INVESTIGATIONS NEEDED
-Repeat H.pylori test - stool antigen or breath test -Vitamin/mineral panel= B12, iron. ferritin, vitamin D, magnesium -Basic blood work= CBC, liver , kidney, thyroid if not done -Endoscopy only if symptom worsens
Kindly start
-Avipattikar churna= 1/2 tsp before meals with warm water
-Kamdudha ras with mukta= 1-0-1 after meals
-Sutsekhar ras= 1-0-1 after meals
-Dashmoolarishta= 20 ml twice daily after meals
-Ashwagandha capsules= 1-0-1 with warm milk
And yes kindly go for investigation -H.pylori - vitamin b12 and d - cbc - abdomen ultrasound
Avoid oily, spicy and processed foods. Regular exercise and meditation. Increase intake of raw vegetables and fruits. Drink sufficient quantity of water. Tab. Yashtimadhu 2-0-2 Tab. Guduchi 2-0-2
Follow a regular sleep wake cycle. Avoid sleeping after meals. Do regular exercises. Walking, swimming, yoga, etc will helps in digestion and also for good health.
Took small frequent meals. Journal your food and find out trigger foods and avoid it.
1. Drakshadi kashayam 10ml + 45ml lukewarm water twice daily before half an hour of food intake. 2. Dhanwantaram gulika 1-1-1 after food. 3. Ashtachoornam 1/2 tsp with buttermilk at lunch time with food. 4. Aswagandha lehyam 1 tsp at night.
Took 1st and 2nd medicine for 2 weeks. 3rd and 4th medicine for 1 month.
warm regard, Dr. Shaniba
Go for endoscopy if your pain is worsening assd with black stools / vomitings You can go for H pylori test along with cbc thyroid profile LFT RFT VITAMIN AND MINERAL PANEL and blood sugar Even though you are not on those medications since 1 year your stomach lining will be still weak leading to poor digestion and absorption
Based on the symptoms you’ve described and your medical history, here are some points to consider, but you should discuss them with a doctor:
Do I need to repeat endoscopy or other tests (H. pylori, vitamin deficiency, absorption issues)?
Repeating Endoscopy: A repeat endoscopy might be recommended , especially if your symptoms have not improved or have worsened since your last one. This could help check for any progression of gastritis and duodenitis, or to rule out other issues.
H. Pylori Test: Even though you took an HP kit, it’s possible for the bacteria to not be fully eradicated or to re-emerge. A non-invasive test like a urea breath test or a stool antigen test could be a good idea to confirm if the H. pylori infection is truly gone.
Vitamin/Mineral Deficiency and Absorption Issues: Your symptoms of dizziness, numbness, and disturbed sleep can be linked to vitamin and mineral deficiencies, particularly B12, iron, and magnesium. Poor gut health can indeed lead to malabsorption.
Could my previous psychiatric medicines be the reason for long-term stomach disturbance? Some psychiatric medications, including certain SSRIs (like Rexipra) and benzodiazepines (like Etilaam), can have gastrointestinal side effects such as nausea, changes in appetite, and gastric distress. While these side effects usually subside after stopping the medication, it’s possible that they may have contributed to the initial gut issues. It’s less likely that they are the direct cause of long-term problems a year after stopping them, but they could have been a contributing factor that led to the current state of your gut.
What long-term treatment or lifestyle approach should I follow for recovery?
Medical Follow-up: The most important step is to consult a nearest gastroenterologist to get a proper diagnosis and a treatment plan. They may recommend a long-term course of medication, depending on the findings of any new tests.
Dietary Changes:
Identify Triggers: Keep a food diary to identify which foods trigger your symptoms (e.g., spicy, fatty, acidic foods, caffeine, alcohol).
Eat Smaller, Frequent Meals: This can reduce the load on your digestive system.
Probiotics: Consider incorporating probiotic-rich foods (yogurt, kefir, fermented foods) or supplements to help restore healthy gut bacteria.
Stress Management: Stress and anxiety have a significant impact on gut health. Techniques like meditation, yoga, deep breathing exercises, and regular physical activity can be very helpful.
Could my dizziness, numbness, and sleep issues be linked to vitamin/mineral deficiencies due to poor gut absorption?
Yes, this is a very strong possibility. Vitamin B12 Deficiency: Can cause neurological symptoms like numbness, tingling, and fatigue. Iron Deficiency: Can lead to fatigue and dizziness. Magnesium Deficiency: Can affect sleep quality and muscle function.
What daily diet and lifestyle plan would you recommend for better gut health?
Dietary Recommendations:
Include Fiber: Soluble fiber (oats, beans, apples, carrots) can help regulate bowel movements and feed good gut bacteria.
Lean Protein: Choose lean proteins like chicken, fish, and legumes.
Healthy Fats: Include healthy fats from sources like avocados, nuts, and olive oil.
Stay Hydrated: Drink plenty of water throughout the day.
Foods to Consider Limiting or Avoiding:
Spicy and Acidic Foods: Tomatoes, citrus fruits, and spicy dishes can irritate the stomach lining.
High-Fat and Fried Foods: These can slow down digestion and increase bloating.
Caffeine and Alcohol: Both can irritate the stomach.
Carbonated Drinks: Can contribute to bloating and gas.
Lifestyle Recommendations:
Regular Exercise: Helps improve digestion and reduces stress.
Adequate Sleep: Aim for 7-9 hours of quality sleep per night.
Mindful Eating: Chew your food thoroughly and eat slowly.
Stress Management: As mentioned earlier, stress can exacerbate digestive issues.
Hope this will help you
Start with Kamdudharas moti yukta 1-0-1 after food with water Tablet Liv-52 1-0-1 after food with water Soak overnight coriander seeds fennel seeds jeera seeds morning strain and drink empty stomach before breakfast Soak overnight raisins (6-7), black currant (5-6),fry anjeer (3-4) in a glass of water (200ml) morning mix make smoothie and drink. Take gulkand 2tsp in The evening with milk. Do sheetali pranayam daily.
Don’t worry take bilwadilehyam 1tsp , kutajaganavati 1tab bd, Sutashekar ras 1tab bd
Hello Rakesh ji, I understand your concern. You have a history of psychiatric medicines, later developed gastritis and duodenitis, and are still facing bloating, heartburn, disturbed sleep, numbness, and weakness.But don’t worry we are here to help you out😊.
✅Q. 1. Do you need to repeat endoscopy or other tests?
If your symptoms are persistent beyond 6–12 months, repeating an endoscopy may be useful to check for any chronic inflammation, ulcer healing status, or recurrence.
H. pylori testing (stool antigen ) is advisable if it was previously positive, to confirm eradication.
Yes, checking Vitamin B12, Vitamin D, Iron, Magnesium levels is important, as long-standing gastritis can affect absorption and lead to dizziness, numbness, and fatigue.
✅Q. 2. Could psychiatric medicines be the cause?
Etilaam and Rexipra Forte can sometimes cause gastric irritation, reflux, and altered gut motility.
Even though you stopped them, they may have triggered or aggravated your stomach lining sensitivity, which takes time to heal.
✅Q. 3. Long-term treatment & lifestyle approach
From an Ayurvedic perspective, this is mainly Amlapitta (acidic imbalance) with Agnimandya (weak digestion).
☑️AYURVEDIC MEDICATION
1 Avipattikar Churna – 1 tsp with warm water just before meals (reduces acidity). 2 Kamdugdha Rasa (with mukta shukti) 1-1-1 before food – excellent for gastritis and duodenitis. 3 Sutshekhar Ras 1-1-1 after food – helps in burning, heartburn, nausea. 4 Shankh Bhasma 1-0-1 – for long-term digestive balance.
Pomegranate, buttermilk with roasted cumin, coriander water are natural remedies.
✅ Q. 4 Could dizziness, numbness & sleep issues be deficiency-related?
Yes. B12 deficiency can cause numbness/tingling in hands and legs.
Iron or Vitamin D deficiency may cause fatigue, low mood, sleep disturbance.
Poor absorption due to chronic gastritis may be a contributor.
👉 blood test panel
CBC, B12, Vit D, Iron studies, thyroid profile will help.
✅Q.5. Daily diet & lifestyle for gut health
✔️INCLUDE Warm, freshly cooked food, soft kichdi, rice + moong dal, vegetable soups. Pomegranate, banana (ripe), apple, pear. Spices: cumin, coriander, fennel, cardamom. Coconut water, buttermilk (diluted with roasted jeera).
❌Avoid:
Tea, coffee, alcohol, smoking. Spicy, fried, sour, pickles, excess tomatoes, citrus fruits. Junk/processed foods, irregular eating.
✅LIFESTYLE TIPS Take meals on time; avoid long gaps or overeating. Do gentle yoga – Vajrasana (after meals), Pawanmuktasana, Shavasana. Practice deep breathing, Anulom-Vilom pranayama to reduce stress-related acidity. Sleep early (before 11 pm), avoid late-night screen time.
With consistent treatment and diet modification you can curr your long standing gastritis😊
Wish you a good health😊
Warm Regards Dr Snehal Vidhate
There is no need to repeat the tests and your medicines can cause stomach disturbances. So kindly go with the following medicines: 1.Hingwashtak churna 1 tsp with warm water just before meals twice daily 2.Brahmi capsules 2 cap at night after meal 3.Ashwagandha churna 1 tsp with warm milk twice daily after meals 4.Dhatri lauha 1 tab twice daily after2 hours of meal 5.Ksheerabal oil-put 2 drops in each nostril at bedtime
Lifestyle - Yoga Nidra or Bhramari pranayama before bed - Avoid late meals, cold drinks, processed food - Sleep by 10:30 PM to reset circadian rhythm
Your situation requires a multi-faceted view to gain clarity. To answer your first question, repeating an endoscopy or additional tests like H. pylori or vitamin deficiency evaluations could be useful. These could reveal any lingering issues post-treatment that might need more targeted attention. Evaluating vitamin B12, D, magnesium, along with iron levels can provide insights, especially related to your dizziness and numbness as such symptoms can be due to deficits caused by poor gut absorption.
Regarding your second question, psychiatric medications like Etilaam and Rexipra Forte can occasionally have gastrointestinal side effects, but they usually revert upon cessation. However, they may have indirectly contributed to stress-related digestive workup. It’s generally good practice to review your medical history and discuss it with a healthcare professional for more personalized advice.
For a long-term treatment plan, focus on pacifying Pitta dosha, as it relates to inflammation and digestive issues. This could include an approach of avoiding spicy, sour, and deep-fried foods. Favor bitter vegetables like gourds and cooling herbs. Work towards a regular eating schedule, and don’t skip meals. Rather than loading your stomach with heavy meals, aim to have smaller meals more frequently to allow for proper digestion.
The dizziness, numbness, and sleep disturbances do suggest a possible connection to deficiencies arising from malabsorption issues. Engaging in regular pranayama and gentle yoga such as Shavasana can aid in calming mind and managing somatic stress that affects digestion. Nadi Shodhana (alternate nostril breathing) particularly aids in balancing the body’s energies.
For diet and lifestyle, incorporate a fiber-rich, whole-food approach with emphasis on ghee, which supports digestion and heals gut lining. Aim for a warm, unctuous diet using ingredients like turmeric and cumin that assist in digestion. Monitor water intake — keeping hydrated is critical, but avoid cold beverages.
Try to maintain a consistent sleep and wake-up time to help regulate the body’s natural rhythms. Also, cloves or licorice tea before bedtime may promote restful sleep, while maintaining a peaceful environment for resting is vital.
Ensure to have regular medical checkups and consult specialists when needed. Your approach should be holistic, involving not only treatment of symptoms, but an overall support for gut health and mental peace.
HELLO RAKESH,
GASTRITIS= irritation or swelling of the stomach lining DUODENITIS= irritation of the first part of the small intestines
COMMON CAUSES= infection with H. Pylori, too much stomach acid, medicines like painkillers, stress, irregular food habits
Because the lining is sensitive, it doesn’t protect itself from acid properly-> you feel burning, bloating, nausea, pain
Long irritation can disturb digestion, nutrient absorption and even nerve function (explaining dizziness, numbness, fatigue)
In Ayurveda, this is described as “Amlapitta” (excess acid/heat in stomach) with some involvement of vata (causing bloating, numbness, disturbed sleep)
TREATMENT GOALS -soothe and heal the stomach and intestine lining (reduce inflammation) -balance acid production (not too much, not too little) -improve digestion without irritation -correct deficiencies (B12, iron, Vit D if present) -calm the gut-brain axis (stress/anxiety-> acid flare-ups) -prevent recurrence with diet + lifestyle
INTERNAL MEDICATIONS
1) YASHTIMADHU CHRUNA= 2 gm with warm water or ghee twice daily after meals =coats stomach lining, reduces burning
2) SHATAVRI CHURNA= 1 tsp with warm milk daily morning = cooling, nourishing, helps balance acid
3) AVIPATTIKAR CHURNA= 1/2 tsp before meals with warm water =balances pitta, relieves acidity and bloating
4) KAMDUDHA RAS (with mukta)= 125 mg twice daily wit honey after meals =powerful pitta-shamak, relieves burning and nausea
5) SUTSEKHAR RAS= 125 mg twit daily with ghee after meals =reduces hyperacidity, protects mucosa
6) GUDUCHI SATVA= 500 mg twice daily after meals with warm water =improves digestion , immunity, reduces inflammation
DURATION= 6-8 weeks
HOME REMEDIES -Aloe vera pulp = 2 tsp in morning= sooting -Cumin-coriander-fennel water= boil seeds, cool, sip through the day -Clove sucking (mildly) when burning starts -Ghee with warm rice or khichdi= protects lining -Buttermilk (thin, churned, with roasted cumin)= daily in day-time
YOGA AND PRANAYAM -Vajrasana after meals= aids digestion -Pawanmuktasana =reduces bloating -Setu bandhasana= calms gut and nerves -Shitali/sheetkari= cooling breath, reduces pitta -Nadi sodhana= balances vata and pita, improves sleep
Avoid strong twists, forward bends, or very intense yoga til healing
DIET
FAVOUR= warm, soft, lightly spiced foods (khichdi, rice, moong dal, cooked vegetables, ghee, milk, ripe fruits like banana, papaya, pomegranate
AVOID= fried foods, excess chilli , pickles, vinegar, alcohol, strong tea/coffee, packaged junk, cold drinks
NEUTRAL FOODS= oats , barley, tender coconut water, soaked almonds, boiled vegetables
EASTING RULES= eat on time, don’t skip meals, don’t overeat avoid lying down immediately after eating
-Your condition is reversible- it needs a multi-layered approach : medicines for healing + lifestyle for prevention -Long term your focus is not just on 'removing acidity" but on restoring a strong, calm digestion and nervous system -Think of this as a 90 days gut reset with medications, diet, pranayam and gentle routine- after which your symptoms should be much lighter, and your system more resilient
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
Avipattikara chirna 1/2-0-1/2 tsp before meal Mulethi chirna -1 tsp at morning with warm water Avoid oily spicy non vegetarian foods
