Severe gerd problem due to hitus hernia and no apetite - #31430

Dealing with GERD due to hiatus hernia can be challenging, especially with side effects from medications. Ayurveda might offer supportive guidance to address the root causes. The first focus should be your Agni or digestive fire, as when Agni is weak, it can worsen GERD symptoms.

Start by eating small, frequent meals that are easy to digest. Opt for cooked foods like vegetable soups, steamed vegetables, or kichari, a blend of rice and lentils that are gentle on the stomach. Spices like ginger, cumin and coriander can stimulate digestive fire, but be cautious with spices to avoid aggravating Pitta dosha, which may worsen acidity.

Avoid sour, spicy, or fermented foods which can increase acidity, and limit caffeine and alcohol. Eating at least three hours before bedtime is crucial, allowing time for digestion. Also try to sleep on your left side to minimize reflux during the night.

Yoga can support you too; focus on gentle exercises or poses that don’t compress the stomach like Bhujangasana (Cobra pose) and avoid inversions that might push stomach acid upwards. Pranayama or breath control exercises such as Nadi shodhana (alternate nostril breathing) can help reduce stress, often linked with GERD.

Low appetite and deficiencies in vitamin D and B12 may be interlinked. Focus on foods naturally rich in B12 (like dairy and fortified cereals) while considering supplements after consulting with a healthcare provider. Sunlight exposure supports Vitamin D absorption, so spend 15-20 minutes outside daily if possible, without sunscreen but not during peak sun hours.

Finally, occasional herbal support like amalaki (Indian gooseberry) or licorice root can be considered but check with an experienced Ayurvedic practitioner for personalized advice, particularly because long-term use may have side effects. Always ensure these remedies are integrated with any ongoing medical treatment.