How to treat stomach gastritis when acid reflux is not controlled for three years? - #56751

Based on your symptoms—daily acid reflux for 3 years, abdominal pain, reduced appetite, worsening with spicy foods, and a normal CT scan—this condition closely resembles Amlapitta in Ayurveda, where aggravated Pitta dosha causes excessive acidity, reflux, burning, and inflammation of the stomach lining. Since symptoms have persisted for 3 years despite medications, a detailed evaluation by a gastroenterologist is also important to rule out conditions such as Gastroesophageal Reflux Disease (GERD), peptic ulcer disease, or infection with Helicobacter pylori Infection. Ayurvedic Treatment Approach 1. Mukta Shukti Bhasma 125–250 mg twice daily Mix with honey or ghee after meals Helps neutralize excess acidity and reduces burning 2. Kamdudha Ras (Muktiyukta) 1 tablet twice daily after meals Traditionally used for chronic hyperacidity and gastritis 3. Avipattikar Churna 3–5 grams with lukewarm water at bedtime Reduces Pitta, improves digestion, and relieves reflux 4. Yashtimadhu (Licorice) 2–3 grams twice daily Helps soothe and heal irritated gastric mucosa Avoid prolonged unsupervised use if you have high blood pressure 5. Shatavari Churna 3–5 grams with milk twice daily Excellent Pitta pacifier and gastric mucosal protector Diet (Pathya) Prefer: Cooked rice Moong dal Bottle gourd, pumpkin, ridge gourd Pomegranate Ripe banana (if tolerated) Cow’s milk (if it suits you) Tender coconut water Small, frequent meals Avoid: Spicy foods Red chili Pickles Deep-fried foods Excess tea and coffee Carbonated drinks Alcohol Smoking Eating late at night Lifestyle Recommendations Eat meals at fixed times. Do not lie down for at least 2–3 hours after eating. Sleep with the head slightly elevated if reflux is severe. Avoid overeating. Practice gentle yoga and breathing exercises such as: Sheetali Pranayama Sheetkari Pranayama Nadi Shodhana Panchakarma For long-standing cases Virechana (therapeutic purgation) Takra Dhara Pitta-pacifying Panchakarma protocols These therapies aim to reduce aggravated Pitta and may provide longer-lasting relief.

••Pranam. I understand how exhausting and distressing it must be to deal with chronic gastritis and persistent acid reflux for three years, especially when your CT scan comes back normal and standard treatments aren’t giving you lasting relief. ••Here is a holistic, classical Ayurvedic protocol tailored for chronic Amlapitta: 1. Classical Herbo-Mineral Formulations (Chikitsa) ••Sutshekhar Ras (Gold or Plain): This is the premier formulation for severe, chronic acid reflux. It acts directly on the stomach lining, neutralizes hyperacidity, and alters the upward movement of Pitta. Dosage: 1 tablet (125 mg) twice a day, empty stomach in the morning and evening, taken with honey or a spoonful of cow’s ghee. ••Kamdudha Ras (Moti Yukta): An incredible cooling (Sheeta) formulation rich in natural calcium compounds (Praval, Mukta, Shankha). It immediately soothes the burning sensation in the stomach and esophagus and heals chronic mucosal irritation. Dosage: 1 tablet (250 mg) twice a day, 30 minutes after meals with warm water. ••Avipattikar Churna: A classical formulation designed specifically for Urdhvaga Amlapitta. It helps in mild purgation, effectively clearing the accumulated, stagnant sour Pitta from the gastrointestinal tract and directing it downward. Dosage: 3 to 5 grams at bedtime with lukewarm water. 2. Single Herb Therapies (Ekaushadhi) ••Yashtimadhu (Licorice - Glycyrrhiza glabra): It acts as a natural demulcent, creating a protective coating over the inflamed gastric mucosa and promoting tissue healing. How to use: 1/2 teaspoon of Yashtimadhu Churna mixed with 1 teaspoon of Shatavari Churna, taken with lukewarm milk or water twice a day. ••Amala (Indian Gooseberry): The best rasayana for Pitta. Unlike other sour fruits, Amala is highly alkaline post-digestion (Madhur Vipaka) and reduces gastric secretions. 3. Vital Dietary Modifications (Ahara) When dealing with a three-year-old Pitta imbalance, diet isn’t just support—it is the medicine. ••What to favor: •Old rice (Shashtika Shali), barley, and wheat. Mung dal water or well-cooked, light mung khichdi. •Vegetables like ash gourd (Petha), bottle gourd (Lauki), pointed gourd (Parwal), and ridge gourd (Turai). Ash gourd juice in the morning on an empty stomach is highly beneficial. ••Cow’s Ghee: Pure cow’s ghee is Pitta-Shamana and stimulates a healthy Agni without increasing acidity. Mix 1 teaspoon of ghee into your warm meals. ••What to strictly avoid: Katu (pungent), Amla (sour), and Lavana (salty) tastes. Green chilies, red chili powder, garlic, onions, garam masala, and heavy pickles. Fermented foods (Idli, Dosa, curd/yogurt) as they directly aggravate Amlapitta. Tea, coffee, citrus fruits, and carbonated beverages. 4. Lifestyle & Stress Management (Vihara) The stomach lining is deeply connected to the nervous system. Chronic stress secretes excess acid. ••Avoid Bhaya (fear/anxiety) and Krodha (anger): These emotions instantly elevate Pitta. ••Sheetali and Sitkari Pranayama: These are cooling breathing exercises that help calm the nervous system and lower internal body heat. ••Never skip meals: Leaving the stomach empty for long periods allows the aggravated Pitta to irritate the gastric walls. Eat small, frequent, and easily digestible meals.