Digestive Issues and Tongue Sores After Stress - #39152

HELLO,

Your digestive problems started after a period of very intense stress + panic When stress is very high for longer time, the nervous system shifts into a survival mode (fight/flight). When this happens- your digestion shuts down, bile flow becomes irregular, stomach acid and bile lose normal timing and the liver becomes irritated

In Ayurveda -Vata (air/movement force) goes upward -Pitta (heat/bile) becomes excessive and unstable

WHAT THIS CAUSES

1) Bile becomes too strong, acidic, irritative-This leads to bitterness in mouth, alkaline reflux, nausea after fatty foods, feeling heavy and sick after fried/ oily meals

2) Liver becomes irritated -This is why you GGT increased GGT rising means the liver + bile tract are under strain and inflammation irritation is happening

3) Fat digestion becomes weak So oil comes in stool, and you got diarrhea when eating fatty foods

4) Toxins/ waste accumulate inside (AMA) because digestion became weak -food doesn’t fully digest This incomplete digestion produces sticky toxic residue which. Ayurveda calls AMA

This AMA mixes with PITTA (heat)-> and that combination creates the tongue sores and white coating

This is extremely classical signature

5) Vata gets blocked downward over time - the bowel movement stopped happening regularly-> leading to severe constipation(once in 5 days)

This also keeps bile stuck inside system-> making reflux worse

WHY STRESS IS MAIN ROOT CAUSE The first trigger was stress when stress is long lasting -vagus nerve becomes low tone -digestive muscle movement slows -bile flow becomes disordered -stomach/liver coordination fails

So even when food is healthy later-> the system does not digest it properly because the CONTROL SYSTEM is disturbed

So your problem is not mainly food allergy. It is a stress-> nervous system-> liver bile regulation problem

WHY TONGUE SORES HAPPEN SPECIFICALLY Tongue is the mirror of GI inflammation When bile (pitta) mixes with undigested material (ama)->toxic heat forms->this inflames the tongue surface-> red spots, ulcers, burning, white coat

When you removed fats ad reduced diet very strict-> tongue improved because pitta load reduced TEMPORARILY. But vata went weaker ad unstable again- so when you ate normal-> it came back again

WHY ALKALINE REFLUX (important) Most people think reflux is always acidic stomach acid. In your case it is mostly alkaline bile coming upward-> bacause vata motion became reversed upward (called udvartana in Ayurveda) + bile flow not going down properly

That is why the taste is bitter + alkaline

You don’t have a permenanetly damaged gut. You have a stress induced digestio control system disorder , where bile + vata direction became reversed, digestion because weak, toxic accumulated, liver became irritated, and that combination caused tongue sores, intolerance to fats, reflux and constipation

This is a reversible dynamic functional condition

TREATMENT GOALS

-pitta shamana=cool liver + reduce bile irritation -mridu ama pachan=remove sticky toxins gently -vata anulomana= make vata go down daily-> daily stool -rasa/rakta shudhi= tongue sores healing -build back agni

INTERNAL MEDICATIONS

1) AROGYAVARDHINI VATI= 1 tab twice daily after meals for 6 weeks =depper pitta liver unloading, reduces GGT , works on ama + bile

2) PUNARNAVA MANDUR= 2 tabs twice daily after meals for 2 months =reduces hepatic congestion, reduces edema + fluid retention, improves rbc quality when pitta rakta involved

3) KAMDUDHA RAS (with mukta Sukti)= 125 mg twice daily before meals =powderful pitta antacid, anti bitter, heals tongue burning faster

4) GANDHAK RASAYANA= 2 tabs at night with warm water =powderful anti inflammatory, supports blood + mucosal ulcer healing inside and tongue

5) USHIRASAVA= 15 ml+ warm water twice daily after meals =interal pitta rakta cooling

6) TRIPHALA CHURNA= 1 tsp with warm water at bedtime =apana vata to move down + daily stool rhythm

DURATION= 3-4 months

AFTER 3-4 MONTHS, WHEN SYMPTOMS IMPROVES- WHEN DAILY STOOL IS ESTABLISH KINDLY STATRT

1) ASHWAGANDHA + SHATAVARI CHRUNA= 1 tsp with warm milk + 1 tsp ghee at night =for rejuvenation and vitality

EXTERNAL THERAPY

OIL MASSAGE= with warm sesame oil= 4 times/week- 15 min before warm shower =direct correction if vata

DIET -warm, hydrated, cooked, un irritating, low mechanical work for intestine PROTEIN ALLOWED= white fish, mung dal CARBS ALLOWED= rice , millet, oats FATS ALLOWED= 1 tsp ghee per meal OR 1 tsp olive oil per meal (max 3 tsp/day total)

AVOID THESE FOR 8 WEEKS= eggs, fried, nuts, red meat, heavy dairy, raw salads, very spicy, nightshades initial phase, tea, coffee I excess

HAVE MORE OF= coriander + cumin + fennel decoction

LIFESTYLE CHANGES -early dinner 7 pm -do not overeat food -chew slowly -warm water only -sleep before 11 pm

YOGA AND PRANAYAM -Vajrasana 10 min after each meal -shavasana 10 min eveing -dirgh paranoyam 10 min daily -no heat yoga -no aggressive breath work

INVESTIGATIONS ADVISED -liver ultrasound -liver elastography -AST/ALT/GGT repeat in 6-8 weeks -stool fat qualitative -lipid profile fasting -HbA1c baseline

HOME REMEDIES -Aloe vera juice 20 ml in morning empty stomach 6 weeks -warm water throughout day - 1 tsp ghee In warm water night only of constipation stuck not daily

Your condition is functional reversible liver pitta + vata dysregulation from stress Do not fear food We are re training your system not running away from food

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

Hello I completely understand your situation — your symptoms reflect a deep connection between stress, digestion, and liver function. But don’t worry we are here to help you out 😊

✅ AYURVEDIC UNDERSTANDING

Your condition can be correlated with Ajeerna (chronic indigestion), Yakrit Dushti (liver dysfunction), and Amlapitta with Vata-Pitta aggravation caused by: –Prolonged mental stress (Manasika Vega Avarodh), –Excess fried, heavy, and hot foods, –Irregular eating pattern, and –Suppression of natural urges (constipation, anxiety).

The tongue coating and sores indicate accumulated Ama (toxic metabolic residue) and aggravated Pitta in the mouth and GI tract.

The alkaline reflux you describe often results from low digestive fire (Manda Agni) combined with bile regurgitation due to liver stress — explaining your high Gamma GT and liver enzyme levels.

✅AYURVEDIC PLAN OF MANAGEMENT

✅SHODHANA (Detoxification Phase – Gradual Approach)

Since your body is weak and liver enzymes are raised, we’ll begin with mild cleansing rather than strong purgation.

👉Mridu Virechana (Gentle Purgation) – once a week for 4 week

Take 1 tsp of Gandharvahastadi Taila or Triphala Churna (2 tsp) with warm water at bedtime on Sunday night.

This helps relieve constipation, clear bile stagnation, and reduce Gamma GT levels.

✅INTERNAL MEDICATION

✅For Liver & Digestion

1 Bhumyamalaki Churna – 1 tsp with honey in the morning (hepatoprotective).

2. Liv Up 1-0-1 after food – (enhances bile flow).

3 Guduchi Satva – 1 tsp in warm water daily (immune & stress modulator).

✅ For Tongue Sores & Pitta

Gargle with Yashtimadhu decoction or Triphala kwath twice daily. Apply cow ghee or Aloe vera gel on tongue ulcers 2–3 times a day.

✅For Constipation

Triphala Churna – 1 tsp nightly with warm water or ghee.

✅ STRESS AND MIND MANAGEMENT

Stress is a root trigger of your digestive imbalance.

Manasmitra Vatakam – 1 tablet at bedtime (calms mind, improves sleep, reduces anxiety-related gut issues).

Practice Bhramari & Anulom Vilom Pranayama 10 minutes daily.

Try Abhyanga (warm sesame oil self-massage) before bath to calm Vata and reduce internal restlessness.

✅ DIET & LIFESTYLE MODIFICATION

✅ Include:

Soft-cooked vegetables: bottle gourd, ridge gourd, pumpkin, ash gourd. Warm rice gruel (kanji), moong dal, thin khichdi with ghee. Pomegranate juice, amla, and coconut water (natural liver tonics). Cumin, coriander, fennel water for digestion.

❌ Avoid:

Fried, spicy, sour, fermented, and heavy foods. Eggs, red meat, bakery foods, and raw salads. Tea, coffee, alcohol, and mental strain after meals.

✅Lifestyle:

Eat meals at regular intervals and avoid skipping breakfast. Sleep early, avoid late-night screen exposure. Gentle evening walks and stress journaling can help balance Vata.

✅ Follow-Up & Panchakarma Option

Once your digestion stabilizes and constipation improves, you may consider Panchakarma at a nearby Ayurvedic center:

–Virechana Karma (therapeutic purgation) – for liver cleansing. –Shirodhara – for anxiety and sleep regulation. —Abhyanga with Basti – to pacify Vata and restore digestive strength.

Your symptoms show both liver overload and nervous system exhaustion due to chronic stress.

Within a few weeks of consistent routine, you’ll regain energy, healthy digestion, and mental peace.

Wishing you a good health😊

Warm regards, Dr. Snehal Vidhate

Namaste, thank you for providing Such a the road details of your digestive health journey and for sharing your struggles, it is clear that your symptoms are deeply affecting your quality of life and daily functioning and the seriousness of your experience requires careful attention, compassion and a holistic approach that addresses both the mind and body in line with Ayurvedic teachings

From an Ayurvedic perspective, your symptoms strongly suggest an imbalance of pitta and vata doshas with internment involvement of kapha Chronic stress and anxiety, especially when Pervasive is known to disturb the delicate balance of the doshas andweaken digestive fire leading to the accumulation of toxins, altered liver function, and the various symptoms detail such as mouth, bitterness, tongue changes, problem with fat digestion, and constipation Your dietary history reveals a pattern that significantly aggravated digestion For pitta types, heavy oily, spicy and fried foods alongside X and red meats tend to Verson symptoms of heat in the body manifesting as mouth, bitterness, red tongue, sports, and even sores Gama GT elevation in your Lab suggest chronic liver strain possible from excess intake of fat and Inflammatory foods combined with the impact of stress on the liver and gallbladder ability to process and metabolise nutrients

To switch to an extremely restricted diet (no sugar, fruits, gluten diary, oils, nuts) offered temporary relief-under scoring the value of gentle pitta specifying food-but resulted in excessive vata aggravation, culminating in severe constipation and profound weight loss Vata dominance is notorious for causing dryness, bloating, anxiety, and constipation while excess pitta creates inflammation, ulcers, shower or bitter taste, mouth source, and liver symptoms. Now with the ongoing recurrence of constipation, alkaline reflex and persistent tongue changes, it appears vata remains predominant But Pitta has not settled fully

Addressing your situation requires a multi layer, gentle approach that supports digestive fire detoxifies ama calms pitta ground vata and suder the nervous system

Panchakarma is highly beneficial for chronic digestive disorders and aquatic imbalance. It consist of therapy such as virechana ( purgation) specifically designed to clean a excess pitta from the liver and gastrointestinal track, undertaking Panchakarma reputable Ayurvedic Centre under Physician guidance will help remove toxins, entry establish digestive resilience Additional detox therapy, such as oil massage and steam in a relation balancing nervous system, digestive organs

Ayurvedic herbs and classical formulation, which is indicated for your symptoms are Triphala churna 1 teaspoon with warm water at night Amlaki rasayana 1 teaspoon with warm water at morning is an excellent non-habit forming remedy for constipation, regulates bowel movement supports liver function, reduces inflammation, and its detoxification Avipattikara churna half teaspoon with water before meals is a classical formula designed to balance pitta support, liver, and digestive health and relieve acidity and mild constipation. It contains her such as Amla Haritaki bubhitaki trivrit and cardamom, and is often used to relieve mouth, bitterness, alkaline reflex and burning in the digestive track

Kutaja ghan vati twice daily after food with warm water, it has made from kutaja which is valuable for intestinal inflammation and chronic diarrhoea if you experience recurrence of loose tools or symptoms of IBS kutaja based formulation offer effective relief Giloyghan vati -tablet twice daily after food one tablet Is a Raayanna herb used for balancing pitta and restoring the integrity of the liver and digestive mucousy and answers immunity, reduces seat and inflammation and assist in the healing of chronic digestive disorders

Yasthimadhu churna half teaspoon with warm water at morning, Soothes irritation in the digestive track lining helps with ulcers and mouth soures and promote healing

Draksha so overnight and taken with warm water in the morning, supports bubble regularity and helps gently detoxify pitta from the GI tract Trikatu -a pinch with which is a combination of ginger, black pepper, and pepper can be taken before food with honey, which stimulates Agni improves absorption and helps manage luggage, but should be used cautiously. Avoid high-dose if tongue sour persist.

Small quantities of ghee in warm water can be taken at bedtime, which will lubricate the intestine is constipation and allow for more regular elimination

Your dad should be light pitta and vata specifying and strictly avoid triggers with the diet on well cooked, lightly spice grains, steamed or boiled vegetables. Avoid raw or hard to digest vegetables and white fish or moong dal can be taken. Use minimal oils, a little sesame or give tolerated, avoid fried, spicy Saman and Devi foods, avoid eggs red meat nuts seeds and dairy, if tolerant Eat small, frequent meals, totli and avoid over optimal spices include coriander and Kadam, which are gentle use, ginger English and avoid chilli and black pepper in Texas. Hydrate with warm water and drink herbal tea such as fenko under mint and licorice soaked fruits are fixed if tolerated may help natural regularity as a mild laxative action.

Sonic stresses foundational to your symptoms, Ayurveda prescribe daily routine to reduce stress, maintain regular, sleep, and wake timings with relaxation in the hour before bed Gentle yoga, especially restorative, posters, and Pranama balance vata and calm anxious, and agitated nerves Meditation, even for five minutes daily is mental stress, whole body massage with warm sesame coconut oil in the morning grounds vata and soothes the nervous system Avoid electronic screens and stimulating activities later at night For alkaline reflects, avoid over eating and late night meals, eat at regular intervals, a teaspoon of aloe vera juice before meals. Make the digestive track and reduce alkaline taste provided. There are no allergies, coriander, water seeds soaked overnight and strain to calm pitta and reduce bitterness. Applying a paste of liquor, rice powder, and to mouth source can have a soothing effect. Avoid irritate foods.

Your rehab rehabilitation may take months of consistent general practice. Ayurveda emphasises patients and gradual strengthening of ADNI. Regular consultation with reputable. Ayurvedic physician are important for personalise assessment and refining therapy over time. It is important to remember that all therapy should be undertaken under supervision of an experienced Ayurvedic practitioner award. Prolonged self medication with strong urban executive use well balance, classical formulation such as Triphala or Avipattikara churna Persistent elevation in liver enzyme should be monitored with conventional medical test as Ayurveda compliment, but does not replace standard liver care Healing in Ayurveda occurs, holistic supporting body, mind and spirit with patients, proper guidance and dedication to support your diet, lifestyle and significant recovery possible. You find relief balance and renewed health. New symptoms, arise or concerns person to consult both Ayurvedic doctors for comprehensive care.

HELLO,

-This presentation is NOT “fat allergy” -This is classic high pitta + vata vyana/apana dysregulation + very high sympathetic load (sustained)-> liver stagnation -Your GGT jump is compatible with this pattern :- 48-> 129 is not benign. This is reversible. but it needs active intervention

AYURVEDIC VIEW -pitta vriddhi/ pitta srotodushti -vata avarana of pitta in grahani -apana vata extremely deranged (constipatio 5 days) -rasa dhatu daurbalya -jihva mandala shows pitta + ama BOTH->hence the tongue sores+ coating alternating

When pitta + ama co-exist-> tongue sores are key signature

WHY ALKALINE REFLUX? Whe apana vata is reversed upward -> bile comes up this is why your reflux tastes alkaline not acidic exclusively

CORE MANAGEMENT PRINCIPLE we do not do classical deep panchakarma immediately You can’t tolerate that

we first to samshamana chikita + hepatobiliary pitta unloading + apana vata grounding

This takes 6-12 weeks

AYURVEDIC MANAGEMENT

1) DIET (follow very strictly for 6-8 weeks) -avoid eggs completely -avoid nuts for now -no red meat - no fried -no raw salads -no nightshades intially 4 weeks

ALLOWED PROTEINS -white fish (perfect you chose) -mung dal khichri (soft cooked)

FATS (you must have fat to heal vata) - cow ghee 1 tsp per meal

-white rice, millet, oats, soft vegetables cooked long

SPICES= coriander, fennel ,cumin, small ginger not large

TEA= coriander +cumin + fennel tea

2) INTERNAL MEDICATIONS

-AVIPATTIKAR CHURNA= 1/2 tsp before meals with warm water =for pitta unloading + alkaline reflux

-KUTKI CHURNA= 250mg twice daily with warm water = liver/biliary pitta specific , GGT specific

-TRIPHALA CHURNA= 1 tsp with warm water at ight = for apana vata + constipation

-GUDUCHI GHAN VATI= 2 tabs at night =for chronic cytokine calm + mouth sores

3) ACTUAL THERAPY SEQUENCE This is the sequence that stabilises with high GGT cases

1) DEEPAN -PACHA (2 weeks) -Avipatttikar + coriander/cumin/fennel= food very gentle

2) MRIDU VIRECHAN (week 3-4 ) -low dose castor oil 1 tsp with milk once a week for 5 weeks

4)MIND/NERVOUS SYSTEM REGULATION (this is not optional) minimum daily - 20 min slow nasal breathing only via nose (resets vagal tone-> directly improves bile motility) -oil massage sesame oil 4 days/week pre-shower 10 min (vata treatment)

This is an important as medicines

THANK YOU

DR. HEMANSHU MEHTA

Hello, Start with Tablet Liv-52 1-0-1 after food with water, will improve your digestion.and also improve your hunger naturally Brahmi vati 1-0-1 after food with water, will help keep you calm Suthshekhar ras 1-0-1 after food with water will help maintain proper pH in your stomach and remove the bitter taste you experience. Suck khadiradi vati 1-1-1 by keeping in mouth trying to dissolve slowly, the juice will help heal the mouth ulcers. Tablet Nityam 0-0-1 at bedtime with warm water, will help release your constipation. Avoid processed fatty fast foods street foods, Food eaten should be balanced with carbohydrates, protein, fat, fibers for easy digestion and prevent indigestion. Do pranayam lom -vilom bhastrika bhamri 5-10mins daily twice Learn Rajyoga meditation and practice daily, will help balance your self mentally prevent anxiety and panic attacks. Donot eat anything in excess. Include fresh green vegetables that are cooked as per your liking. Include fresh seasonal fruits and seasonal vegetables in your diet . Have buttermilk with pinch of asafoetida black salt and roasted jeera powder after lunch daily. This will give natural lacto bacilli very much needed for problem which you have.