What is causing my breathlessness, weakness, and pain near the liver with reduced alkaline phosphatase levels? - #54236

You are reporting an important combination of symptoms: Dyspnea / breathlessness PND (paroxysmal nocturnal dyspnea) – breathlessness at night Weakness / fatigue Pedal edema (leg swelling) Pain near liver region / right upper abdomen Recent surgery history Even if many blood tests are otherwise normal, this symptom pattern can sometimes point to fluid overload, heart strain, lung issue, post-surgical complication, venous problem, or liver congestion rather than a simple minor issue. Please take an appointment because ive to take history in detail

This condition indicates Vata + Kapha imbalance with Rasa–Rakta dhatu involvement: Breathlessness (PND) + weakness → Prana Vata disturbance + reduced vitality Pedal edema → Kapha accumulation + fluid imbalance Pain near liver → Pitta involvement in Yakrit (liver) Low alkaline phosphatase → suggests low metabolic activity (Mandagni) and tissue weakness In Ayurveda, this resembles early “Shotha (edema) + Yakrit dushti + Vata imbalance” Important Note Combination of breathlessness + edema + recent surgery may also indicate cardio-respiratory or fluid imbalance issues. Root Cause Weak digestion/metabolism (Mandagni) Improper fluid metabolism (Kapha accumulation) Disturbed circulation & energy (Vata imbalance) Post-surgical weakness affecting tissues Diet Guidelines Take light, warm, easily digestible food Include: Moong dal, lauki, garlic, ginger Warm water, herbal teas Avoid: Heavy, oily, cold, salty foods Excess fluids at night Packaged & processed food Natural Remedies Punarnava decoction → reduces edema, supports kidneys/liver Arjuna + garlic → supports heart and circulation Guduchi (Giloy) → improves metabolism & immunity Trikatu (small dose) → enhances Agni Lifestyle Avoid lying flat immediately after meals Gentle walking, avoid exertion Elevate legs slightly to reduce swelling Proper rest + stress control