Ah, parinama shoola, sounds tough. It’s a pretty common disorder in Ayurveda, and yeah, it has quite a bit to with indigestion and dosha imbalance, especially pitta. So, parinama shoola refers to a type of abdominal pain that usually comes on empty stomach, but can also happen after meals due to changes in gastric secretions—a bit like how modern medicine talks about ulcers or gastritis. In Ayurveda, it’s connected to poor digestive fire (agni) and dosha imbalance, mainly due to aggravated pitta and sometimes vata.
Diagnosing it usually starts with listening to your history, like when you’re saying that pain after meals. An Ayurvedic doctor would consider your prakriti (constitution) and vikrati (current imbalance) through a detailed assessment, including nadi pariksha (pulse diagnosis), questioned about your diet, routines, and stress.
About treatment, herbs like mulethi (licorice) and amalaki (Indian gooseberry) can be helpful cause they are pacifying pitta and soothing for the stomach lining. But it’s important to have these crafted into a personal regimen by a practitioner 'cause dosage and combinations matter. For some, choorna (powder) might be used, or some Kashayam (decoctions). Relief varies, typically takes a few weeks to see real change, depends how disciplined you are with lifestyle & dietary adjustments.
About diet, avoid spicy, fried, overly salty or sour foods. Definitely layoff caffeinated and acidic drinks—pitta just don’t like these! Instead, have more soups, cooked and easy-to-digest meals. Cumin and coriander teas can be calming. Stay hydrated but not with cold water…room temp or warm is best.
Yoga and pranayama can be beneficial by helping manage stress which affects agni. Gentle poses, deep breathing, meditation, those play a role in calming your system and balancing pitta-vata elements.
Some people do notice side effects like increased sensitivity at first because the body starts recalibrating, it’s important to monitor and communicate changes to your practitioner. As for Ayurvedic treatments working, patience is so key. They usually work slower than allopathic meds but aim to address root causes.
If you’ve any more questions or other symptoms pop up, keep in touch with your practitioner, as they may need to tweak your treatment plan. Healing is a journey, after all.


