Hlo,
I understand your concern—severe left-sided upper abdominal pain radiating to the back/left shoulder with antral gastritis and antral lesion can be very distressing.
1. Is Choti Doodi + Cologrit safe in your case? 🔹 Choti Doodi (Euphorbia hirta) Action (Ayurveda): Pittashamak, Grahi, Shothahara Use: Helpful in gastritis, ulcers, burning pain Concern: 👉 In higher dose or long use, it can cause irritation and dryness, especially if pain is severe and radiating. Your dose: 30 ml BD before meals ❌ (a bit high for an active antral lesion)
🔹 Cologrit tablets Usually contain Shankha bhasma, Praval, Mukta, herbs Good for acidity, gastritis, dyspepsia Safe at your dose ✅ Cologrit is safe ⚠️ Choti doodi dose needs adjustment
2. Why pain is not reducing (important) Based on your symptoms: Severe pain Left upper abdomen → back → shoulder Triggered by spicy food Not responding to omeprazole + sucralfate 👉 This suggests: Pitta-dominant Annavaha srotas dushti Possible gastric erosion / active inflammation
Vata is also involved (radiating pain)
So we must: ✔️ Cool Pitta ✔️ Heal mucosa ✔️ Control Vata pain ✔️ Avoid irritant herbs temporarily
3. Ayurvedic Prescription (SAFE & EFFECTIVE) 🌿 1. Choti Doodi (Modified) Dose: 15 ml Method: Dilute with equal water Timing: After meals, not before Frequency: Once daily only Duration: 5–7 days only 👉 Stop if burning or pain increases.
🌿 2. Cologrit Dose: 2 tablets After meals – BD Duration: 3–4 weeks ✅ Continue
🌿 3. Add these IMPORTANT medicines ✅ Avipattikar Churna Dose: ½ teaspoon With: Lukewarm water Time: Bedtime Action: Neutralizes Pitta, relieves gastritis pain
✅ Yashtimadhu (Licorice) powder Dose: ½ teaspoon With: Warm milk or water Time: Morning empty stomach Action: Heals antral lesion & gastric lining ⭐ Very important for you
✅ Kamdudha Ras (plain, not motiyukt) Dose: 1 tablet Twice daily after meals Duration: 10–14 days Action: Strong Pitta pacifier, ulcer healing
4. Diet & Lifestyle (NON-NEGOTIABLE) ❌ Strictly avoid Spicy food Tea, coffee Fried food Late-night meals Alcohol (if any) ✅ Preferred Rice gruel Oats porridge Boiled vegetables Warm milk (at night) Coconut water (room temperature)
5. ⚠️ Red Flags – DO NOT IGNORE If any of the following occur, consult a gastroenterologist immediately: Pain worsening despite treatment Vomiting Black stools Fever Pain radiating with sweating (to rule out cardiac causes)
Tq
