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High Blood pressure liver cirrhosis
Cardio Disorders
Consultation #26457
345 days ago
873

High Blood pressure liver cirrhosis - #26457

Rita
FREE

70 yrs female, early stage liver cirhosis, hypertension, prediabetes, subclinical hypothyroidism. On carvedilol istamet n thyronorm. For bp n cirrhosis on carvedilol (betablocker)3.125 mg twice a day. BP stays in 144/87 range. Sometimes 130s/70s. Mild pedal edema. Gas. No other symptoms. What can be done for high bp?

Consultation is closed

Doctors' responses

Dr. Surya Bhagwati
Bachelor of Ayurvedic Medicine and Surgery
345 days ago
5

Take tablet Liv-52 -DS 1-0-1 after food with water Sarpagandha tablet 0-0-1 at bedtime with water. Lessen intake of salt. Avoid fried foods.processed, foods.

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Dr. Isha Bhardwaj
Bachelor of Ayurvedic Medicine and Surgery
344 days ago
5

Don’t worry Rita ji, Start taking, 1. Divya Mukta vati 2-0-2 empty stomach 2.prabhakar vati 0-0-1 at bed time. Follow up after 45 days.

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Dr. Narendrakumar V Mishra
Bachelor of Ayurvedic Medicine and Surgery
343 days ago
5

Managing your condition requires a careful approach, especially considering the liver cirrhosis, hypertension, prediabetes, and hypothyroidism. Within the realm of Ayurveda, supporting the body’s natural balance can be a supplementary path, alongside allopathic treatment.

For hypertension, focus on balancing the Vata and Pitta doshas, which are often implicated. Begin with dietary modifications. Consider incorporating cooling and blood-pressure lowering foods such as oats, barley, coconut water, and triphala. Avoid heating and very salty foods, as these can exacerbate Pitta and disrupt Vata.

A gentle morning routine with yoga or pranayama (breathing exercises) might be beneficial. Anulom-vilom and Sheetali pranayama can support mind-calming and stress-reduction, which are crucial for bp management. These should be done in a seated posture, preferably early morning on an empty stomach.

For liver support, Ayurvedic herbs like Punarvana (Boerhavia diffusa) may help, but must be used only under supervision of a qualiifed practitioner, considering your medical history. Ensure to keep hydrated with warm water and follow a consistent eating routine to aid digestion and minimize gas.

For overall health balance supporting your liver, you could explore including Guduchi (Tinospora cordifolia) in your regimen, again, with professional guidance due to the cirrhosis.

Regularly consult with your primary doctor regarding your current medications and any integrative approach you wish to pursue to prevent any interactions. Keep monitoring your blood pressure and report any significant changes promptly. Avoid stopping or altering prescribed medications without medical advice.

This plan shoud be a part of an integrated care strategy. Immediate issues regarding pedal edema or any other new symptom demand direct medical attention, as these can be indicative of a serious condition.

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Dr. Sara Garg
Bachelor of Ayurvedic Medicine and Surgery
343 days ago
5

Approaching high blood pressure in the context of early stage liver cirrhosis, it’s essential to act with caution due to the existing medical treatments and conditions. An integrated siddha-ayurvedic approach considers balancing the doshas, primarily focusing on Vata and Kapha aggravations, which could be influencing the hypertension and associated symptoms like pedal edema.

First, dietary adjustments are key. Minimize salt intake, as excess salt can contribute to both high blood pressure and edema. Prioritize freshly cooked, easy-to-digest meals, rich in vegetables, whole grains, and legumes, while avoiding processed and packaged foods. Incorporate warm, light soups seasoned with cumin, coriander, and a pinch of turmeric to support digestive Agni (metabolic fire) and liver function.

Herbal formulations can assist, but given the complexity of the conditions and existing medication, these should be taken under guidance. Generally, you might consider herbs like Punarnava (Boerhavia diffusa) known for its diuretic and rejuvenative properties, traditionally used in liver and edema management. It can be consumed as a decoction, provided there are no contraindication from current medications.

Pranayama techniques, especially Anulom Vilom and Nadi Shodhana, practiced daily for about 10-15 minutes, can be helpful in balancing the nadis and calming the nervous system, which may indirectly support better blood pressure control.

Since liver cirrhosis and other chronic conditions present combined challenges, regular follow-up with your healthcare provider is crucial. This ensures any intervention chosen complements your current treatment regime, without risking possible interactions or complications.

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