Management of postcholecystectomy syndrome through Kunjal kriya and customized diet

Post-Cholecystectomy Syndrome (PCS) is the occurrence of gastric clinical features post-cholecystectomy. It shows features such as nausea, vomiting, dyspepsia, bloating, flatulence, diarrhea, or persistent upper gastric pain on the right side in approximately 5–40% of patients undergoing cholecystectomy. It can be transient, continuous, or long-lasting. A 24-year-old female patient of PCS came to outpatient department of Swasthavritta and Yoga with chief complaints of urticaria, hyperacidity, nausea, vomiting, and regurgitation for more than two years. It can correlate PCS with Urdhwaga amlapitta (~upward hyperacidity) symptomatically. Classical texts have prescribed diet and lifestyle modifications for the symptoms of Urdhwaga amlapitta and one among them is a yogic intervention Kunjal kriya (~yogic therapeutic self-induced emesis). The patient in this case was advised this Kriya along with diet and lifestyle modifications to assess their effectiveness. Encouraging effects were noted during treatment. The procedure was prescribed to be done under the supervision of experts in the early morning once a week for 12 weeks. The patient was examined at an interval of 15 days during these 12 weeks of intervention. The symptoms including urticaria, hyperacidity, nausea, vomiting, and regurgitation were significantly reduced by the end of the intervention. The patient experienced relief in the symptoms. This case report shows that Kunjal kriya along with Ayurveda diet and lifestyle management can be beneficial in the management of such pathologies.