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Diarrhoea is
regarded as the characteristic symptom of intestinal disturbances
(Rutgers, 1992). Lactose, a disaccharide occurring in mammalian
milk, is hydrolysed by b-galactosidase (lactase) localised on the
brush border of small intestine (Asp and Dahlqvist, 1972). Lactase
hydrolysis lactose to monosaccharides namely, glucose and galactose
which are then actively absorbed into the circulation. An accumulation
of lactose due to deficiency of lactase enzyme leads to symptoms
of lactose malabsorption such as diarrhoea, bloating and flatulence.
These symptoms originate from fermentation of undigested lactose
entering the colon and resulting in osmotic diarrhoea (Kretchmer,
1972). Osmotic diarrhoea occurs when inadequate absorption results
in a collection of solutes in the gut lumen, which cause water to
be retained by their osmotic activity. Any condition that results
in nutrient malabsorption or maldigestion results in similar diarrhoea
(Susan, 1998). This physiological phenomenon of lactase deficiency
resulting in lactose intolerance is considered as a model to evaluate
antidiarrhoeal drugs (Mir and Alioto, 1982). The present study is
planned to evaluate the antidiarrhoeal potential of Diarex Vet.
Adult
male Wistar rats weighing 250 ± 5 g were selected and housed
in individual metabolic cages in controlled laboratory conditions.
A total of forty rats were randomly divided into 5 groups each consisting
of 8 rats. Group I served as normal control and received standard
commercial pellet feed. Group II served as positive control and
received lactose mixed diet during the entire period of study. Groups
III, IV and V served as treatment groups which were given same diet
as group II and in addition were administered with 250, 500 and
750mg/kg body weight of Diarex Vet respectively as an oral aqueous
suspension. The total duration of treatment was five days. The rats
were fasted overnight and were then fed with a combination diet
of commercially available feed and lactose as described by Mir and
Alioto (loc cit). The treatment was initiated when induction
of diarrhoea was observed in rats within 36 hours. To calculate
the faecal dry matter content, faecal mass was collected from each
of the cage, weighed and kept in hot air oven at 600C for 8 hours
before the dry weight of the faecal mass was taken. The difference
of wet to dry weight was calculated and converted to percentile
score. The visual examination of the faecal mass was done and the
pelleting was rated in the range of 1 to 4 to arrive at pelleting
index. The daily feed (g) and water (ml) consumption was recorded.
The body weights of the rats were taken in the beginning and at
the end of the study. The results were analysed statistically by
ANOVA (Snedecor and Cochran, 1967).
The
daily feed (g) and water (ml) intake, percent dry matter content,
pelleting index and body weights were recorded during the study
period. The lactose mixed feed to the target groups was given on
day 0 and the recordings were made from day 1 onwards. The induction
of diarrhoea was observed 24?36 hours after the feed intake by the
rats (Mir and Alioto, loc cit). The daily feed (g) and water
(ml) consumption is presented in Table 1. There were no significant
(p>0.05) differences in water consumption on day 1 and 2 among
the Groups. However differences existed among the groups on days
3?5. Significant (p>0.05) differences existed among the groups
on day 4 and 5. The consumption of water was proportional to the
intensity of diarrhoea. There were no significant (p>0.05) differences
in the feed consumption among the groups.
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Table1:
Daily Feed (g) and Water (ml) Consumption in Lactose Induced
Diarrhoea in Rats
|
| Groups |
Water
consumption (on days)
|
|
1
|
2
|
3
|
4
|
5
|
| Group
I (Control) |
16
± 2.11
|
16
± 2.55
|
19
± 3.64a
|
19
± 2.09a
|
20
± 2.16a
|
| Group
II (+ve control) |
16
± 2.54
|
24
± 2.89
|
30
± 2.81b
|
29
± 2.67bc
|
28
± 2.16ab
|
| Group
III (250 mg/kg) |
15
± 3.42
|
21
± 2.56
|
29
± 2.62b
|
26
± 2.59bc
|
30
± 1.68b
|
| Group
IV (500 mg/kg) |
18
± 1.61
|
20
± 1.99
|
23
± 2.98a
|
23
± 2.17ac
|
23
± 2.13a
|
| Group
V (750 mg/kg) |
18
± 2.05
|
19
± 1.97
|
20
± 2.78a
|
20
± 1.93a
|
21
± 2.42a
|
|
Feed
consumption
|
| Group
I (Control) |
24.79
± 2.92
|
24.36
± 2.90
|
23.14
± 2.88
|
23.96
± 2.28
|
20.42
± 2.13
|
| Group
II (+ve control) |
25.07
± 2.76
|
25.02
± 2.37
|
24.56
± 2.64
|
24.31
± 2.38
|
24.22
± 2.91
|
| Group
III (250 mg/kg) |
24.44
± 2.60
|
22.38
± 2.81
|
22.90
± 2.79
|
21.36
± 2.94
|
21.20
± 2.67
|
| Group
IV (500 mg/kg) |
23.64
± 2.67
|
21.82
± 2.57
|
25.35
± 2.59
|
20.32
± 2.81
|
21.72
± 2.74
|
| Group
V (750 mg/kg) |
24.06
± 2.07
|
25.11
± 2.60
|
25.42
± 2.86
|
20.12
± 2.06
|
22.76
± 2.15
|
|
Values
are mean ± SE, n = 8
Means bearing the same superscript between the columns do
not vary significantly and those bearing different superscripts
(a, b and c) vary significantly (p£0.05)
|
In the present
study pelleting of faecal mass was found to start when the percentage
of the dry matter in the faecal mass was approximately 45%. The
degree of diarrhoea was found to be inversely related to percentage
dry matter content. There was a marked decrease in the dry matter
content in the group II on day 1, after the initiation of the lactose
mixed feed intake by the rats. The diarrhoea was consistent and
uniform through out the study period in group II. There were no
significant (p>0.05) difference observed between the Group II
and III through 5 days treatment period, however dose dependent
treatment response was seen with the groups IV and V. There was
a significant (p<0.05) reduction in diarrhoea in group IV from
the 4th day onwards group I and group V on the 5th day. The differences
in pelleting of faecal mass could not be visually differentiated
among the groups IV and V, though significant (p<0.05) differences
existed among the groups II, IV and V (Table 2).
|
Table
2: Percentage Dry Matter Content and Pelleting Index in Lactose
Induced Diarrhoea in Rats
|
| Groups |
Percentage
dry matter content (on days)
|
|
1
|
2
|
3
|
4
|
5
|
| Group
I (Control) |
62.15
± 2.92a
|
66.55
± 2.59a
|
65.74
± 2.89a
|
66.78
± 2.94a
|
65.9
± 2.95a
|
| Group
II (+ve control) |
39.61
± 3.25b
|
37.65
± 2.21b
|
35.80
± 3.09b
|
37.23
± 3.59b
|
38.63
± 4.27b
|
| Group
III (250 mg/kg) |
40.69
± 3.01b
|
37.34
± 3.19b
|
37.89
± 4.65b
|
40.23
± 4.82b
|
39.85
± 2.64b
|
| Group
IV (500 mg/kg) |
37.56
± 3.78b
|
49.52
± 3.0b
|
42.26
± 3.98b
|
48.41
± 3.56c
|
52.50
± 2.98c
|
| Group
V (750 mg/kg) |
38.21
± 2.78b
|
42.11
± 1.86c
|
55.71
± 4.12c
|
59.13
± 2.51d
|
60.82
± 2.07a
|
Values
are mean ± SE, n = 8.
Means bearing the same superscript between columns do not vary
significantly and those bearing different superscripts (a, b,
c and d) vary significantly (p£0.05)
|
|
|
Pelleting
index
|
| Group
I (Control) |
4
|
4
|
4
|
4
|
4
|
| Group
II (+ve control) |
1/(2)
|
1
|
1
|
1
|
1
|
| Group
III (250 mg/kg) |
1/(2)
|
1
|
1
|
1
|
1
|
| Group
IV (500 mg/kg) |
1/(2)
|
1
|
1/(2)
|
3
|
4
|
| Group
V (750 mg/kg) |
1/(2)
|
1/(2)
|
3/(4)
|
4
|
4
|
|
1 Watery
unformed faecal mass
2 Semisolid unformed faecal mass
3 Soft pelleted faecal mass
4 Normal faecal mass
|
The
active ingredients of the herbal formulation Diarex Vet such as
Holarrhena antidysenterica, Tinospora cordifolia, Aegle marmelos,
Punica granatum, Cyperus rotundus, Bombax Ceiba and Aconitum
heterophyllum have been effectively used in cases of indigestion,
flatulence and diarrhoea of varying etiologies including bacterial,
fungal and protozoal. Boishya et. al., (1982) reported the
use of the drug in diarrhoeal cases as a symptomatic and supportive
treatment in non-parasitic, protozoal infections and other diarrhoeas
of nutritional origin. Javalgekar (1982) reported the antidiarrhoeal
and antidysenteric properties associated with Holarrhena antidysenterica.
Chopra (1956) indicated the usefulness of Tinospora cordifolia
in chronic diarrhoea and dysentery. Sahu (1983) reported the astringent
activity of Punica granatum in the cases of diarrhoea and
dysentery. Antidiarrhoeal property of Aegle marmelos in castor
oil induced diarrhoea in rats was reported by Pandey (1996). Singh
and Chaturvedi (1982) reported the antidiarrhoeal activity of Aconitum
heterophyllum along with its astringent and tonic properties.
In the present study Diarex Vet controlled the lactose induced diarrhoea
in rats.
Diarrhoea
was induced in rats by mixing lactose in feed. The induction of
lactose induced osmotic diarrhoea was seen within 36 hours after
the initiation of the consumption of lactose mixed feed. The rats
in different groups were treated with Diarex Vet at the dose of
250, 500 and 750mg/kg-body weight. There was a dose dependent response
seen in the treated groups. The animals recovered back to normal
on the 5th day in the group given Diarex Vet at the dose of 750mg/kg
body weight.
- Asp, N.G.
and Dahlqvist, A. (1972).... Anal. Biochem., 47: 527.
- Boishya,
B., Baruah, S. and Thakuria, R. (1982).... Capsule, 4:
59.
- Chopra,
R.N. (1956).... Glossary of Indian Medicinal Plants, CSIR,
New Delhi. pp 244.
- Javalgekar,
R.R. (1982).... Indian J. Pharmaceut. Sci., 44: 25.
- Kretchmer,
N. (1972).... Sci. Am., 227 : 71.
- Mir, G.N.
and Alioto, R.L. (1982).... J. Pharmacol. Methods, 7: 115.
- Pandey, V.N.
(1996)....Pharmacological Investigations of Certain Medicinal
Plants and Compound Formulations used in Ayurveda and Sidda, CCRAS.,
New Delhi : 78.
- Rutgers,
H.C. (1992).... Tijdschr Diergeneeskd., 117: 658.
- Sahu, T.R.
(1983).... Ancient Sci. Life., 2: 169.
- Singh , K.P.
and Chaturvedi, G.M. (1982).... Nagarjun., 25: 130.
- Snedecor,
G.W. and Cochran, G.W. (1967).... Statistical Methods,
VI Edn., Oxford and IBH Publishing Co., Calcutta.
- Susan, E.A.
(1998).... The Merck Veterinary Manual (8th Edn.) Merck
& Co., Inc., New Jersey, USA. pp 110.
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