●Karela leaves or Amla leaves juice 2 times a day ●Varun shigru khwatg-20ml 3 times a day after food ●Kalanchoe pinnata-Eat 2 leaves empty stomach 2 times day ●Arogyavardhini vati -1tab 2 time a day after food ●Punarnavaasav-20ml 3 times a day ●Chandanasava- 20 ml 2 times a day ●Tab.liposem plus 1 tab 3 times a day ●Gokshur guggulu- 2tsp 2 times a day ●Shwet parapti 500mg+yava kshar 250mg+hajral yavadu bhasma 250mg mix well and with warm water milk 2 times a day ●Take all the medicine upto 5 6 months ●Follow up after 1 month or any other issue you can contact here.
Here is a realistic Ayurvedic perspective—clear and evidence-based: 1. Can Ayurveda dissolve a 20 mm gallstone? Honestly, very unlikely. A 20 mm stone is considered large, and Ayurveda has limited success in dissolving such stones. Most Ayurvedic therapies work better for small (<5–8 mm), cholesterol-type stones. 2. Will treatment reduce size or just control symptoms? In your case: More likely: prevents symptoms and complications Less likely: significant size reduction Complete dissolution of a 20 mm stone is rare in clinical practice. 3. Time frame & monitoring If any response occurs: 3–6 months minimum Monitoring: Ultrasound every 4–6 months No change after 6–9 months → low chance of further benefit 4. Documented evidence There are no strong scientific or clinical studies proving reliable dissolution of large (>15 mm) gallstones with Ayurveda. Most claims are anecdotal. 5. Risks of delaying surgery Even if asymptomatic now, risks include: Sudden severe pain (biliary colic) Infection (cholecystitis) Duct blockage Pancreatitis (rare but serious) Large stones can stay silent—but complications can occur unpredictably. 6. Can Ayurveda prevent complications? It may help: Improve bile flow Reduce inflammation Support digestion But it cannot guarantee prevention of blockage or acute attacks. 7. Ayurvedic approach (typical) Treatment is usually supportive: Medicines (example categories): Pitta-balancing & liver support: Bhumi amla, Kalmegh Bile-regulating: Kutki, Triphala Classical formulations like Arogyavardhini Vati, Punarnava, etc. Diet: Low-fat, light, easily digestible food Avoid fried, oily, heavy meals Warm water, regular meals Side effects: Generally mild if supervised But improper use can affect liver or digestion 8. When to stop Ayurveda & consider surgery Immediately shift to surgery if: Pain in right upper abdomen Vomiting, fever Jaundice Stone moves into duct No change after ~6 months Final practical advice You are currently asymptomatic, so observation is reasonable Ayurveda can be tried for supportive management, not as a guaranteed cure For a 20 mm stone, laparoscopic surgery remains the most definitive and reliable option
It is understandable that you are looking for a non-invasive path forward, especially since you are currently asymptomatic. Managing a 20.5 mm gallbladder stone requires a careful balance between Ayurvedic principles and clinical reality. 1. Success Rate for Large Stones Realistically, dissolving a 20 mm stone through Ayurveda alone is clinically challenging. While Ayurveda is highly effective for “sludge” or stones under 7 mm, the success rate for complete dissolution of stones over 15 mm is estimated to be below 15–20%. A stone this size cannot pass through the cystic duct (which is only 3–4 mm wide) and would need to be completely broken down into fine “sand” to exit. 2. Symptom Control vs. Size Reduction In cases of large stones, Ayurvedic treatment often shifts toward management. Symptom Control: Highly likely. Ayurveda can improve bile flow and liver function, keeping you asymptomatic and preventing inflammation (Cholecystitis). Size Reduction: Possible, but rarely a quick or guaranteed process for a stone of this magnitude. 3. Time Frame and Monitoring Time Frame: Expect at least 6 to 12 months of consistent treatment to see measurable changes. Monitoring: Progress is typically monitored via ultrasound every 3 to 4 months to check if the stone is shrinking or if the gallbladder wall is thickening. 4. Documented Evidence There are no strong scientific or clinical studies proving the reliable dissolution of large (>15 mm) gallstones with Ayurveda; most success stories at this size remain anecdotal rather than documented in peer-reviewed clinical trials. 5. Risks of Delaying Surgery The primary risk is the stone moving and causing: Biliary Colic: Intense pain if the stone blocks the gallbladder neck. Cholecystitis: Inflammation of the gallbladder wall. Pancreatitis: A serious complication if a fragment blocks the common duct. 6. Preventing Complications Ayurvedic treatment acts as a cholagogue, improving the quality and “grittiness” of the bile. This can reduce the risk of infection and further stone growth, though it cannot 100% guarantee that a blockage won’t occur. 7. Typical Ayurvedic Protocol Doctors often recommend a combination of litholytic (stone-breaking) and liver-supporting herbs: Medicines: Varunadi Kwath (primary litholytic), Arogyavardhini Vati (liver support), and Punarnava. Diet: A strict low-fat diet, avoiding deep-fried foods and red meat. Incorporate bitter gourd (Karela) and plenty of warm water. Side Effects: Generally mild under supervision, but improper use can occasionally cause digestive upset or affect liver enzymes.
A 20.5 mm single gallbladder stone is a large stone. Since there are no symptoms and scan is otherwise normal, this is an asymptomatic gallstone. Can Ayurveda dissolve it? Realistically Complete dissolution is uncommon in a 20 mm stone. Ayurveda may help in improving bile flow reducing inflammation preventing new stones/sludge reducing chance of symptoms Success is better in small cholesterol stones (<10 mm). For 20 mm, chances of full dissolution are low. Will it reduce size? Possible slight reduction if it is a cholesterol stone. If it is a pigment/mixed stone, usually no major size reduction. Time frame Try treatment for 3 months. Repeat ultrasound after 3 months. If reducing → continue. If same/increased → consider surgery. Risks of delaying surgery Possible complications: sudden severe pain infection jaundice pancreatitis blockage of bile duct Can Ayurveda prevent complications? It may reduce risk by improving digestion and bile movement, but cannot guarantee prevention. Take Arogyavardhini Vati – 1 tablet twice daily after food Varunadi Kashayam – 15 ml + 15 ml warm water twice daily before food Punarnavadi Kashayam – 15 ml + 15 ml warm water twice daily before food Liv 52 – 1 tablet twice daily after food Diet Avoid oily/fried foods cheese, butter non-veg heavy food bakery items Take: warm water light food leafy vegetables fruits small frequent meals Stop Ayurveda & go for surgery if: severe right-side abdominal pain fever vomiting yellow eyes/urine repeated attacks after fatty food ultrasound shows increase in size
Gall bladder with small stones can be given ayurvedic treatment, so that it disintigrates and dissolves But big stone of size 20mm will shifts and blocks the neck of the gallbladder., and can cause Cholecystitis: Inflammation of the gallbladder wall. and also can cause Pancreatitis even If a small piece breaks off and blocks the common duct. So better to go for modern system of medicine, As supplement and as supportive medicine you can start with Heposem syrup 10ml twice daily after food with water Alsactil tablet 1-0-1 after food with water. Avoid long hours of fasting . Avoid spicy high sugary foods. , Avoid heavy meals.
I’ll answer you honestly and practically. 1. Can Ayurveda dissolve a 20 mm stone? For a stone of ~20 mm, complete dissolution with Ayurveda is unlikely. Ayurvedic treatment works better in small stones (<8–10 mm). In larger stones, it may support digestion and reduce symptoms, but full removal is not reliably achievable. 2. Will it reduce size or only control symptoms? In your case (asymptomatic, 20 mm), treatment may: * Improve bile flow and digestion * Possibly cause minor size reduction in some cases * Mostly helps in preventing symptoms, not guaranteed dissolution 3. Time frame & monitoring If you choose a trial: * Minimum 3–6 months needed * Ultrasound every 3–4 months to track size * If no change → unlikely to dissolve further 4. Evidence for large stones (>15 mm) There are no strong, consistent clinical studies proving complete dissolution of large stones like 20 mm. Most claims are anecdotal. 5. Risks of delaying surgery Since you are asymptomatic, immediate surgery is not mandatory. But risks to watch: * Sudden pain (biliary colic) * Infection (cholecystitis) * Stone slipping into bile duct (rare but serious) 6. Can Ayurveda prevent complications? It may support digestion and reduce risk factors, but it cannot guarantee prevention of blockage or acute attacks. 7. Practical Ayurvedic support (safe approach) Focus more on metabolic correction, not “stone removal claims” * Arogyavardhini vati – 1 tablet twice daily after food * Punarnava mandoor – 1 tablet twice daily after food * Varunadi kwath – 15 ml with equal water twice daily Diet: * Continue low-fat, avoid fried/heavy food * Regular meals, no long fasting * Warm water, light digestion-supporting diet 8. When to stop and opt for surgery (important) Do not delay if you get: * Severe right upper abdominal pain * Vomiting with pain * Fever or chills * Jaundice (yellow eyes/urine) Also consider surgery if: * Stone size increases * Multiple stones develop * Symptoms start recurring ⸻ Final practical view: At 20 mm and no symptoms, you can safely observe + support digestion. But expecting dissolution is not realistic. Surgery (laparoscopic) remains the definitive solution if symptoms develop. This balanced approach helps you avoid unnecessary surgery now, while staying safe. Regards, Dr Raghuveer (Ayurvedacharya)
Hello, You’re asking the right questions Your case summary -Age= 29 -single gallbladder stone : ~20.5mm (large) -no symptoms -normal gallbladder wall and ducts This is called asymtomatic cholelithiasis 1) Can Ayurveda dissolve a 20 mm stone? Honestly= Very unlikely -Ayurveda works best for small stones (<8-10mm) -At 20. mm, complete disolution is- rare and not reliably predictable There are anecdotal cases, but -No strong clinical evidence for consistent success in stones > 15mm 2) What can Ayurveda realistically do? -improve bile flow -correct metabolism (pitta + kapha imbalance) -prevent further stone formation -reduce risk of symptoms But -size reduction may be minimal or slow 3) Time frame and monitoring -Initial trial= 3-4 months -repeat usg every 3-6 months Expected -small change or no change in size -symptoms free continuation is considered success 4) Evidence for large stone dissolution? relaity -no strong evidence for complete dissolution of 20 mm stones -most sucess stories are- small stones, sludge, mixed cases 5) Risk of delaying surgery since you are asymptomatic immediate surgery is not mandatory But risks include -sudden pain -stone blocking duct -infection -pancreatitis (rare but serious) Risk increases with -large stones (> 2 cm ~ your case) 6) Can ayurveda prevent complications? Yes -by improving bile flow -reduce sludge formation -supports digestion But cannot guarantee prevention of blockage Ayurvedic plan Internal medication 1) Varunadi kashaya tablets= 2 tabs twice daily before meals =helps in biliary drainage 2) Punarnavadi kashaya tablets= 2 tabs twice daily after meals =reduces inflammation and metabolic load 3) Triphala tablets= 2 tabs with warm water at bedtime = supports detox + digestion Diet very important -low fat diet you already started -warm, light food -bitter foods- lauki, karela, greens Avoid -fried food -cheese, butter, red meat -processed meals Lifestyle -regular meals no long fasting -maintain weight -manage stress important trigger When to stop Ayurveda and go for surgery Immediate surgery if Any of these -severe sudden right upper abdominal pain -pain radiating to back/shoulder -fever -vomiting -jaundice Also consider surgery if -stone increases in size -symptoms start apperaing You have two valid options option 1= conservative (reasonable choice now) -ayurveda + diet -monitor regularly -stay alert for symptoms Option 2= surgical definitive -laparoscopic removal -permanent solution Ayurveda can support , stabilize, and delay progression but requires regular monitoring and clear plan Do follow Hope this might be helpful Thank you
20 mm stone is hard to treat only with medications I would suggest to go for surgery for safer
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