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How to reduce hot flashes and sleep more during the night.
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Endocrinological Disorders
प्रश्न #26237
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How to reduce hot flashes and sleep more during the night. - #26237

Juliette

Because of menaupose I cannot have a complete night of sleep. I always wake up around 3 or 4 in the morning. And because of hot flashes too I wake up during the night. I also gained some weight around my belly. I used to intermittent fasting but lately I have headache when I fast more than 12 hours

आयु: 52
पुरानी बीमारियाँ: High blood pressure
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इस स्थिति के लिए डॉक्टर द्वारा सुझाए गए उपचार

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डॉक्टरों की प्रतिक्रियाएं

Don’t worry dear, You’ll definitely get relief 😌 Start taking1.Saraswatarishta 20ml with equal amount of Lukewarm water just after having meal twice in a day. 2.shatavari choorna 1tsf with lukewarm milk twice in a day. 3.Ashwagandha choorna 1tsf with lukewarm milk twice in a day. 4.Brahmi ghrita 1tsf with lukewarm milk at bed time. 5.Neem tab.2-0-2 **Daily drink water of soaked coriander seeds (overnight)in the morning… **Daily Massage your full body with CHANDANAADI OIL. **Avoid excessive spicy, sour food,sesame seeds,curd etc. **Drink coconut water… Follow up after 45 days.

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Take Cap Evanova 1-0-1 after food with water Brahmi vati 1-0-1 with water after food. Avipattikar tablet 1-0-1 after food with water Do pranayam lom -vilom bhastrika kapalbhati brahmri daily 5-10 minutes twice. Learn Rajyoga meditation and practice daily.

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Menopausal symptoms like hot flashes and disrupted sleep often indicate an imbalance in Pitta dosha coupled with Vata disturbance. Implementing specific Ayurvedic strategies can help in restoring balance and improving your sleep. First, let’s address the hot flashes and sleep issues. Try consuming cooling foods and herbs, like aloe vera juice or coriander tea, which pacify Pitta. Drinking a glass of cold cow’s milk with a pinch of cardamom before bedtime can also soothe the mind and body, easing your way into sleep. Ensure your bedroom environment is calm, with cooler temperatures, to alleviate hot flashes.

For establishing a good sleep routine, practice Abhyanga—an oil massage with coconut or sesame oil—before showering to stimulate circulation and relax your nervous system. Additionally, taking Shatavari powder can support hormonal balance. Consume 1 teaspoon in warm milk daily. Practicing Nidra Yoga, a specific form of guided meditation, may also aid deeper relaxation and uninterrupted sleep.

Now, regarding dietary habits and weight around the belly, its crucial to eat grounding and nourishing meals. Include cooked vegetables, whole grains like quinoa and warm herbal teas. Intermitting fasting can be helpful, but listen to your body; try not extending fasts excessively until headches subside. Eat regular, smaller meals rich in fibrous content. Adding Triphala at night, taken with warm water, aids digestion and supports gentle detoxification. Always be mindful and avoid heavy, spicy, or oily foods as they might aggravate Pitta.

Remember, the integration of these practices should complement your lifestyle and you should consult with healthcare professionals, especially if symptoms persist. These recommendations require patience and consistency, offered as part of a holistic approach to well-being.

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Because of hormonal imbalance you are facing these symptoms to control your symptoms start doing yoga Start with simple Surya namaskar daily Do pranayama regularly Do dhyana these will help to overcome the sleep problems as well as help to maintain your body weight Use milk and ghee in your diet help to overcome hot flashes Do foot massage with mahanarayana taila before sleep help to improve your sleep Take tab manasamitra vati 1 bd after food Take mahatiktaka grita 1 tsp with milk If possible visit the nearby panchakarma centre and take one course of shirodhara or shirobasti

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Avoid spicy, oily and processed food. Regular exercise and meditation. Increase intake of raw vegetables and fruits. Tab.Shatavari 2-0-2 Tab.Menosen 2-0-2 Ashokarishta 15ml twice after meal with lukewarm water

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HELLO JULIETTE,

You are in the menopausal phase, a natural biological transition that usually occurs between ages 45-55. In Ayurveda, this time of life is governed by vata dosha, but with clear signs of pitta imbalance in your case.

MAIN IMBALANCES IN YOUR CASE

HOT FLASHES= increased Pitta dosha(excess internal heat)

WAKING AT 3-4 AM= aggravated vata dosha(lightness, dryness, instability of mind)

HEADACHES DURING FASTING= vata+pitta imbalance, depleted Ojas ad unstable blood sugar

BELLY FAT INCREASE= sluggish agni(digestive fire) and increased kapha in abdominal region

HIGH BLOOD PRESSURE= pitta kapha imbalance, with tension in blood channels

TREATMENT GOALS -balances pitta to reduce heat(hot flashes, irritability) -stabilize vata to improve sleep and nervous system calmness -strengthen agni(digestion/metabolism) to reduce belly fat -protect the heart and vessels(important due to high BP) -support Ojas (vital energy), which declines during menopause -promote hormonal harmony using cooling and nourishing medications

INTERNAL MEDICATIONS

1) ASHOKARISHTA= 25ml with equal water after meals twice daily =balances female hormones, reduces hot flashes, supports uterus and hormonal axis

2) SARASWARISHTA= 15 ml with water after dinner =nerve tonic, helps with mood swings, anxiety, and improve sleep

3) PRADANTAK CHURNA= 1 tsp twice daily with lukewarm water after meals =balances hormones and control pitta and vata

4) MAHAT VIDHWANSAN RAS= 125 mg with honey in morning =deep vata pacification, used carefully to calm nerves and support sleep

5) KALYANAK GHRITA= 10 mlwith warm milk at bedtime =nourishes brain, improves sleep, memory, and calms pitta vata

6) CHANDRAPRABHA VATI= 2 tabs twice daily after meals =controls urinary issues, balances pitta reduce bloating and supports metabolism

7) ARJUNARISHTA= 20 ml with water after meals =cardiac tonic, supports blood pressure regulation and improves circulation

EXTERNAL THERAPIES these help settle vata and pitta, improves sleep and circulation

1) OIL MASSAGE= with ksheerbala taila daily =calms vata, reduces insomnia supports joint and nerve ealth

2) FOOT MASSAGE= use sesame oil for foot massage before sleeping at night =stimulates marma points, reduces waking at night

IN CLINIC GO FOR -SHIRODHARA -TAKRADHARA

YOGA ASANA(15-30 min/day) -supta baddha konasana= opens pelvic area -viparita karani= reduces stress, improves sleep -paschimottanasana= cools the system -balasana= calming, introspective -Setu Bandhasana= strengthens core and hormonal axis

Avoid intense, hot or heating postures. Focus on calming, cooling, and grounding asanas

PRANAYAM(10-15 min/day) -Nadi sodhana= balances both hemispheres of brain and doshas -Sheetali= reduces heat, pitta, and hot flashes -Bhramari= improves sleep, calms anxiety -Avoid bhastrika and kapalbhati

DIET TO FOLLOW -warm, moist, soft, lightly spiced foods -cooked vegetables- pumpkin , zucchini, spinach, beetroot -whole grains= oats, barley, rice, quinoa -healthy fats= the, olive oil, small amount of coconut oil -fruits= pomegranate, pear, figs, apple, coconut water -spices= cumin, fennel, coriander, cardamom(avoid chili)

AVOID -coffee, alcohol, black tea -fried, fermented, or spicy food -excess sour itms- yogurt, vinegar , tomato -heavy, cold, or raw foods- salads, smoothies at night

HOME REMEDIES 1) Cooling herbal infused water -boil 1 tsp fennel + 1 tsp coriander + 1 tsp cumin in 1 litre water =strain and sip throughout the day-cooling and detoxifying

2) ALOE VERA JUICE -10-15 ml with water in morning, empty stomach =clears excess pitta, hormonal support

3) POMEGRANATE PEEL TEA -boil dried peels in water and sip for reducing heat and uterine support

4) NUTMEG SLEEP MILK -warm milk+ pinch nutmeg + cardamom

5) GHEE WITH WARM WATER -1 tsp ghee in warm water in morning or bedtime= lubricates vata, aids digestion

LIFESTYLE AND BEHAVIORAL TIPS -maintain early bedtime- before 10pm -avoid screen exposure at night- blue light worsens vata and insomnia -walk daily-30 min slow paced -keep a worry journal- reduce mental overactivity -practie gratitude and calming rituals at night -prefer natural fibres for clothing , especially during hot flushes(cotton, linen)

INVESTIGATION NEEDED -CBC, ESR -fasting sugar + insulin -Thyroid profile -Lipid profile -Vitamin D, B12 -Pelvic USG -ECG or ECHO

Menopause Is not a disease- it is a natural transition . But if left unmanaged, it can cause suffering due to internal imbalances. Ayurveda dosen’t just suppress symptom like hot flashes or insomnia - it rebuilds hormonal, digestive and emotional balance.

Your healing may take 2-6 months, but with discipline and consistency, results are long lasting and profound.

DO FOLLOW CONSISTENTLY

HOPE THIS IGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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Dr. Khushboo
I am a dedicated Ayurvedic practitioner with a diverse foundation in both modern and traditional systems of medicine. My journey began with six months of hands-on experience in allopathic medicine at District Hospital Sitapur, where I was exposed to acute and chronic care in a high-volume clinical setting. This experience strengthened my diagnostic skills and deepened my understanding of patient care in an allopathic framework. Complementing this, I have also completed six months of clinical training in Ayurveda and Panchakarma, focusing on natural detoxification and rejuvenation therapies. During this time, I gained practical experience in classical Ayurvedic treatments, including Abhyanga, Basti, Shirodhara, and other Panchakarma modalities. I strongly believe in a patient-centric approach that blends the wisdom of Ayurveda with the clinical precision of modern medicine for optimal outcomes. Additionally, I hold certification in Garbha Sanskar, a specialized Ayurvedic discipline aimed at promoting holistic wellness during pregnancy. I am passionate about supporting maternal health and fetal development through time-tested Ayurvedic practices, dietary guidance, and lifestyle recommendations. My approach to healthcare emphasizes balance, preventive care, and customized wellness plans tailored to each individual’s constitution and health goals. I aim to create a nurturing space where patients feel heard, supported, and empowered in their healing journey. Whether treating seasonal imbalances, supporting women’s health, or guiding patients through Panchakarma therapies, I am committed to delivering care that is rooted in tradition and guided by compassion.
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1) Shatavari leha -1tsf before food 2 times with warm milk 2) pushyanuga churna -2 gm+laghumalini vasant rasa-500mg + svarnamakshika bhasma- 100 mg+ pravala pishti-100 mg after food 2 times with water

Diet and Lifestyle

Pathya: Nutritious food, milk and ghee, carrot, wheat grass juice, soya protein, meat soup, fish, cod liver oil, seafood, green vegetables-methi,spinach, green onions, exercise, weight bearing exercise especially walking and climbing stairs.

Apathya: Kashaya, Amla, Lavana rasa, abhishyandi, Vidahi Ahara.

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Don’t worry just take Rx Punarnava tab 1-0-1 Shatavari avleh 1/2 tsf Chandraprabha Vati

Avoid spicy, oily and junk food Practice Bhramari Pranayama

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Menopause brings a series of changes like hot flashes that can disrupt sleep. These symptoms are often tied to vata-pitta imbalances. Evening rituals and dietary adjustments can support both issues. Consider consuming a decoction of vetiver and sandalwood water—steeped and cooled—before bed. These herbs pacify pitta and bring cooling effects. You might also benefit from massaging your feet with Brahmi oil at bedtime to calm vata and aid in better sleep.

Hot flashes can be further addressed by incorporating shatavari into your daily regimen. It’s a cooling, nourishing herb that’s well-suited for balancing both vata and pitta. About one teaspoon of shatavari powder in warm milk can be taken, ideally in the morning. In your case, weight gain around the belly may be linked to weakened agni, which impacts metabolism. Focus on balanced meals that are warm and cooked, avoiding cold or raw foods which can aggravate vata.

Regarding intermittent fasting, it seems your agni might currently be too low to handle longer fasts. You could try a gentler approach by ensuring your meals are at regular intervals—try not to go more than 12 hours without food. Include small, digestible snacks like soaked almonds if you’re feeling hungry. If headaches persist or if the condition worsens, consider consulting a healthcare provider for further medical advice, as these symptoms should not be ignored.

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164 समीक्षाएँ
Dr. Manjula
I am an Ayurveda practitioner who’s honestly kind of obsessed with understanding what really caused someone’s illness—not just what hurts, but why it started in the first place. I work through Prakruti-Vikruti pareeksha, tongue analysis, lifestyle patterns, digestion history—little things most ppl skip over, but Ayurveda doesn’t. I look at the whole system and how it’s interacting with the world around it. Not just, like, “you have acidity, take this churna.” My main focus is on balancing doshas—Vata, Pitta, Kapha—not in a copy-paste way, but in a very personalized, live-and-evolving format. Because sometimes someone looks like a Pitta imbalance but actually it's their aggravated Vata stirring it up... it’s layered. I use herbal medicine, ahar-vihar (diet + daily routine), lifestyle modifications and also just plain conversations with the patient to bring the mind and body back to a rhythm. When that happens—healing starts showing up, gradually but strongly. I work with chronic conditions, gut imbalances, seasonal allergies, emotional stress patterns, even people who just “don’t feel right” anymore but don’t have a name for it. Prevention is also a huge part of what I do—Ayurveda isn’t just for after you fall sick. Helping someone stay aligned, even when nothing feels urgent, is maybe the most powerful part of this science. My entire practice is rooted in classical Ayurvedic texts—Charaka, Sushruta, Ashtanga Hridayam—and I try to stay true to the system, but I also speak to people where they’re at. That means making the treatments doable in real life. No fancy lists of herbs no one can find. No shloka lectures unless someone wants them. Just real healing using real logic and intuition together. I care about precision in diagnosis. I don’t rush that part. I take time. Because one wrong assumption and you’re treating the shadow, not the source. And that’s what I try to avoid. My goal isn’t temporary relief—it’s to teach the body how to not need constant fixing. When someone walks away lighter, clearer, more in tune with their system—that’s the actual win.
5
183 समीक्षाएँ
Dr. Sumi. S
I am an Ayurvedic doc trained mainly in Shalakya Tantra—basically, I work a lot with issues of the eyes, ears, nose, oral cavity, head... all that ENT zone. It’s a really specific branch of Ayurveda, and I’ve kind of grown to appreciate how much it covers. I deal with all kinds of conditions like Netra Abhishyanda (kinda like conjunctivitis), Timira and Kacha (early or full-on cataract), Adhimantha (glaucoma stuff), Karna Srava (ear discharge), Pratishyaya (chronic colds n sinus), Mukhapaka (mouth ulcers), and even dental stuff like Dantaharsha (teeth sensitivity) or Shirashool (headaches & migraines). I use a mix of classic therapies—Tarpana, Nasya, Aschyotana, Karna Purana, even Gandusha and Dhoomapana when it fits. Depends on prakriti, the season, and where the person’s really struggling. Rasayana therapy and internal meds are there too of course but I don’t just throw them in blindly... every plan’s got to make sense to that individual. It’s kind of like detective work half the time. But honestly, my clinical work hasn't been just about Shalakya. I’ve got around two yrs of broader OPD experience where I’ve also handled chronic stuff like diabetes, thyroid issues, arthritis flares, PCOS, IBS-type gut problems, and some hormonal imbalances in women too. I kind of like digging into the layers of a case where stress is playing a role. Or when modern bloodwork says one thing, but the symptoms are telling me something else entirely. I use pathology insights but don’t let reports override what the patient's body is clearly saying. That balance—between classical Ayurvedic drishtis and modern diagnostic tools—is what I’m always aiming for. I also try to explain things to patients in a way they’ll get it. Because unless they’re on board and actually involved, no healing really works long-term, right? It’s not all picture-perfect. Sometimes I still re-read my Samhitas when I'm stuck or double check new case patterns. And sometimes my notes are a mess :) But I do try to keep learning and adapting while still keeping the core of Ayurveda intact.
5
44 समीक्षाएँ
Dr. Chaitrali Rajendra Tambe
I am someone who really believes that Ayurveda isn’t just about giving herbs and oils—it's more like a whole way of looking at the body, the habits, the food, and how everything connects together. I got solid training in Ayurvedic clinical practice and feel most confident when I'm using therapies like Panchakarma or planning proper Shodhana for someone who's stuck in a cycle of chronic illness or stress-related issues. There’s just something powerful about seeing how classical cleansing can bring that shift in energy and clarity for ppl who've tried everything else. I work a lot on dosha assessment—sometimes it takes a bit of digging cause symptoms don’t always line up in a textbook way. But once I figure out what’s really going off-balance, I try to make treatment super personalized. It’s not just about giving a kashayam or lepa... I spend time explaining diet changes, routines, sleep timing, and even emotional triggers when needed. Many people don’t realise how big a role lifestyle play in their conditions. Right now, I’m mostly focused on lifestyle disorders and detox-based therapies. Things like PCOS, fatty liver, skin allergies, joint stiffness, IBS, anxiety-linked issues… those come up a lot. I try not to rush. I’d rather go slow n consistent, combining classical concepts with modern diagnostics if needed. Blood tests, reports, scans—they help me track things while still keeping the treatment Ayurvedic in core. I’m also pretty organized about documenting my cases—not just for reference but to understand patterns better. I guess every case teaches you something new, even after hundreds of patients. And I do keep learning, whether it’s updating protocols or trying to refine a virechana schedule that didn’t go as planned. In the end, for me it’s really about finding that balance for each person... not just patching the symptom. I think that’s where Ayurveda really shines.
5
15 समीक्षाएँ
Dr. Anupriya
I am an Ayurvedic doctor trained at one of the most reputed institutes (yeah, the kind that makes u sweat but also feel proud lol) where I completed my BAMS with 70%—not just numbers but real grind behind it. My focus during & after graduation has always been on treating the patient not just the disease, and honestly that philosophy keeps guiding me even now. I usually see anywhere around 50 to 60 patients a day, sometimes more if there's a health camp or local rush. It’s hectic, but I kinda thrive in that rhythm. What matters to me is not the number but going deep into each case—reading every complaint, understanding symptoms, prakriti, current state, season changes etc. and putting together a treatment that feels “right” for that person, not just for the condition. Like, I don’t do one-size-fits-all plans. I sit down, make case reports (yup, proper handwritten notes sometimes), observe small shifts, modify herbs, suggest diet tweaks, even plan rest patterns when needed. I find that holistic angle super powerful. And patients feel it too—some who come in dull n restless, over weeks show clarity, skin settles, energy kinda gets back... that makes the day worth it tbh. There’s no shortcut to trust, and i get that. Maybe that’s why patients keep referring their siblings or maa-papa too. Not bragging, but when people say things like “you actually listened” or “I felt heard”, it stays in the back of my mind even when I’m dog tired lol. My goal? Just to keep learning, treating honestly and evolving as per what each new case teaches me. Ayurveda isn’t static—it grows with u if u let it. I guess I’m just walking that path, one custom plan at a time.
5
467 समीक्षाएँ
Dr. Nisha Bisht
I am an Ayurvedic physician with over 10 years of real, everyday experience—both in the clinical side and in managing systems behind the scenes. My journey started at Jiva Ayurveda in Faridabad, where I spent around 3 years juggling in-clinic and telemedicine consultations. That time taught me how different patient care can look when it’s just you, the person’s voice, and classical texts. No fancy setups—just your grasp on nidan and your ability to *listen properly*. Then I moved into a Medical Officer role at Uttaranchal Ayurved College in Dehradun, where I stayed for 7 years. It was more than just outpatient care—I was also involved in academic work, teaching students while continuing to treat patients. That phase really pushed me to re-read things with new eyes. You explain something to students one day and then end up applying it differently the next day on a patient. The loop between theory and practice became sharper there. Right now, I’m working as Deputy Medical Superintendent at Shivalik Hospital (part of the Shivalik Ayurved Institute in Dehradun). It’s a dual role—consulting patients *and* making sure the hospital ops run smooth. I get to ensure that the Ayurvedic care we deliver is both clinically sound and logistically strong. From patient case planning to supporting clinical staff and overseeing treatment quality—I keep an eye on all of it. Across all these years, my focus hasn’t changed much—I still work to blend classical Ayurved with today’s healthcare structure in a way that feels practical, safe and real. I don’t believe in overloading patients or selling “quick detox” ideas. I work on balancing doshas, rebuilding agni, planning proper chikitsa based on the person’s condition and constitution. Whether it’s lifestyle disorders, seasonal issues, chronic cases, or plain unexplained fatigue—I try to reach the cause before anything else. I still believe that Ayurved works best when it’s applied with clarity and humility—not overcomplicated or oversold. That’s the approach I carry into every patient room and every team meeting. It’s a long road, but it’s one I’m fully walking.
5
291 समीक्षाएँ

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Savannah
3 घंटे पहले
Got some amazing info here! The response was super clear and detailed, and really helped me understand what to do next for my thyroid issues. Thank you!
Got some amazing info here! The response was super clear and detailed, and really helped me understand what to do next for my thyroid issues. Thank you!
Emily
3 घंटे पहले
This answer gave me just what I needed! Super clear instructions and suggestions which made things easy to understand. Thanks a ton!
This answer gave me just what I needed! Super clear instructions and suggestions which made things easy to understand. Thanks a ton!
Sebastian
3 घंटे पहले
Wow, I'm really impressed! The advice was clear and super informative. Thanks for breaking down everything so nicely and giving me a full plan.
Wow, I'm really impressed! The advice was clear and super informative. Thanks for breaking down everything so nicely and giving me a full plan.
Avery
4 घंटे पहले
Thanks doc! Your answer was super clear and really helpful. Feeling a bit calmer about what steps to take now. Really appreciate it!
Thanks doc! Your answer was super clear and really helpful. Feeling a bit calmer about what steps to take now. Really appreciate it!