HELLO PRERNA,
-LOW PLATELET(50,000) is serious. below 50,000 there Is bleeding risk -chronic splenomegaly suggests your sleep may be overactive , which might be destroying your platelets
-causes include -liver disease(e.g portal hypertension from fatty liver) -infections (e.g TB, Malaria, hepatitis) -hematologic issues(ITP, lymphoma, leukaemia) -autoimmune diseases
you need a full evaluation - CBC, LFT, viral markers, autoimmune work-up and possibly a bone marrow test if not done yet.
In Ayurveda, your case may be classified under -yakritodara-enlarged liver/spleen issues -pleeha vriddhi- splenomegaly -rakta Akshaya- low platelet count -medoroga- fatty liver
These are often rooted in Ama(toxins) accumulation, rakta dhatu vitiation, and pitta-kapha imbalance
AYURVEDIC MANAGEMENT PLAN
1) PANCHAKARMA DETOX -virechana= to cleanse liver and spleen -basti(medicated enema)- for balancing vata and improving platelet production -raktamokshana= sometimes used in pleeha vriddhi
MEDICATIONS
1) PUNARNAVA MANDUR= 2 tabs twice daily after meals for 3 months
2) LIV 52 DS= 2 tabs twice daily after meals for 3 months
3) GILOY SATVA= 500 mg with warm milk in morning empty stomach for 3 months
4) PAPAYA LEAF EXTRACT = 1 tab once daily with water for 21 days
5) KUTKI CHURNA= 1 gm before meals twice daily for 2 months
6) TRIPHALA CHURNA= 1 tsp with arm water at bedtime
7) ROHITAKARISHTA= 15ml + equal water twice daily after meals for 3 months
DIET -AVOID= oily, spicy, fried foods, red meat, alcohol, processed foods -FAVOUR -warm, cooked light meals- mung dal khichdi -steamed veggies- bitter gourd, bottle gourd, ridge gourd -fresh pomegranate, papaya, beetroot, carrot juices -warm water with turmeric -eat slowly and on time
LIFESTYLE -avoid heavy exertion and late nights -gentle yoga= pawanmuktaana, viparitara karani ,ardha matsyendrasana -avoid long fasting or crash diets
REPEAT -CBC -LFT -ultrasound
THANK YOU
DR. HEMANSHU MEHTA
Don’t worry, For increasing platelet’s count ,Start drinking kwath of boiled papaya leaves. And start taking1.aarogyavardhini vati 1-0-1 2Triphala guggulu 2-0-2 for chewing 3.Hinguashtak choorna 1tsf with buttermilk twice in a day. 4.Syrup livomyn of charak pharmacy 2 tsf with lukewarm water twice in a day. **Avoid Kaphavardhak ahar vihar like excessive sweet, sour and salty food,oily food,refined flour etc. Follow up after 2months… You’ll definitely get desired results 😊
COMPLETE BLOOD COUNT;CBC (Spectrophotometry, Electrical Impedance, Flow Cytometry & Calculated) Hemoglobin 11.30 g/dL 12.00 - 15.00 Packed Cell Volume (PCV) 35.10 % 36.00 - 46.00 RBC Count 3.96 mill/mm3 3.80 - 4.80 MCV 88.60 fL 83.00 - 101.00 Mentzer Index 22.4 MCH 28.60 pg 27.00 - 32.00 MCHC 32.30 g/dL 31.50 - 34.50 Red Cell Distribution Width (RDW) 17.90 % 11.60 - 14.00 Total Leukocyte Count (TLC) 2.79 thou/mm3 4.00 - 10.00 Differential Leucocyte Count (DLC) Segmented Neutrophils 60.20 % 40.00 - 80.00 Lymphocytes 30.40 % 20.00 - 40.00 Monocytes 4.10 % 2.00 - 10.00 Eosinophils 5.30 % 1.00 - 6.00 Basophils 0.00 % <2.00 Absolute Leucocyte Count Neutrophils 1.68 thou/mm3 2.00 - 7.00 Lymphocytes 0.85 thou/mm3 1.00 - 3.00 Monocytes 0.11 thou/mm3 0.20 - 1.00 Eosinophils 0.15 thou/mm3 0.02 - 0.50 Basophils 0.00 thou/mm3 0.02 - 0.10 Platelet Count 60 thou/mm3 150.00 - 410.00 Platelets appear markedly reduced. Advised: Urgent recheck of platelet count with a fresh E.D.T.A. sample in case the platelet count is not corelating clinically. Followup and clinical correlation Result Rechecked Mean Platelet Volume 11.7 fL 6.5 - 12.0
Avoid spicy, oily and processed food. Regular exercise. Increase intake of raw vegetables and fruits. Tab.Liv52 DS 1-0-1 Tab.Guduchi 2-0-2 Tab.Septillin 2-0-2
Thank you dear for sharing these details of your report… Continue these medications… Along with these start eating KULATHI or you can use KULATH KWATH TOO for drinking…
Test Name Results Units Bio. Ref. Interval LIVER PANEL 1; LFT,SERUM (Reflectance Photometry) AST (SGOT) 50.8 U/L <35 ALT (SGPT) 21.2 U/L <35 AST:ALT Ratio 2.40 <1.00 GGTP 72.3 U/L <38 Alkaline Phosphatase (ALP) 94.00 U/L 30 - 120 Bilirubin Total 1.51 mg/dL 0.30 - 1.20 Bilirubin Direct 0.42 mg/dL <0.2 Bilirubin Indirect 1.09 mg/dL <1.10 Total Protein 7.27 g/dL 6.40 - 8.30 Albumin 4.07 g/dL 3.50 - 5.20 Globulin(Calculated) 3.20 gm/dL 2.0 - 3.5 A : G Ratio 1.27 0.90 - 2.00
Follow up after 2 months. If you have any doubt,feel free to ask…
If you have any reports please share those too
Hie prerna dnt worry…you are totally fit with in 2 months .I saw your all reports and made prescription…do FOLLOW:-
Divya SARWAKALP KWATH=200gm Divya KAYAKALP KWATH=100GM DHANIA POWDER=100GM… MIX ALL IN A JAR AND TAKE 1 TSP BOIL 200ML OF WATER TILL REDUCES 100ML STRAIN AND TAKE EMPTY STOMACH TWICE DAILY
DIVYA LIVOGRIT VITAL=2-2 TAB BEFORE MEAL TWICE DAILY
DIVYA PLATOGRIT TAB DIVYA AROGYAWARDNI VATI=2-2 TAB AFTER MEAL TWICE DAILY
GOAT MILK =100ML EMPTY STOMACH MINIMUM 10 DAYS…
AVOID SPICY/JUNK/PROCESSED FOOD
DO YOGA AND PRANAYAM REGULARLY=KAPALBHATI/ANULOM VILOM
YOU CAN EAISLY CURED
Take phaltrikadi kashaya 10ml twice daily after food with water Tablet Liv-52 1-0-1 after food with water Avipattikar tablet 1-0-1 after food with water Punarnava mandur 0-0-1 at bedtime with water Follow up after 45 days
Simple Remedies
1. Take 3 gm Gooseberry powder 3 times a day with honey.
2. Eat 15 dry grapes & 5 dates regularly.
3.1 cup Beetroot juice, 1 cup of apple juice, mixed with either sugar or honey once a day.
1) Amalaki churna-3gm+Dhatri loha-500mg+Svarnamakshika Bhasma 100mg+Shataputi Abhraka Bhasma100mg+Pravala Pishti- 200mg-- before food with dadima ghrita 10 ml 3 times a day
2) Draksharishta-20ml after food with water 3 times a day
Pathyapathya
Pathya: Spinach, beetroot, carrot, dates, cherry, cranberry, grapes, mango, apple.
Apathya: Salty, sour, spicy, hot diet, exposure to sunlight, excess of exercise, alcohol and smoking.
For proper evaluation and treatment you need to get some investigations CBP WITH ESR CRP LFT Hep B , HEP C US of abdomen
Managing an enlarged spleen, mild fatty liver and gallbladder stone, alongside low platelets, requires a comprehensive approach grounded in Ayurveda. Your imbalances may arise from vitiated doshas, particularly Pitta and potentially Kapha, impacting the liver and spleen functionalities. To address these issues, let’s consider dietary modifications, lifestyle changes, and possibly some herbal remedies.
Start with dietary habits. Adopt a Pitta-pacifying diet which is cooling and nourishing. Opt for foods that are easy on the liver—green leafy vegetables, beets, carrots, apples, and pomegranates are beneficial. Avoid refined sugar, deep-fried items, excess salt, red meat, and stimulants like caffeine or alcohol as they can aggravate Pitta. Ensure meals are regular, warm, and freshly cooked to support your agni (digestive fire).
In terms of lifestyle, stress reduction is key. Practice gentle yoga, pranayama, and meditation to enhance circulation and detoxification. Sleep at consistent times, ensuring 7-8 hours nightly, as imbalance in daily rhythms can exacerbate issues.
Herbal treatments might include Punarnava known for its liver and spleen benefits, but you should consult an Ayurvedic practitioner for personalized guidance. Moreover, Guduchi is another herb that enhances immunity and may aid platelet count. However, given the complexity of your conditions, self-prescribing is discouraged without professional oversight.
For gallbladder stone, unless symptomatic, aggressive intervention is often not immediately necessary, yet maintaining hydration and a healthy diet could mitigate further complications.
It’s crucial that you also maintain close consultation with a healthcare provider, particularly regarding your platelet levels. Regular monitoring and possibly conventional augmentative treatments may be necessary, as low platelets can pose significant health risks which require more immediate medical attention than what Ayurveda can provide alone. Always prioritize your safety and balance Ayurveda with allopathic consultations when necessary for complex conditions like yours.
Managing an enlarged spleen alongside a fatty liver and gallbladder stone involves a careful integrative approach. From an Ayurvedic perspective, this condition might arise due to imbalances in the doshas, particularly an aggravated Pitta and Kapha dosha, which can disrupt Agni (digestive fire) and affect the spleen’s function.
Firstly, address the spleen and liver by supporting your body’s detoxification processes. Triphala is an excellent herbal formulation that helps cleanse liver and spleen gently. Take 1 teaspoon of Triphala powder with warm water before bed. Prioritize improving your digestive fire. Incorporate ginger tea into your daily routine. Having a cup of warm ginger tea 2-3 times a day can stimulate digestion.
On the dietary side, focus on Pitta and Kapha soothing foods. Avoid oily, fried, and excessively spicy foods. Include foods like cooked vegetables, light grains, and warm soups. Minimize cold and heavy foods that can worsen Kapha imbalance. Bitter gourd and pumpkin are particularly beneficial for managing the spleen.
Since platelets are low, the nutritional status must be optimized. Incorporating fresh papaya leaf juice is known traditionally to help boost platelet count. Consume 2 tablespoons twice daily. Ensure you consult with your primary health provider before making any drastic dietary changes to monitor your platelet levels correctly.
For the gallbladder stone, maintaining a diet low in fat and high in fiber can prevent worsening of the condition. Continue monitoring your condition with consultations to prevent complications. Balancing stress through meditation or gentle yoga can avoid further Pitta aggravation.
Always seek immediate medical attention if symptoms persist or worsen, considering the complexity of your case and the significant low platelet count, to prevent any critical complications.
