Hello Saswati Mukherjee
" NO NEED TO WORRY "
" I WILL HELP YOU TO UNDERSTAND & MANAGE GALL STONES "
" I can understand going through severe Recurrent abdominal pain discomfort Affects her day today life "
YOUR PROBLEMS :-
* 8 mm Galls Stone ( Cholelithiasis /Pittashmari) * Abdominal pain, and heaviness.
MEDICAL HISTORY
Hypertension on Telma 40
GALL STONES FACTS U MUST KNOW
* Any Stone size below 6 mm can be easily manageable with Oral medicines and can be dissolved But Above 6 mm it becomes Difficult as size grows bigger Diffult to dissolve
* U must know Ur Stone Size is Moderate 8 mm bigger than Common Bile Ducts diameter 6 mm so it can’t expelled through Bile Duct
* Gall stones can’t be Either Expelled like kidney stones
* If Gall Stones is Creating any problems complications like Pain Discomfort Indigestion Jaundice Bile Duct Obstruction Liver complications then it needs emergency medical care with Medicine initially.
* In certain Complications like Serve Gall Bladder Infection Inflammation urgent ERCP surgery surgeon may advice
* If Gall Stones is Present but not creating any Major Complications ( Except manageable mild symptoms which comes sometimes or u don’t have any discomfort ) then U can try with Some Ayurvedic medicines
* Even though without Minor complications and minor discomfort even Gall Stones remains there also No Problem then also Ayurvedic Medicine can be considered
* I have seen lots of Asymptomatic or rarely Symptomatic Gall stones Patients since long years they have Gall stones but they don’t have any problems living their life happily by just following minor precaution in Diet Lifestyle etc
* Consider ERCP minimum invasive effective solution only if Emergency & as Last Option
MY ADVICE
* 8 mm Stone is Moderate Sized to Dissolve By Any Oral medicines line of Treatment.U can have try with Safe Effective Ayurvedic Medicine
* Consider ERCP if Symptoms Worsen & If Gall Stones creating any problems
* Again u can follow up with Ayurvedic Treatment for Non Recurrence
AYURVEDIC APPROACH TO GALL STONES ( PITTASHMARI)
How Ayurveda Helps in Gall Stones
* Can Dissolve Stones Below 6 mm * It Prevents Further formation of new stones * It’s helps elevate pain discomfort Digestion Metabolism * It prevents Gall stones complications Improving Gall Bladder Liver Pancreas Gut Physiology * Prevents Recurrence
GALL BLADDER PAIN TRIGGERS TO AVOID
Spicy Salty Sour Masala Fried Oily Greasy Fast Foods Junk Foods Curd Fermented Foods Processed Packed Canned Foods Non Veg Pickles Lifting Weight Prolonged Travels Late Night Sleeps Untimely Foods
AYURVEDIC TREATMENT
NOTE - TAKING ONLY MEDICINES IS NOT ENOUGH TO MANAGE THIS ISSUE
IN MY CLINICAL PRACTICE I HAVE SEEN BEST PROMISING RESULTS BY COMBINATION FOLLOWING TREATMENTS TOGETHER
" Trigger Identification & Avoiding + Ayurvedic Medicine + Proper Diet + Mild Physical Activities. + Mild Supportive Yoga + Lifestyle Modifications + Stress Management + Acute Pain management"
U MUST TRY
( Helps dissolve Gall Stones Reduce pain heaviness Discomfort helps digestion metabolism)
* Cap.Lithoban ( Jammis Pharma) 1 -0- 1 After Food * Tab. Aarogyavardhini Ras ( Dhootapapeshwar Pharma) 1 -0-1 After Food v * Cap.Amlycure DS ( Aimil Pharma) 1-0-1 After Food * Syrup.Rohitakarista ( Baidyanth Pharma) 15 ml -0- 15 ml Night After Food * Avipattikar Churna ( Dabur Pharma) 1 Tsf Night After Food Preferably with 1 Glass of Luke Warm Water
GALL STONE INSTRUCTIONS TO FOLLOW
1.Drink Plenty of Water Fluids Juices Approximately 3 Liters Per Day 2.Avoid Hard Water ( Borewell water ).Drink Alkaline Water ideally ph should be 7 3.Drink Plenty of Citrus Fruits Juices like Lemon Orange etc 4.Avoid Extra High Salty processed sweets packed canned diet 5.Avoid Excessive Tea Coffee etc 6.Limit Animal Too High Proteins 7.Maintain Gut Health 8.Avoid Too High Cholestrol Fatty Oily Diet 9.Avoid Addictions if Any 10.Avoid Triggers Outside Fast Juck Foods 11.Avoid Frequent Eating Overeating 12.Avoid Fasting
HOME MADE DELICIOUS PACHAK DECOCTION / TEA TO IMPROVE GALL BLADDER LIVER FUNCTION FATTY LIVER & IMPROVE DIGESTION METABOLISM
Hing 3 Pinches+ Jeera 1 Tsf+ Ajawain 6 Spoons + Sounff 2 Tsf+ Sendha Namak 2 Pinches+ Pure Turmeric 1 Pinch+ Methi Seeds 1 Tsf+ Tulsi Leaves 10 No + Pudina Leaves 10 in No + Dry Ginger 1 Pinch+ Jaggery 1 Tsf+ 1 Glass of Water — Boil on Mil Flame till it Becomes ½ Glass — Drink Boil Cooled Tea like twice a Day After Food
DAILY DIET PLAN ( DIET AS MEDICINE TO RECOVER FAST )
* NORMAL DIET ( Less Oily, Less Spicy Sour Salty, Well Cooked )
* EARLY MORNING DRINK- Non Citrus Fruits Juices/Aloe Vera Juice 30 ml with 1 Glass of Water / Coconut Water
* BREAKFAST - Rava Ragi Bajra Oats Items/ Fruits Salads/ Home made Soups
* LUNCH - Ghee Applied Roti ( Non Gluten) Jwar/ Bajara/ Ragi + Leafy Vegetable like Palak Methi+ Green Salad Rayta + Any Sabji+ Fresh Butter Milk with Cream + Rice + Dal
* EVENING DRINK - Pachak Kadha as suggested Above Above / Fruit Juice
* DINNER - Half of Lunch Quantity/ Fruits Salads/ Light Diet
DO’S
* Highly Nutritious Alkaline Leaft Vegetables Citrus Fruits salads sprouts Fibers etc * Plenty of Water Approximately 3 Liters Per Day Fluids Juices * Lemon Orange Coconut Watermelon Banana Stem Horse Gram Soup * Milk Butter Milk Etc * Methi Carrot Lauki Turai Karela Drumstick
DON’TS
* Avoid Too Acidic Spicy Salty Sour Masala Fried * Fast Foods Junck Foods Bakery items * Avoid Curd Cheese Paneer Malai * Avoid Spinach Cauliflower Cabbage Tomatoes * Eggs Chicken Mutton Fish etc * Excessive Tea Coffee Intake * Fermented Foods * Processed Packed Canned Foods * Soda Vinegar Pickles * Deep Freezed foods
YOGA
* Anulom Vilom Pranayam( 20 Rounds ) * Vajrasan ( 5 Mins) * Panvanmuktasan ( 5 Mins) * Bhujangasan ( 5 Rounds)
AVOID Kalapbhati Surya Namaskar
EXERCISES
* Walking 3000 Steps Per Day * Mild Mobility Exercise * Aerobics
ANTISTRESS REGIME
* Dhyan * Meditation
REGARDS
Dr Arun Desai
God Bless You 😊🙏
If you have any questions u can ask me.I will answer to the level of your satisfaction.U have text option here.
HELLO SASWATI,
1) SIZE MATTERS- stones above 5mm, like the 8mm stone mentioned, are less likely to pass spontaneously. There’s a risk of blockage, which can cause acute pain, jaundice or pancreatitis.
2) MONITOR SYMPTOMS- if there is fever, jaundice, vomiting or severe pain, immediate hospitalisation is necessary.
3) HYPERTENSION- since. she is on Telma H 40, her blood pressure must be regularly monitored.
TAKE INTERNALLY
1) TAMRA BHASMA- 50 mg with honey once daily = breaks down stones, improves bile metabolism
2) SHANKHA BHASMA- 250 mg with water after meals =reduces acidity, helps bile flow
3) SOOTSHEKHAR RAS- 250 mg with honey twice daily =anti inflammatory, balances pitta
4) PATHARCHUR fresh juice- 15 ml daily on empty stomach =literal “stone dissolver” diuretic
5) VARUNADI Ghrita - 10ml twice daily before meals with water = dissolves gallstones, detoxifies
6) PITTASHEKHAR RAS- 125 mg twice daily after meals = pitta disorder, improves digestion, stone relief
HOME FORMULATION -varuna churna+ bhumyamalaki churna + gokshur churna + yavakshara + punarnava churna = mix all in equal parts, take 1 tsp twice daily with warm water after meals. continue for 3 months, then re-evaluate with repeat ultrasound.
* SOME REMEDIES ADVERTISED ONLINE LIKE APPLE CIDER VINGAR, OLIVE OIL FLUSES OR STRONG PURGATIVES CAN TRIGGER GALLBLADDER ATTACKS OR BILE DUCT BLOCKAGE AND SHOOULD BE AVOIDED.
DIETARY GUIDLINESS -Warm water, boiled veggies, rice -moong dal, lauki, apple, papaya - turmeric, coriander, jeera, ajwain
AVOID STRICTLY -oily, fried, spicy, sour foods -eggs, red meat, full fat diet - tea, coffee, carbonated drinks
IF FEASIBLE CAN OPT FOR PANCHAKARMA -VIRECHANA- clears liver- biliary system -ABHYANGA+ SWEDANA= improves bile flow -MILD YOGA- pawanmuktasana, bhujangasana - avoid during pain
Repeat ultrasound every 3-4 months to monitor stone size -if stone enlarges or if pain worsens, surgical intervention may become necessary despite conservative care.
THANK YOU
DR. HEMANSHU MEHTA
If the stone is in the CBD or increase in Sr. Billirubin level go for cholecystectomy.
Else follow the regime mentioned below
✔️ Do’s: ✔️ Millet roti Buttermilk (daily include in your meal) Moong dal (green and yellow both are ok) Cow Milk Cow Ghee (daily 3-4 spoons only) White butter (makhan) All fruit vegetables Leafy vegetables (except methi and dil)
🧘♀️ Yogasan : 🧘♀️
1. Bhujangasana (Cobra Pose) 2. Dhanurasana (Bow Pose) 3. Ardha Matsyendrasana (Half Lord of the Fishes Pose) 4. Paschimottanasana (Seated Forward Fold) 5. Halasana (Plow Pose) 6. Sarvangasana (Shoulder Stand Pose) 7. Matsyasana (Fish Pose) 8. Supta Matsyendrasana (Reclined Spinal Twist) 9. Surya Namaskar
🧘♀️ Pranayam : 🧘♀️ 1. Anulo Vilom (Inhale from one nostril and exhale from other nostril) 2. Bhramari (Bee sound buzzing) 4. Shitali 5. Sitkari
❌ Donot’s: ❌ Tea Coffee Addictions Dals (except moong) Sour Packed food Processed food Achar (pickles) Papad Fried food
💊 Medication: 💊
Tab. Live 52 DS 1 tab twice a day before food. Tab. Arogyavardhini Vati 2 tabs twice a day before food. Syp. Bhunimbadi Kadha 2 tsp twice a day before food.
Tab. Gandharva Haritaki 2 tabs at night with one glass hot water.
In case of sever abdominal pain sometimes use Tab. Cyclopam (SOS)
Hello, If the size is 8mm and if she has the symptoms like pain, it is better to opt for surgical intervention without much wait. Take care. Kind regards.
Dear,An 8 mm gallstone is considered moderate in size, and while Ayurvedic treatments may help in some cases, it’s important to understand that Ayurveda can manage symptoms, reduce stone formation, and sometimes help dissolve small stones, but success is not guaranteed,especially if the stone is already causing complications. Also seing ultrasound is important,if the stone position is on neck of gall duct, surgery is only solution.
since she has abdominal pain and heaviness if its more frequent then you must go for surgery
If she is not having any complaints then she can go for ayurvedic treatment But it’s better to meet ayurvedic practitioner in person and get suggestion
HELLO SASWATI MUKHERJEE,
WHAT ARE GALLSTONES? Gallstones are solid deposits that form in the gallbladder- a small organ beneath the liver that stores bile(used in digestion). These stones are mostly made of cholesterol or bilirubin
IN AYURVEDA, Gallstones are referred to as “PITTASHMRI”- a type of Ashmari(stone disorder) caused by -imbalanced pitta osha-excessive heat, bile -faulty digestion-agin mandya -improper metabolism of fats -poor lifestyle and diet habits
IMPORTANT CONSIDERATIONS -8 mm is a moderate-size stone. stones over 5 mm are less likely to dissolve completely through any method other than surgery -Ayurvedic treatment may take months -regular monitoring with ultrasound is essential to track changes in stone size. -if pain becomes severe or signs of infection, jaundice or pancreatitis appear, surgery may becomes UNAVOIDABLE
TREATMENT GOAL -dissolve existing stones- lekhana karma -improve liver and gallbladder function -enhance bile flow and prevent new stones -address symptoms like pain, heaviness and nausea.
INTERNALLY TAKE
1. AROGYAVARDHINI VATI- 1 tab twice daily after meals for 3-6 months =liver detox, bile flow, reduces inflammation
2. TAMRA BHASMA- 45 mg once daily with honey for 30 days only =known to help stone, breakdown, balances pitta
3. PUNARNAVA MANDUR- 1 tab twice daily before food for 3-6 months =diuretic, anti-inflammatory, helps with liver-kidney detox
4. BHUMYAMLAKI CHURNA- 1 tsp powder twice daily after meals with ghee for 6months =stone breaker, helps dissolve stones slowly
5. LIV 52 DS(himalaya)- 1 tab twice daily after meals for long term =liver support, improves digestion, reduces bile stasis
6. TRIPHALA CHURNA- 1 tsp at bedtime with warm wtaer for 3-6 months =regulates digestion and detoxifies colon.
DIET TO BE FOLLOWED STRICLTY -warm water with lemon juice in the morning= stimulates bile -boiled veggies- bottle gourd, pumpkin, carrots, spinach -mung dal khichdi- easy to digest and detoxifying -fruits- apple, papaya, pear, pomegranate -Buttermilk-diluted, spiced with cumin and ajwain -Whole grains- barley, oats, red rice -Flaxseed powder- 1 tsp/day- regulates cholesterol
AVOID -fried, spicy and oily foods -red meat, eggs, butter , ghee -cheese, panner, cream, ice cream -chocolates, pastries, cakes -cold water, aerated drinks, alcohol, smoking -heavy legumes like rajma, chana- gas forming
YOGA ASANA FOR GALLBLADDER HEALTH These improve digestion, reduce bile stagnation , and relieve abdominal discomfort
-Bhujangasana= stimulates gallbladder and liver -Dhanurasana= tones abdominal organs -Pawanmuktasana= eases digestion and gas -Ardha Matsyendrasana= enhances liver and gall bladder health -Vajrasana(after meals)= aids digestions
AVOID inverted poses like Sarvangasana or Halasana, which may worsen abdominal pressure
REMEMBER 1. MEAL TIMING IS CRITICAL- eat at fixed times to support digestion 2. STAY HYDRATED- drink warm water throughout the day avoid cold water 3. AVOID STRESS- practice pranayam like Anulom Vilom or Sheetali to cool down pitta 4. No SKIPPING MEALS OR FASTING- it aggravates pitta and worsens gallstone formation. 5. USE SPICES WISELY- turmeric, coriander, cumin, and fennel aid bile flow and digestion
WHEN TO CONSIDER SUGERY? despite all above treamtent if, -pain becomes recurrent or severe -stobe bocks the bile duct -inflammation(cholecystitis) occurs -no changes in size after 6–9 months of treamtent
Then CHOLECYSTECTOMY may be necessary
Ayurveda works slowly and gently, aiming at root-cause correction. but it needs patience consistent lifestyle
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
For gallbladder stones, particularly those above 5 mm, which include your wife’s 8 mm stone, it’s essential to tread carefully. Anytime symptoms are present, such as abdominal pain and digestive issues, it’s crucial to consult with a healthcare professional first. Surgical intervention, like cholecystectomy, is a common recommendation in allopathy when the risks associated with gallstones, such as inflammation or blockage, are significant.
However, there are Ayurvedic strategies to manage gallstones carefully. Begin by supporting the body’s natural ability to balance and eliminate imbalances that could be causing stone formation. Ensure this is done under professional guidence:
Diet is always a first focus. Encourage Saswati to follow a Pitta-pacifying diet that is light, warm, and not excessively oily. Foods like fresh fruits, vegetables, and whole grains which are easy to digest can support her system. Avoid spicy, fried or sour foods that may aggravate the condition.
Triphala churna, an Ayurvedic herbal remedy, can aid digestion and elimination, helping manage digestive health. Mix a teaspoon of Triphala powder in warm water and consume it before bedtime.
Kutki (Picrorhiza kurroa) is another potentially beneficial herb for liver health. It can be taken in capsule form, but dosages should be personalized by an Ayurvedic practitioner according to her constitution.
Punarvana (Boerhavia diffusa), a traditional herb, might assist in balancing fluid retention and may aid in alleviating symptoms associated with gallstones. Again, consult with an Ayurvedic professional for the correct dose.
Include ghee as a healthy fat source in moderation to promote healthy bile flow but avoid if her Pitta is severely imbalanced.
Continuous medical monitoring is essential. Ayurveda can be a complementary approach; however, if symptoms like severe pain, jaundice, or fever arise, immediately seek conventional medical attention. Regular check-ins with her healthcare provider is important to evaluate her condition and treatment efficacy.
