I hv gall stone.. sometimesi hv pain in the upper rightcornet in the abdomen - #26514

Hello, I understand your concern. A 14 mm gallbladder stone with multiple stones and associated gas issues needs careful management. In Ayurveda, small gallstones (usually less than 8–10 mm) may respond to internal medication and Pittashamak, Lekhana and Bhedana chikitsa (to reduce inflammation, regulate bile flow, and gently break down sludge/stones). However, a 14 mm stone, especially if multiple and symptomatic, carries a risk of blockage or infection, and usually does not dissolve completely with Ayurvedic medicines alone. Also, since you’re already taking Azoran (Azathioprine) for Uveitis, which suppresses immunity, any sudden inflammation or infection (from stone obstruction) can be riskier. Hence, surgical advice should not be ignored.

But if you’re not having severe symptoms like intense upper abdominal pain, vomiting, or jaundice — and your liver function is stable — you may try conservative Ayurvedic treatment for 3–4 months with close monitoring.

Ayurvedic Treatment Plan (Trial for 3–4 months) Ama Pachana (First 7 days) Hingvashtaka Churna – ½ tsp with warm water after meals Triphala Churna – 1 tsp at bedtime with warm water (for mild detox and gas) From Day 8 onward Arogyavardhini Vati – 2 tablets twice daily after meals (supports liver, gallbladder function) Pittapapaka Churna or Liv 52 DS – 1 tablet or ½ tsp powder twice daily Varunadi Kashayam – 15 ml + 15 ml warm water, twice daily before food Gandharvahastadi Kashayam (if constipation/gas continues) – 15 ml twice before food Diet & Lifestyle Advice Avoid oily, fried, spicy, sour, and heavy foods Avoid long gaps between meals (eat warm, light, easily digestible food) Drink boiled warm water with cumin + coriander seeds Strictly avoid alcohol, red meat, dairy cream, cheese Gentle walking after meals helps bile movement Investigations Suggested LFT (Liver Function Test) Ultrasound (Repeat after 3 months of treatment) Serum Lipid Profile CBC, ESR (to monitor uveitis-related inflammation) Please inform your allopathy doctor before starting Ayurveda, especially due to Azoran. If you develop any signs like fever, sudden pain, or jaundice — surgery may be the safer path. Take care. You may try the Ayurvedic route cautiously, but stay closely monitored. Warm regards, Dr. Karthika

Simple Remedies

1. Bitter gourd juice-20 ml with honey twice a day

2. Decoction of Horsegram-30 ml with honey twice a day

3. Decoction of Triphala-20ml with honey

No.

Name of medicine and dose

Kala

1.Sudharshana Churna -3gm Arogyavardhini 250mg Nityananda Rasa-250mg Shilajatu- 100mg - before food with nariyal phool paste and honey

2) Patolakaturohinyadi kashaya-20-ml after food with honey 3 times a day

3.Tab. Sootashekhara Rasa- 2 tab. Before food with water 3 times a day

Yoga Therapy:

Asana

Bhujangasana (1 min.)

Dhanurasana (30 sec.)

Pavanamuktasana (2 min.)

Halasana (1min.)

Ardhamatsyendrasana (2 minutes on each side)

Akarna Dhanurasana (1 minute on each side)

Udarasanchalana (3 rounds)

Shalabhasana (3 Rounds)

Makarasana (2 Min.)

Sarwangasana (3 minutes)

Matsyasana (1 minute)

Paschimottasana (1 minute)

Ushtrasana (2 minutes)

Trikonasana (1 minute on each side)

Veerasana (1 minute on each side)

Shavasana (when needed)

Uttanapada Chakrasana 3 rounds

Pranayama

Suryabhedana Pranayama with Kumbhaka for 10 minutes

Bhastrika Pranayama with Kumbhaka for 10 minutes

Diet and Lifestyle

Pathya

Planning of diet is most essential in dyspepsia because the root cause is faulty intake of diet.

Old rice, munga dal, rice gruel, buttermilk, lemon juice, cow’s ghee, fresh ginger, fresh garlic, black salt, cumin seeds.

Light food in moderate quantity.

Take fresh food in warm condition.

Drink warm water or medicated water after the meal, helps in digestion.

Give at least 3 hours of gap between two meals.

Regular exercise.

Apathya

Avoid heavy, cold, too much oily food.

Avid drinking of water just before meal.

Avoid day sleep after meal.

Avoid heavy meals at night time.

Don’t take anything in between except liquids.

Suppression of the natural urges.

Excessive or scanty and also taken too early or too late.

Avoid anxiety, worry, anger, etc.

HELLO REENA,

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 -14 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

Don’t worry Reena ji, Visit nearby ayurvedic physician (BAMS MS SHALYA)For best advice and treatment . TAKE CARE😊

You have mentioned that size of stone is around 15 mm and also you have some gastric issue so you should go for Surgical Intervention because Size is on higher side

HELLO REENA,

1) SIZE MATTERS- stones above 5mm, like the 14mm 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.

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

Take Tablet Liv-52 1-0-1 after food with water Gokshuradi guggul 2 -0-0 after food with water Pattharfod churan 2tsp once daily after food with water Avipattikar tablet 1-0-1 after food with water Avoid long hours of fasting. Avoid spicy sugary foods. If you start feeling better you can continue, . If painful increase and becomes unbearable Then you will have to take opinion of a surgeon. Avoid

When dealing with a 14mm gallbladder stone, it’s crucial to assess the situation with care. Firstly, stones of this size can sometimes cause complications, including obstruction or inflammation, leading to severe pain and other symptoms. Ayurvedically speaking, gallstones are often the result of imbalances in the dosha, particularly Kapha and Pitta. They may also be linked to a weak agni, which is your digestive fire. However, in this case at such a significant stone size, surgical intervention might be advisable due to the potential risk of complications, such as infection or pancreatitis.

If however, you haven’t experienced any acute symptoms or complications yet, and want to explore natural ways to support your gallbladder health while monitoring the condition, Ayurveda offers approaches to try alongside conventional observation. Focus on strengthening your digestive system and balancing your doshas. Begin by adopting a Kapha-Pitta pacifying diet. Avoid heavy, greasy, and overly sweet or sour foods, as these can exacerbate imbalances.

Incorporate foods that are gentle on digestion, like warm, cooked vegetables, oats, and light soups. Use digestive spices such as turmeric, cumin, and coriander to help stimulate agni. Drink warm water and herbal teas like ginger and cumin-suggestive of supporting metabolism and liver function. Include regular physical activity that suits your body’s comfort level — yoga can be particularly beneficial for improving digestion and circulation.

Seeing that you are suffering also from gas issues and are on medication for non-related health issues, it would be wise to have regular consultations with both your Ayurvedic physician and your specialist to monitor your progress and ensure your treatment plan is integrated. Any significant dietary or lifestyle change should be considered in the context of your current medication and health status.

For now, given the size of the stone, it’s best not to delay discussion with a healthcare provider about the surgical option while you delve into Ayurveda for supportive measures. Remember, each person’s health needs a very individualized approach and integrating perspectives from both modern and traditional medicine might give you the best result.

Gallbladder stones, particularly when they’re causing pain as in your case, might sometimes require surgical intervention, such as cholecystectomy. A 14mm stone is quite large, and while Ayurveda can help manage symptoms like gas and improve digestion, complete dissolution of such a large stone solely through Ayurveda might not be feasible or safe if the stone causes complications like blockages or inflammation.

However, focusing on your digestive health can still be beneficial. Since you mentioned gas issues, it’ll be essential to balance your digestive fire, or agni, which can aid in reducing gas and overall discomfort. One common approach is consuming a mix of ginger and lemon juice before meals to stimulate digestion and ease gas symptoms. You can prepare this by combining a teaspoon of ginger juice and lemon juice.

Given your condition with previous uveitis and ongoing medication like azaram 50 mg and folic acid, whatever treatment path you decide, it’s crucial to consult with your healthcare provider to address potential interactions with your current prescriptions and assess the urgency of surgical options based on your overall health.

Also, you may want to avoid fatty or fried foods, which can exacerbate gallstone issues and gas. Incorporate more fresh fruits, vegetables, and fiber into your diet to support digestion. These dietary adjustments, alongside professional guidance, can provide some relief and management of symptoms. Always prioritize professional medical advice, especially if your symptoms worsen or there’s potential for more serious conditions.