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My appetite problem and other problems (body itching, weakness) was solved during 1st week of treatment, the consistent problem is only yellow urine(light colour not dark tea coloured), my skin and eye colour are/was not yellow. And I had no fever at all. I don’t know it was jaundice or something else. In my latest report, LFT test, total bilirubin was in 1.9, conjugated 0.8 and unconjugated 1.1, sgot and sgpt was in normal range In CBC report, everything was in normal range (WBC, haemoglobin, platelets) And USG result , the gall bladder wall thickness is 3.5mm, improved (in previous one the thickness was 7.5mm) and I had no pain at abdominal region at all. After reviewing my reports and symptoms, do you think the main cause of my persistent yellow urine is still a liver/gallbladder issue, or could it be due to other factors. I have already taken liver medicines for about 40 days and another doctor treated me for a possible viral illness/dengue for 10 days. Right now, my main remaining symptom is yellow urine and itching sometimes I also want to mention that for the last few weeks/months I’ve had poor sleep and stress. My mind stays active and I find it difficult to fall asleep properly. I keep thinking about my health symptoms repeatedly. Could poor sleep, stress, or anxiety be contributing to my symptoms or making me notice them more?
••Namaste. I understand this must be incredibly frustrating and exhausting for you. Dealing with persistent yellow urine, a loss of appetite, and fluctuating bilirubin levels for two months—without getting clear answers—is deeply draining. From the perspective of Ayurveda, what you are experiencing aligns closely with a condition called Kamala (which correlates with jaundice and hepatic/biliary disorders). In Ayurveda, this is primarily a disturbance of the Pitta Dosha, specifically the subtype Ranjaka Pitta (which resides in the liver and spleen and governs the color of blood and bile). Why is the Bilirubin Fluctuating? The temporary drop to 0.9 was likely due to the initial clearance of acute inflammation by the antibiotics, but because the root Agni (digestive fire) wasn’t restored and the liver tissue (Yakrit) wasn’t fully rejuvenated, the bilirubin bounced back up to 2.2 once the strong medicines stopped. Whether triggered by a viral underlying cause (like a post-viral/dengue hepatic effect) or primary biliary sluggishness, the Ayurvedic approach focuses on cooling the Pitta, clearing the channel blockages, and reviving your appetite. ••Ayurvedic Line of Treatment To address this effectively, we focus on Mridu Virechana (gentle purgation to flush excess bile), Deepana-Pachana (igniting digestive fire), and Yakrit-Rakshana (liver protection). 1. Classical Ayurvedic Herbs (Consult an Ayurvedic Practitioner for Dosages) ••Bhumyamalaki (Phyllanthus niruri): This is the ultimate liver-protecting herb in Ayurveda. It is scientifically and classically proven to reduce bilirubin levels, protect liver cells, and clear channel blockages. ••Katuki (Picrorhiza kurroa): A potent bitter herb that acts as a natural cholagogue, meaning it helps flush out excess bile from the gallbladder and liver, reducing both edema and yellow urine. ••Liv-52 or Rohitakarishta: Classical formulations that help regulate liver enzymes and gradually restore your lost appetite. 2. Dietary Changes (Ahara) to Cool Pitta Your liver is currently inflamed; eating heavy foods is like putting wet logs on a dying fire. ••What to Eat: Fresh pomegranate juice (excellent for the liver), sugarcane juice (hygienically prepared), bitter gourd (Karela), bottle gourd (Lauki), and boiled mung dal khichdi with a pinch of turmeric and cumin. ••What to Avoid Strictly: Deep-fried foods, heavy oils, spicy foods, refined flour (maida), fermented foods (like curd or idli), and excessive salt. 3. Home Remedies for Quick Relief ••Coriander Seed Water: Soak 1 tablespoon of coriander seeds in a cup of water overnight. Strain and drink it in the morning. Coriander is a natural coolant (Sheeta) that reduces Pitta and helps clear yellow urine. ••Raisin Water: Soak 10-15 black raisins overnight, mash them into the water in the morning, strain, and drink. It gently cleanses the liver. ••Important Note on Urine Color: Please keep in mind that if you are currently taking the Vitamin B12 supplements prescribed by your gastroenterologist, B-complex vitamins naturally turn urine a bright, neon-yellow color. This is harmless and happens as your body flushes out excess water-soluble vitamins. However, your elevated bilirubin (2.2) means the liver still needs targeted care.
My appetite problem and other problems (body itching, weakness) was solved during 1st week of treatment, the consistent problem is only yellow urine(light colour not dark tea coloured), my skin and eye colour are/was not yellow. And I had no fever at all. I don’t know it was jaundice or something else. In my latest report, LFT test, total bilirubin was in 1.9, conjugated 0.8 and unconjugated 1.1, sgot and sgpt was in normal range In CBC report, everything was in normal range (WBC, haemoglobin, platelets) And USG result , the gall bladder wall thickness is 3.5mm, improved (in previous one the thickness was 7.5mm) and I had no pain at abdominal region at all. After reviewing my reports and symptoms, do you think the main cause of my persistent yellow urine is still a liver/gallbladder issue, or could it be due to other factors. I have already taken liver medicines for about 40 days and another doctor treated me for a possible viral illness/dengue for 10 days. Right now, my main remaining symptom is yellow urine and itching sometimes I also want to mention that for the last few weeks/months I’ve had poor sleep and stress. My mind stays active and I find it difficult to fall asleep properly. I keep thinking about my health symptoms repeatedly. Could poor sleep, stress, or anxiety be contributing to my symptoms or making me notice them more?
1. Clinical Analysis of Your Current Symptoms Based on your LFT (Total Bilirubin: 1.9mg/dL), you have a mild residual hyperbilirubinemia. In Ayurveda, this stage is classic of a resolving Koshthashrita Kamala (liver/biliary tract-driven jaundice) transitioning into a subtle Dosha Dushti phase. Here is why your urine remains light yellow and why your mind is anxious: Why is the urine still yellow? ••The Ayurvedic View (Rakta-Pitta Vyadhi): Even though the acute inflammation in your gallbladder (Pitta Sthan) has subsided, your Yakrit (liver) and Pheeha (spleen) are still clearing the residual Udraka Pitta (excess bile pigments) from the Rakta Dhatu (blood tissue). Because your bowel movements and appetite have returned to normal, the Anulomana (downward clearance) of Pitta is happening properly, and the kidneys are simply filtering out the remaining excess circulating bilirubin. ••Modern View: A total bilirubin of 1.9mg/dL is just above the normal threshold (usually 1.2mg/dL). It is high enough for excess urobilinogen to color your urine a distinct light yellow, but low enough that it won’t cause Icterus (yellowing of the eyes or skin), which typically requires a bilirubin level above 2.5 mg/dL. Why is there occasional itching? ••Ayurvedic View: This is a classic presentation of Kandu caused by Alpa Pitta-Kapha Samsarga. When residual Pitta combines with subtle Kapha under the skin (Twacha), it causes transient itching. ••Modern View: Mild elevations in conjugated bilirubin (0.8mg/dl) can lead to a slight deposition of bile salts in the cutaneous tissues, triggering intermittent pruritus (itching), even without visible jaundice. Phase 1: Calming the Mind & Improving Sleep (Nidra Janana) ••Shiroabhyanga / Padabhyanga: Apply Ksheerabala Taila or Brahmi Taila to your scalp and the soles of your feet before sleep. This down-regulates Vata, induces deep sleep (Sushupti), and stops the cycle of health-related overthinking. ••Satvavajaya Chikitsa (Psychotherapy/Mindfulness): Dedicate 10–15 minutes to Pranayama (specifically Anulom Vilom and Bhramari) daily. This directly targets the Prana Vayu causing your restless nights. ••Internal Herbs: Classics like Ashwagandha, Brahmi, or Jatamansi (often formulated as Manasamitra Vatakam or Saraswatarishta) can be evaluated by your consulting physician to calm the central nervous system without putting a load on the liver. Phase 2: Clearing Residual Pitta (Urine & Itching) ••Mridu Virechana / Anulomana: To fully clear the 1.9 mg/dLbilirubin, a mild daily laxative/purgative that cleanses blood and bile is ideal. Avipattikar Churna (taken with lukewarm water at bedtime) or a mild dose of Trivrit Lehya can gently flush residual Pitta through the gut, immediately relieving the load on both the kidneys (reducing yellow urine) and the skin (stopping the itching). ••Cooling Blood Purifiers: Formulations containing Sariva (Hemidesmus indicus), Chandana, or Ushira are excellent. Sarivadyasava gently cleanses the Rakta Dhatu, clears skin itching, and acts as a mild natural diuretic to clear urine discoloration. Phase 3: Diet & Lifestyle Modifications (Ahara-Vihara) ••Hydration: Ensure adequate intake of water, but introduce cooling drinks like Mishri-Sushki Dhanyaka Udaka (coriander seed water soaked overnight with unrefined sugar). This cools the Mutravaha Srotas (urinary tract). ••Avoid: Strictly avoid late nights (Ratri Jagrana), as staying awake past 10:00 PM directly spike Pitta and Vata, worsening both your liver clearance and your anxiety. Avoid spicy, pungent, and deeply fried foods.
Your case needs proper medical evaluation rather than changing liver tonics repeatedly. Bilirubin initially improved from 4.2 to 0.9 but later increased again to 2.2, and persistent yellow urine for 2 months suggests the underlying cause may not be fully resolved. Possible causes include: • Viral hepatitis or post-viral liver inflammation • Gilbert’s syndrome (a benign bilirubin metabolism issue) • Persistent liver or bile duct dysfunction • Dehydration or concentrated urine • Less commonly, ongoing gall bladder or hemolytic issues I would advise repeating: • Complete LFT (including direct and indirect bilirubin) • CBC • Hepatitis profile (A, B, C, E as advised by your doctor) • Urine routine examination • Follow-up ultrasound if symptoms persist From an Ayurvedic perspective, liver support can be helpful, but first the exact cause should be identified. Until then: • Drink adequate water • Avoid alcohol, fried foods and excessive spices • Take light, easily digestible meals • Get proper rest If you still have poor appetite, weight loss, fever, itching, pale stools, or yellowing of the eyes, please follow up with the gastroenterologist promptly, as these findings need further investigation.
Don’t worry sir…Kindly follow these mediciens: 1.Arogyavardhini vati 2 tab twice daily with water after meals 2.Avipattikar churna 1 tsp at bedtime with warm water 3.Bhumyamalaki churna 1/2 tsp twice daily with warm water before meals 4.Syp. Amlycure 2 tsp thrice daily after meals Essential Cooling Home Remedies Instead of drinking plain water all day, you can flush out the residual yellow tint and soothe your urinary tract (Mutravaha Srotas) using these natural coolants: -Dhanyaka Udaka (Coriander Seed Water): Soak 1 tablespoon of crushed coriander seeds in a cup of water overnight. Strain it in the morning and sip it on an empty stomach. Coriander is a potent, gentle coolant (Sheeta) that pacifies Pitta. -Fresh Coconut Water: Drink once a day to naturally cool your system, support hydration, and calm internal heat. Hope you will get well soon