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An Integrated approach for management of idiopathic recurrent acute pancreatitis (IRAP) with persistently increased serum amylase in sphincter of oddi dysfunction

A Case Report


  • Soumya MS Amrita School of Ayurveda
  • Swathy S Amrita School of Ayurveda
  • Jwala Jayaram Amrita School of Ayurveda
  • Rajeshwari Nanaiah Amrita School of Ayurveda



Idiopathic Recurrent Acute Pancreatitis (IRAP), Avipatti curṇam, Yaṣṭimadhukṣīrapāka, Amlapitta, Case Report


Idiopathic Recurrent Acute Pancreatitis (IRAP) is a clinical entity portraying episodes of acute pancreatitis which occurs more than one occasion after the initial attack. The prevalence of Idiopathic Acute recurrent pancreatitis on acute pancreatitis varied from 10-30% depends on etiological factors. The cardinal symptoms include epigastric pain which may radiates to back, with nausea or vomiting. Careful review of patient’s history and appropriate laboratory findings including raised serum amylase or lipase with radiological evidence confirms the diagnosis. The present case report highlights the efficacy of Ayurvedic treatment in, reducing the signs and symptoms of IRAP with significant changes in raised serum amylase and lipase. A 13year old girl, known case of Idiopathic Recurrent Acute pancreatitis after Acute pancreatitis management came to opd of Amrita School of Ayurveda with complaints of abdominal pain and nausea. On further evaluation Serum Amylase and Lipase were raised with USG showing bulky and hypoechoic uncinated process and head of pancreas. She was managed with internal medications like Yaṣṭimadhu kṣīra pÄÂka (Licorice milk) and Avipatti curṇam for four months, by considering the treatment principles for Amla Pitta (Acid Reflux). In this case the combination of Yaṣṭimadhu kṣīra pÄÂka and Avipatti curṇam, has shown a remarkable recovery from clinical symptoms and reduction in serum amylase and lipase. It may open a new path to the clinicians and researchers for finding the medicinal option for the treatment of this challenging disorder. This case report indicates the potential of Ayurveda for safe and effective management of Post IRAP symptoms



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Integrated Management of Idiopathic Recurrent Acute Pancreatitis



2020-11-12 — Updated on 2020-11-12