna (Dehydration)
Anaha (Abdominal Distension)
Shoola (Abdominal Pain)

Dr. Sahil Gupta - Ayurvedic Allergy Specialist

“Dr. Gupta’s IAFA provides very effective treatment for food protein-induced enterocolitis syndrome (FPIES). Institute of Applied Food Allergy® offers successful Ayurvedic Management for Food Protein-Induced Enterocolitis Syndrome. IAFA® is committed to providing the best care with compassion and excellence in service”.

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– Dr. Sahil Gupta (B.A.M.S., M.H.A.)

Ayurvedic Allergy Specialist
CEO & Founder of IAFA®

Diet in Food Protein-Induced Enterocolitis Syndrome (FPIES)

Do’s (Pathya) in Food Protein-Induced Enterocolitis Syndrome

Eat four to six small meals daily.
Stay hydrated, drink enough to keep your urine light yellow to clear with water, broth, tomato juice, or a rehydration solution.
Drink slowly and avoid using a straw, which can cause you to ingest air, which may cause gas.
Use – boil, grill, steam, poach.

Don’ts (Apathya) in Food Protein-Induced Enterocolitis Syndrome

Insoluble fiber foods that are hard to digest: fruits with skin and seeds, raw green vegetables
Lactose: sugar found in dairy, such as milk, cream cheese, and soft cheeses
High-fat foods: butter, coconut, margarine, and cream, as well as fatty, fried, or greasy food
Alcohol and caffeinated drinks: beer, wine, liquor, soda, and coffee
Spicy foods: “hot” spices

Yoga Therapy for Food Protein-Induced Enterocolitis Syndrome (FPIES)

Yoga therapy is extremely beneficial in Food Protein-Induced Enterocolitis Syndrome (FPIES) since there is an underlying psychological component in many intestinal diseases. Yogasanas and pranayama are very effective in these conditions.

Postures include,

Matsyasana
Paschitmoasana
Sarvangasana
Pavanamukthasana
Sirsasana
Bhujangasana

Pranayama include,

Kapalbhati
Nadishodhana Pranayama
Bhastrika Pranayama

Ayurvedic Treatment of Food Protein-Induced Enterocolitis Syndrome (FPIES)

Asatmyaja rogas are the result of weak digestive fire or agni. Digestive fire of body (agni) becomes weak due to amavisha (metabolic toxin) formation in the body and causes the imbalance of doshas (Vata, Pitta, Kapha) in the body.

Ayurvedic treatment of food protein-induced enterocolitis syndrome involves Shamana chikitsa (internal medicines), Shodana chikitsa (Panchakarma therapy), lifestyle modifications, and a very strict diet regime. In more severe cases Panchakarma therapy plays a vital role as it quickly detoxifies & rejuvenates the digestive system.

Internal Medicines for Food Protein-Induced Enterocolitis Syndrome (FPIES)

Udumbara Kvatha
Lodhra Tvak Churna
Musta Moola Churna

Kutaja Ghana Vati
Nagkesar Churna
Mukta Panchamrit Ras

External Therapies for Food Protein-Induced Enterocolitis Syndrome (FPIES)

Udumbara Kvatha Basti (Enema Therapy)
Ksheera Vasthi

Single Herbs Used in Food Protein-Induced Enterocolitis Syndrome (FPIES)

Kutaja (Holarrhena antidysenterica)
Bilwa (Aegle marmelos)
Musta (Cyperus rotundus)

Sunthi (Zingiber officinale)
Dadima (Punica granatum)
Nagakesar (Mesua ferrea)

References

Charaka Samhitha Sutra sthana, Tasyasiteeya, Chapter 6, Sloka 49.
Acharaya YT, editor. Sushrutha Samhita of Sushruta, Uttar Tantra. 2nd ed. Ch. 34, Ver. 5. Varanasi: Chaukhambha Sanskrit Sansthan; 2004. p. 224.
Sharma PV. Dravyaguna Vijnana. 2nd ed. Varanasi: Chaukhambha Bharati Academy; 2005. p. 370.
Shastri P, Editor. Sharangadhara Samhita of Sharangadharaacharya, Madhyama Khanda, Choorna Kalpana. 7th ed. Ch. 6, verse 58-59. Varanasi: Chaukhambha Orientalia; 2000. p. 52.
Sahil Gupta, Ayurvedic Aspects of Allergies and Fungal Infections, Edition 2021, Food Protein-Induced Enterocolitis Syndrome Chapter No. 21, Page No. 129-133.

Article Written By: Dr. Sahil Gupta (B.A.M.S., M.H.A.)

Frequently Asked Questions

Question: What is Food Protein-Induced Enterocolitis Syndrome (FPIES)?

Answer: Food protein-induced enterocolitis syndrome (FPIES) sometimes referred to as a delayed food allergy, is a severe condition causing vomiting and diarrhea. In some cases, symptoms can progress to dehydration and shock brought on by low blood pressure and poor blood circulation.

Question: What are the Causes of Food Protein-Induced Enterocolitis Syndrome (FPIES)?

Answer: It is caused due to an adverse food reaction involving the immune system that mainly affects infants and young children. It is caused by an allergic reaction to one or more ingested foods which results in inflammation of the small and large intestines.

Question: What are the Causes of Food Protein-Induced Enterocolitis Syndrome (FPIES) as per Ayurveda?

Answer: In Ayurveda, this condition is known as Asatmya which is the result of weak agni or digestive fire. Agni becomes weak due to amavisha (metabolic toxin) formation and causes the imbalance of Doshas.

Question: What is the Ayurvedic treatment of Food Protein-Induced Enterocolitis Syndrome (FPIES)?

Answer: Ayurvedic treatment involves Shaman chikitsa (internal medicines), Shodhan chikitsa (Panchakarma therapy), lifestyle modification, and a strict diet regime.

Question: Is Yoga Effective in Food Protein-Induced Enterocolitis Syndrome (FPIES)?

Answer: Yoga therapy is extremely beneficial because there is an underlying psychological factor in many intestinal disorders. Therefore, yoga and pranayama are very effective in these conditions.