Grahani Roga or Steatorrhea

Definition:

Grahani is considered to be a syndrome with persistent chronic diarrhea due to taking of a non-beneficial diet by persons recovering from diarrhea and with a poor digestive capacity.

Pathogenesis:

When a person with poor digestive fire takes non-beneficial food even after recovering from diarrhea, his digestion deteriorates further leading to malfunctioning of grahani i.e. the organ.

When the grahani gets severely afflicted by the excessively aggravated doshas either by each one separately or by all of them together, and expels the food in the undigested form itself when the stools are in liquid form which are passed repeatedly with pain and foul smell. However, sometimes the process of digestion may have been completed and then the stools may have been passed repeatedly in the well-formed state. This condition is known as the grahani disease according to ayurveda.

Prodromal Symptoms:

1.    Thirst

2.    Lethargy

3.    Loss of vitality

4.    Heartburn after meals

5.    Delayed Digestion

6.    Feeling of heaviness in the body.

Types of Grahani:

1.    Vaataj Grahani: Excessive intake of pungent, bitter, astringent, dry and contaminated food, taking deficient diet or complete starvation, walking long distances, suppression of natural urges and excessive sexual intercourse vitiates vayu which empower the metabolic fire and produces various diseases.

There is difficulty in the digestion of food leading to acid eructations, roughness of the body, dryness of the throat and the mouth, loss of appetite, thirst, dimness of vision, tinnitus, vomiting, emaciations and altered tastes in mouth are the clinical features of vaataj grahani.

2.    Pittaj grahani: Intake of pungent, acidic or alkaline foods and drinks aggravate the pitta which merges with the metabolic fire and impairs its actions and causes pittaj grahani disease.

The patient passes the undigested, bluish or yellowish stool. There is a burning sensation in the cardiac region and throat and also possess anorexia and thirst.

3.    Kaphaj Grahani: Intake of heavy, very fatty, cold and other similar types of food, overeating and sleeping immediately after meals aggravate the kapha and impairs the metabolic fire. The food is digested with difficult and the patient suffers from nausea, vomiting, anorexia, a feeling of stickiness and sweet taste in mouth.

Stools passed are loose and mucoid, bulky with undigested food matter. Despite lack of emaciation, patient feels weak and lethargic.

4.    Tridoshaj Grahani: When the etiological factors and the clinical features of all the above doshas are mentioned together, the condition is called tridoshaj grahani disease.

5.    Sangrahani: Its clinical features are lethargy, weakness, malaise, pain in waist associated with liquid stool containing undigested food. The condition aggravated in day time and subsides in the night.

6.    Ghatiyantra Grahani: When the colicky pain occurs on either of the sides on lying down and gurgling sounds are heard similar to that produced a pitcher dipped inside water, the condition is called ghatiyantra grahani disease. It is incurable.

Prognosis:

The grahani disease is incurable in older persons and curable in children, However, in adults, this disease is difficult to cure.

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